Influence and nursing of epidural analgesia after cesarean section on lactation

Objective To investigate the effect of epidural analgesia after cesarean section on lactation,as well as its nursing measures.Methods 120 cases of delivery woman underwent cesarean section were randomly divided into observation group and control group,60 cases of each.The observation group was given epidural patient controlled agalgesia(EPCA) and corresponding care after operation,while the control group was given pethidine 100mg per time im for relieving pain after operation and general care.The colostrum time,times of breast-feed,incidence rate of less milk in 24 hours and the situation of postpartum serum prolactin secretion in 48 hours of 2 groups were observed.Results The colostrum time of the observation group was shorter than that of the control group,with more breast-feed times in 24 hours and serum prolactin secretion in 48 hours,the incidence rate of less milk in 24 hours of the observation group was 5% lower than 13.3% of the control group,and all the differences were statistically significant(P0.05).Conclusion Cesarean section with epidural analgesia and proper care can accelerate lactating of postpartum.