Association of postoperative nausea/vomiting and pain with breastfeeding success
Abstract Background Successful breastfeeding is a goal set forth by the World Health Organization to improve neonatal care. Increasingly, patients express the desire to breastfeed, and clinicians should facilitate successful breastfeeding. The primary aim of this study is to determine if postoperati...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2017-11-01
|
Series: | Perioperative Medicine |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s13741-017-0075-2 |
id |
doaj-bb384c65fd4f48e893c2b0d6cbbe4206 |
---|---|
record_format |
Article |
spelling |
doaj-bb384c65fd4f48e893c2b0d6cbbe42062020-11-25T00:53:00ZengBMCPerioperative Medicine2047-05252017-11-01611510.1186/s13741-017-0075-2Association of postoperative nausea/vomiting and pain with breastfeeding successRamon Abola0Jamie Romeiser1Suman Grewal2Sabeen Rizwan3Rishimani Adsumelli4Ellen Steinberg5Elliott Bennett-Guerrero6Stony Brook Medicine, Department of AnesthesiologyStony Brook Medicine, Department of AnesthesiologyStony Brook Medicine, Department of AnesthesiologyStony Brook Medicine, Department of AnesthesiologyStony Brook Medicine, Department of AnesthesiologyStony Brook Medicine, Department of AnesthesiologyStony Brook Medicine, Department of AnesthesiologyAbstract Background Successful breastfeeding is a goal set forth by the World Health Organization to improve neonatal care. Increasingly, patients express the desire to breastfeed, and clinicians should facilitate successful breastfeeding. The primary aim of this study is to determine if postoperative nausea and vomiting (PONV) or postoperative pain are associated with decreased breastfeeding success after cesarean delivery. Methods This is a historical cohort study using the Stony Brook Elective Cesarean Delivery Database. Self-reported breastfeeding success at 4 weeks postoperative was analyzed for associations with postoperative antiemetic use and postoperative pain scores. Breastfeeding success was also analyzed for associations with patient factors and anesthetic medications. Results Overall, 86% of patients (n = 81) who intended on breastfeeding reported breastfeeding success. Breastfeeding success was not associated with postoperative nausea or vomiting as measured by post anesthesia care unit antiemetic use (15% use in successful vs. 18% use in unsuccessful, p = 0.67) or 48-h antiemetic use (28% use in successful group vs 36% use in unsuccessful group, p = 0.732). Pain visual analog scale scores at 6, 12 and 24 h postoperatively were not significantly different between patients with or without breastfeeding success. Breastfeeding success was associated with having had at least 1 previous child (86% vs 36%, p < 0.001). Patients with asthma were less likely to have breastfeeding success (45% vs 4%, p = 0.002). Conclusions Efforts to improve PONV and pain after cesarean delivery may not be effective in improving breastfeeding success. To possibly improve breastfeeding rates, resources should be directed toward patients with no previous children and patients with asthma.http://link.springer.com/article/10.1186/s13741-017-0075-2BreastfeedingPostoperative painPostoperative nausea and vomiting (PONV)Prelabor cesarean delivery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ramon Abola Jamie Romeiser Suman Grewal Sabeen Rizwan Rishimani Adsumelli Ellen Steinberg Elliott Bennett-Guerrero |
spellingShingle |
Ramon Abola Jamie Romeiser Suman Grewal Sabeen Rizwan Rishimani Adsumelli Ellen Steinberg Elliott Bennett-Guerrero Association of postoperative nausea/vomiting and pain with breastfeeding success Perioperative Medicine Breastfeeding Postoperative pain Postoperative nausea and vomiting (PONV) Prelabor cesarean delivery |
author_facet |
Ramon Abola Jamie Romeiser Suman Grewal Sabeen Rizwan Rishimani Adsumelli Ellen Steinberg Elliott Bennett-Guerrero |
author_sort |
Ramon Abola |
title |
Association of postoperative nausea/vomiting and pain with breastfeeding success |
title_short |
Association of postoperative nausea/vomiting and pain with breastfeeding success |
title_full |
Association of postoperative nausea/vomiting and pain with breastfeeding success |
title_fullStr |
Association of postoperative nausea/vomiting and pain with breastfeeding success |
title_full_unstemmed |
Association of postoperative nausea/vomiting and pain with breastfeeding success |
title_sort |
association of postoperative nausea/vomiting and pain with breastfeeding success |
publisher |
BMC |
series |
Perioperative Medicine |
issn |
2047-0525 |
publishDate |
2017-11-01 |
description |
Abstract Background Successful breastfeeding is a goal set forth by the World Health Organization to improve neonatal care. Increasingly, patients express the desire to breastfeed, and clinicians should facilitate successful breastfeeding. The primary aim of this study is to determine if postoperative nausea and vomiting (PONV) or postoperative pain are associated with decreased breastfeeding success after cesarean delivery. Methods This is a historical cohort study using the Stony Brook Elective Cesarean Delivery Database. Self-reported breastfeeding success at 4 weeks postoperative was analyzed for associations with postoperative antiemetic use and postoperative pain scores. Breastfeeding success was also analyzed for associations with patient factors and anesthetic medications. Results Overall, 86% of patients (n = 81) who intended on breastfeeding reported breastfeeding success. Breastfeeding success was not associated with postoperative nausea or vomiting as measured by post anesthesia care unit antiemetic use (15% use in successful vs. 18% use in unsuccessful, p = 0.67) or 48-h antiemetic use (28% use in successful group vs 36% use in unsuccessful group, p = 0.732). Pain visual analog scale scores at 6, 12 and 24 h postoperatively were not significantly different between patients with or without breastfeeding success. Breastfeeding success was associated with having had at least 1 previous child (86% vs 36%, p < 0.001). Patients with asthma were less likely to have breastfeeding success (45% vs 4%, p = 0.002). Conclusions Efforts to improve PONV and pain after cesarean delivery may not be effective in improving breastfeeding success. To possibly improve breastfeeding rates, resources should be directed toward patients with no previous children and patients with asthma. |
topic |
Breastfeeding Postoperative pain Postoperative nausea and vomiting (PONV) Prelabor cesarean delivery |
url |
http://link.springer.com/article/10.1186/s13741-017-0075-2 |
work_keys_str_mv |
AT ramonabola associationofpostoperativenauseavomitingandpainwithbreastfeedingsuccess AT jamieromeiser associationofpostoperativenauseavomitingandpainwithbreastfeedingsuccess AT sumangrewal associationofpostoperativenauseavomitingandpainwithbreastfeedingsuccess AT sabeenrizwan associationofpostoperativenauseavomitingandpainwithbreastfeedingsuccess AT rishimaniadsumelli associationofpostoperativenauseavomitingandpainwithbreastfeedingsuccess AT ellensteinberg associationofpostoperativenauseavomitingandpainwithbreastfeedingsuccess AT elliottbennettguerrero associationofpostoperativenauseavomitingandpainwithbreastfeedingsuccess |
_version_ |
1725239711194152960 |