TY - JOUR
T1 - Acute postcesarean pain is associated with in-hospital exclusive breastfeeding, length of stay and post-partum depression
AU - Babazade, Rovnat
AU - Vadhera, Rakesh B.
AU - Krishnamurthy, Parthasarathy
AU - Varma, Ashwin
AU - Doulatram, Gulshan
AU - Saade, George R.
AU - Turan, Alparslan
N1 - Publisher Copyright:
© 2019
PY - 2020/6
Y1 - 2020/6
N2 - Study objective: The primary aim of the proposed study was to determine the association between postoperative pain and breastfeeding after cesarean delivery during hospital stay. Design: Retrospective cohort study. Setting: Postoperative recovery area and operating room. Patients: Data was obtained on singleton pregnancies undergoing scheduled cesarean deliveries under spinal anesthesia between 2013 and 2016. Interventions: Determine the association between postoperative pain and breastfeeding after cesarean delivery. Measurements: Postoperative pain score, breastfeeding, LATCH score post-partum depression and length of stay values collected. Main results: The dataset consisted of electronic medical records from 5350 patients. We found that the pain score is negatively associated with the LATCH score; higher pain was associated with lower LATCH scores, −0.01 [−0.01,-0.00], p <.0402. Every one-point increase in average pain score was associated with a 21% reduction in the odds of in-hospital exclusive breast-feeding relative to exclusive formula-feeding, OR = 0.79 [0.70–0.90], p <.0002. We observed that the post-partum depression status was associated with the average postoperative pain score, F (1, 5347) = 41.51, p <.0001. We also found a significant positive association between the average pain score and the duration of hospital stay (p <.0001); every one-point increase in the average pain-score was associated with a 7.98 [6.28, 9.68] hour increase in length of stay. Conclusions: Our results demonstrate significant association between the increase in post-cesarean pain scores and deterioration of breastfeeding initiation while also exposing slight reductions in the quality of breastfeeding. Additionally, we found that increases in post-cesarean pain scores also positively associate with postpartum depression and duration of stay, with each increase in pain score resulted in an almost one-day increase in the length of stay.
AB - Study objective: The primary aim of the proposed study was to determine the association between postoperative pain and breastfeeding after cesarean delivery during hospital stay. Design: Retrospective cohort study. Setting: Postoperative recovery area and operating room. Patients: Data was obtained on singleton pregnancies undergoing scheduled cesarean deliveries under spinal anesthesia between 2013 and 2016. Interventions: Determine the association between postoperative pain and breastfeeding after cesarean delivery. Measurements: Postoperative pain score, breastfeeding, LATCH score post-partum depression and length of stay values collected. Main results: The dataset consisted of electronic medical records from 5350 patients. We found that the pain score is negatively associated with the LATCH score; higher pain was associated with lower LATCH scores, −0.01 [−0.01,-0.00], p <.0402. Every one-point increase in average pain score was associated with a 21% reduction in the odds of in-hospital exclusive breast-feeding relative to exclusive formula-feeding, OR = 0.79 [0.70–0.90], p <.0002. We observed that the post-partum depression status was associated with the average postoperative pain score, F (1, 5347) = 41.51, p <.0001. We also found a significant positive association between the average pain score and the duration of hospital stay (p <.0001); every one-point increase in the average pain-score was associated with a 7.98 [6.28, 9.68] hour increase in length of stay. Conclusions: Our results demonstrate significant association between the increase in post-cesarean pain scores and deterioration of breastfeeding initiation while also exposing slight reductions in the quality of breastfeeding. Additionally, we found that increases in post-cesarean pain scores also positively associate with postpartum depression and duration of stay, with each increase in pain score resulted in an almost one-day increase in the length of stay.
KW - Exclusive breastfeeding
KW - Post-partum depression
KW - Postcesarean pain
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U2 - 10.1016/j.jclinane.2019.109697
DO - 10.1016/j.jclinane.2019.109697
M3 - Article
C2 - 31899076
AN - SCOPUS:85077390093
SN - 0952-8180
VL - 62
JO - Journal of Clinical Anesthesia
JF - Journal of Clinical Anesthesia
M1 - 109697
ER -