The clinical practice issue selected was breastfeeding analgesics and anaesthetics, and the conditions that instigate their use amongst breastfeeding mothers. In general, pharmacology, one method of drug excretion is through the breast milk by lactating mothers. This may consequently result to negative effects on the infant. It is therefore important for the clinical staff to come up with ways of controlling anesthetics for the post and pre-partum period (Halpern, 2005).
The key goal is to offer recommendations for safe and correct administration of the pharmacologic agents for anesthesia and pain management amongst breastfeeding mothers during labor, postpartum period and for lactating women during surgery. The article further examines the evidence available currently, for different approaches in labor and pain management on breastfeeding effects.
Maternity care staff should create an informed consent discussion for labor pain management in the prenatal period, and before the onset of labor. The risk analysis should entail what the medical professionals acknowledged and documented about the consequences of the various modalities on labor progress, the risk margins of instrum...
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...nesthetic gases such as xenon similarly have brief distribution phases and milk levels are similarly nil. This has been supported by a recent study, which has shown that xenon maintenance after propofol induction would allow immediate breastfeeding after surgery. Specific local anesthetics for epidural use including ropivacaine and bupivacaine are poorly absorbed orally such that they should be safe in postpartum breast milk since their levels in milk is extremely low.
Benzon, H. T. (2005). Essentials of pain medicine and regional anesthesia (2nd ed.). Philadelphia: Elsevier-Churchill Livingstone.
Halpern, S. H. (2005). Evidence-based obstetric anesthesia. Malden, Mass: BMJ Books.
National Guideline Clearinghouse. (2012). Analgesia and anesthesia for the breastfeeding mother. Retrieved from http://www.guideline.gov/content.aspx?id=39271
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