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An Investigation of the Effects of Pitocin for Labor Induction and Augmentation on Breastfeeding Success

机译:pitocin对分娩诱导和增强对母乳喂养成功率影响的研究

摘要

Rates of labor induction and augmentation have been increasing in recent decades (Glantz, 2005). According to the Listening to Mothers II survey, half of all labors in the U.S. are induced or augmented with Pitocin or other synthetic form of the hormone oxytocin (Declercq et al., 2006). Oxytocin, a naturally occurring hormone released in the pituitary gland, is involved in the stimulation of uterine contractions during labor and in the milk ejection reflex during breastfeeding, and research suggests it also has various effects on the brain, such as eliciting maternal behavior. However, studies have shown that exogenous oxytocin can interfere with the natural production and regulation of oxytocin and can have adverse effects on the fetus and mother. Therefore, I predict that the induction or augmentation of labor with Pitocin will negatively affect breastfeeding following birth. The proposed study will compare LATCH scores, used in hospitals to measure postpartum breastfeeding success, of dyads exposed to intravenous Pitocin prior to birth with control dyads that had no exposure to Pitocin during labor. It is hypothesized that dyads exposed to Pitocin will have significantly lower LATCH scores than controls. Given the countless health benefits of breastfeeding for both mother and infant, the results of this study will have important implications for the evaluation of common practices during labor and birth.
机译:近几十年来,引产和扩大劳动的比率一直在增加(Glantz,2005年)。根据《聆听母亲II》的调查,在美国所有的分娩中,有一半使用催产素或其他合成形式的催产素来诱导或增加(Declercq等人,2006)。催产素是垂体腺中释放的一种天然激素,在分娩过程中刺激子宫收缩,在母乳喂养过程中也参与乳汁排出反射,研究表明它也对大脑有多种影响,例如引起产妇行为。但是,研究表明,外源性催产素会干扰催产素的自然产生和调节,并可能对胎儿和母亲产生不利影响。因此,我预测使用匹托霉素引产或增加分娩会对出生后的母乳喂养产生负面影响。拟议的研究将比较医院用于衡量产后母乳喂养成功率的分娩前与接受过分娩期间未接触过皮托霉素的对照二倍体的LATCH得分。假设暴露于匹托霉素的二元组的LATCH得分明显低于对照组。鉴于母乳喂养对母亲和婴儿都有无数的健康益处,这项研究的结果对于评估分娩和分娩时的常规做法将具有重要意义。

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    Lewis Megan J.;

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  • 年度 2012
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