The impact of breastfeeding on postpartum pain after vaginal and cesarean delivery
Abstract Study Objective Oxytocin may play a role in pain modulation. The analgesic effects of breastfeeding with its associated endogenous oxytocin release have not been well investigated. To determine the impact of breastfeeding on incisional, perineal, and cramping pain after cesarean and vaginal...
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| Veröffentlicht in: | Journal of clinical anesthesia 2015-02, Vol.27 (1), p.33-38 |
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| creator | Wen, Louise, MD Hilton, Gillian, FRCA Carvalho, Brendan, FRCA |
| description | Abstract Study Objective Oxytocin may play a role in pain modulation. The analgesic effects of breastfeeding with its associated endogenous oxytocin release have not been well investigated. To determine the impact of breastfeeding on incisional, perineal, and cramping pain after cesarean and vaginal delivery. Design Institutional review board–approved prospective observational study. Setting Labor and delivery and maternity wards. Patients Healthy (American Society of Anesthesiology physical statuses 1 and 2) multiparous women who had cesarean (n = 40) and vaginal (n = 43) deliveries of singleton term infants and who were breastfeeding were enrolled. Interventions Women completed diaries to record incisional, perineal, or cramping pain scores 5 minutes before, during, and 5 minutes after breastfeeding. Measurements Demographic, obstetric, and neonatal variables, as well as analgesic use, were recorded. Main Results There was no difference in incisional pain before, during, and after breastfeeding in women post–cesarean delivery. Cramping pain was significantly increased during, as compared with before or after breastfeeding in both the vaginal ( P < .001) and cesarean ( P < .001) delivery cohorts. Conclusions There was no analgesic effect on incisional pain during breastfeeding, indicating that endogenous oxytocin associated with breastfeeding may not play a significant role in postpartum cesarean wound pain modulation. Breastfeeding increased cramping pain after vaginal and cesarean delivery. The increase in cramping pain is most likely due to the breastfeeding-associated oxytocin surge increasing uterine tone. |
| doi_str_mv | 10.1016/j.jclinane.2014.06.010 |
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The analgesic effects of breastfeeding with its associated endogenous oxytocin release have not been well investigated. To determine the impact of breastfeeding on incisional, perineal, and cramping pain after cesarean and vaginal delivery. Design Institutional review board–approved prospective observational study. Setting Labor and delivery and maternity wards. Patients Healthy (American Society of Anesthesiology physical statuses 1 and 2) multiparous women who had cesarean (n = 40) and vaginal (n = 43) deliveries of singleton term infants and who were breastfeeding were enrolled. Interventions Women completed diaries to record incisional, perineal, or cramping pain scores 5 minutes before, during, and 5 minutes after breastfeeding. Measurements Demographic, obstetric, and neonatal variables, as well as analgesic use, were recorded. Main Results There was no difference in incisional pain before, during, and after breastfeeding in women post–cesarean delivery. Cramping pain was significantly increased during, as compared with before or after breastfeeding in both the vaginal ( P < .001) and cesarean ( P < .001) delivery cohorts. Conclusions There was no analgesic effect on incisional pain during breastfeeding, indicating that endogenous oxytocin associated with breastfeeding may not play a significant role in postpartum cesarean wound pain modulation. Breastfeeding increased cramping pain after vaginal and cesarean delivery. The increase in cramping pain is most likely due to the breastfeeding-associated oxytocin surge increasing uterine tone.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2014.06.010</identifier><identifier>PMID: 25468582</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Analgesia ; Analgesics ; Anesthesia & Perioperative Care ; Breast Feeding ; Breastfeeding ; Cesarean ; Cesarean section ; Cesarean Section - methods ; Childbirth & labor ; Delivery, Obstetric - methods ; Female ; Humans ; Hypotheses ; Nutrition ; Obstetrics ; Oxytocin ; Oxytocin - metabolism ; Pain ; Pain - epidemiology ; Pain Medicine ; Postpartum Period ; Pregnancy ; Prospective Studies ; Vaginal delivery</subject><ispartof>Journal of clinical anesthesia, 2015-02, Vol.27 (1), p.33-38</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-20b9a93a54c2812019aa5650e2ac9c1911d369f9e59ab41711b6f253085944913</citedby><cites>FETCH-LOGICAL-c484t-20b9a93a54c2812019aa5650e2ac9c1911d369f9e59ab41711b6f253085944913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1656372897?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25468582$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wen, Louise, MD</creatorcontrib><creatorcontrib>Hilton, Gillian, FRCA</creatorcontrib><creatorcontrib>Carvalho, Brendan, FRCA</creatorcontrib><title>The impact of breastfeeding on postpartum pain after vaginal and cesarean delivery</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>Abstract Study Objective Oxytocin may play a role in pain modulation. The analgesic effects of breastfeeding with its associated endogenous oxytocin release have not been well investigated. To determine the impact of breastfeeding on incisional, perineal, and cramping pain after cesarean and vaginal delivery. Design Institutional review board–approved prospective observational study. Setting Labor and delivery and maternity wards. Patients Healthy (American Society of Anesthesiology physical statuses 1 and 2) multiparous women who had cesarean (n = 40) and vaginal (n = 43) deliveries of singleton term infants and who were breastfeeding were enrolled. Interventions Women completed diaries to record incisional, perineal, or cramping pain scores 5 minutes before, during, and 5 minutes after breastfeeding. Measurements Demographic, obstetric, and neonatal variables, as well as analgesic use, were recorded. Main Results There was no difference in incisional pain before, during, and after breastfeeding in women post–cesarean delivery. Cramping pain was significantly increased during, as compared with before or after breastfeeding in both the vaginal ( P < .001) and cesarean ( P < .001) delivery cohorts. Conclusions There was no analgesic effect on incisional pain during breastfeeding, indicating that endogenous oxytocin associated with breastfeeding may not play a significant role in postpartum cesarean wound pain modulation. Breastfeeding increased cramping pain after vaginal and cesarean delivery. The increase in cramping pain is most likely due to the breastfeeding-associated oxytocin surge increasing uterine tone.</description><subject>Adult</subject><subject>Analgesia</subject><subject>Analgesics</subject><subject>Anesthesia & Perioperative Care</subject><subject>Breast Feeding</subject><subject>Breastfeeding</subject><subject>Cesarean</subject><subject>Cesarean section</subject><subject>Cesarean Section - methods</subject><subject>Childbirth & labor</subject><subject>Delivery, Obstetric - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Nutrition</subject><subject>Obstetrics</subject><subject>Oxytocin</subject><subject>Oxytocin - metabolism</subject><subject>Pain</subject><subject>Pain - epidemiology</subject><subject>Pain Medicine</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Vaginal delivery</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkk9v1DAQxS0EokvhK1SWuHBJGDu2Y18QqCp_pEpIUM6W40yKQzYJdrLSfnsctgWpl5588O-90Zs3hFwwKBkw9bYvez-E0Y1YcmCiBFUCgydkx3RdFUJy85TswEheaKbhjLxIqQeA_MGekzMuhdJS8x35dvMTadjPzi906mgT0aWlQ2zDeEunkc5TWmYXl3VPZxdG6roFIz242zx7oG5sqcfksmqkLQ7hgPH4kjzr3JDw1d17Tn58vLq5_Fxcf_305fLDdeGFFkvBoTHOVE4KzzXLIYxzUklA7rzxzDDWVsp0BqVxjWA1Y43quKxASyOEYdU5eXPyneP0e8W02H1IHochL2Vak2Wa14bV2sjHUSW14BWAyujrB2g_rTGH_Uupquba1JlSJ8rHKaWInZ1j2Lt4tAzsVpDt7X1BdivIgrK5oCy8uLNfmz22_2T3jWTg_QnAvLpDwGiTDzj63EhEv9h2Co_PePfAYqOCd8MvPGL6n8cmbsF-385kuxImACouTPUHmRm3PQ</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>Wen, Louise, MD</creator><creator>Hilton, Gillian, FRCA</creator><creator>Carvalho, Brendan, FRCA</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>20150201</creationdate><title>The impact of breastfeeding on postpartum pain after vaginal and cesarean delivery</title><author>Wen, Louise, MD ; Hilton, Gillian, FRCA ; Carvalho, Brendan, FRCA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-20b9a93a54c2812019aa5650e2ac9c1911d369f9e59ab41711b6f253085944913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Analgesia</topic><topic>Analgesics</topic><topic>Anesthesia & Perioperative Care</topic><topic>Breast Feeding</topic><topic>Breastfeeding</topic><topic>Cesarean</topic><topic>Cesarean section</topic><topic>Cesarean Section - methods</topic><topic>Childbirth & labor</topic><topic>Delivery, Obstetric - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Nutrition</topic><topic>Obstetrics</topic><topic>Oxytocin</topic><topic>Oxytocin - metabolism</topic><topic>Pain</topic><topic>Pain - epidemiology</topic><topic>Pain Medicine</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Vaginal delivery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wen, Louise, MD</creatorcontrib><creatorcontrib>Hilton, Gillian, FRCA</creatorcontrib><creatorcontrib>Carvalho, Brendan, FRCA</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wen, Louise, MD</au><au>Hilton, Gillian, FRCA</au><au>Carvalho, Brendan, FRCA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of breastfeeding on postpartum pain after vaginal and cesarean delivery</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>27</volume><issue>1</issue><spage>33</spage><epage>38</epage><pages>33-38</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>Abstract Study Objective Oxytocin may play a role in pain modulation. The analgesic effects of breastfeeding with its associated endogenous oxytocin release have not been well investigated. To determine the impact of breastfeeding on incisional, perineal, and cramping pain after cesarean and vaginal delivery. Design Institutional review board–approved prospective observational study. Setting Labor and delivery and maternity wards. Patients Healthy (American Society of Anesthesiology physical statuses 1 and 2) multiparous women who had cesarean (n = 40) and vaginal (n = 43) deliveries of singleton term infants and who were breastfeeding were enrolled. Interventions Women completed diaries to record incisional, perineal, or cramping pain scores 5 minutes before, during, and 5 minutes after breastfeeding. Measurements Demographic, obstetric, and neonatal variables, as well as analgesic use, were recorded. Main Results There was no difference in incisional pain before, during, and after breastfeeding in women post–cesarean delivery. Cramping pain was significantly increased during, as compared with before or after breastfeeding in both the vaginal ( P < .001) and cesarean ( P < .001) delivery cohorts. Conclusions There was no analgesic effect on incisional pain during breastfeeding, indicating that endogenous oxytocin associated with breastfeeding may not play a significant role in postpartum cesarean wound pain modulation. Breastfeeding increased cramping pain after vaginal and cesarean delivery. The increase in cramping pain is most likely due to the breastfeeding-associated oxytocin surge increasing uterine tone.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25468582</pmid><doi>10.1016/j.jclinane.2014.06.010</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Analgesia Analgesics Anesthesia & Perioperative Care Breast Feeding Breastfeeding Cesarean Cesarean section Cesarean Section - methods Childbirth & labor Delivery, Obstetric - methods Female Humans Hypotheses Nutrition Obstetrics Oxytocin Oxytocin - metabolism Pain Pain - epidemiology Pain Medicine Postpartum Period Pregnancy Prospective Studies Vaginal delivery |
| title | The impact of breastfeeding on postpartum pain after vaginal and cesarean delivery |
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