Effects of different anesthesia protocols on lactation in the postpartum period

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dc.contributor.authorKutlucan, Leyla
dc.contributor.authorŞeker, İlknur Suidiye
dc.contributor.authorDemiraran, Yavuz
dc.contributor.authorErsoy, Özlem
dc.contributor.authorKaragöz, İbrahim
dc.contributor.authorSezen, Gülbin
dc.contributor.authorKöse, Seyit Ali
dc.date.accessioned2020-04-30T13:32:23Z
dc.date.available2020-04-30T13:32:23Z
dc.date.issued2014
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: Many factors can influence the secretion of breast milk. Cesarean section is a risk factor for late onset of breastfeeding.Material and Methods: In our study, we compared the lactation process by mothers who underwent elective cesarean section under general anesthesia, spinal anesthesia, epidural anesthesia, and normal birth; 84 patients between 18-40 years of age with a risk of ASA I-II were included. Randomly patients were divided into four groups: group G (general anesthesia, n:21), group S (spinal anesthesia, n:21), group E (epidural anesthesia, n:21), and group V (vaginal birth, without anesthesia, n:21). Oxytocin and prolactin values of all patients before and after operation or birth were recorded. In addition the initiation time of lactation after delivery or cesarean section were recorded.Results: In all groups, there were no significant differences among hormone levels in the prepartum period (p=0.350). Prolactin levels in group G (p=0.011) and oxytocin levels in group V (p=0.012) in the postpartum period were significantly higher than in the other groups. The start of lactation was significantly delayed in group G (p=0.003).Conclusion: We consider that the onset time of lactation is delayed in patients undergoing cesarean section with general anesthesia when compared with patients who undergo cesarean section with spinal and epidural anesthesia and with patients who undergo normal vaginal birth. Because of the delay of awakening and recovery of cognitive functions in general anesthesia, communication between the mother and the newborn is delayed and so is the lactation. © 2014 by the Turkish-German Gynecological Education and Research Foundation.en_US
dc.identifier.doi10.5152/jtgga.2014.14111en_US
dc.identifier.endpage238en_US
dc.identifier.issn1309-0399
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage233en_US
dc.identifier.urihttps://dx.doi.org/10.5152/jtgga.2014.14111
dc.identifier.urihttps://hdl.handle.net/20.500.12684/268
dc.identifier.volume15en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherAVES Ibrahim Karaen_US
dc.relation.ispartofJournal of the Turkish German Gynecology Associationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnesthesia technique; Lactation; Normal birthen_US
dc.titleEffects of different anesthesia protocols on lactation in the postpartum perioden_US
dc.typeArticleen_US

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