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2006•The Journal of Medical Theory and PracticeRequires access

The Influence of PCEA on Lactogenesis after Cesarean-Section

Liang Xiao-hu

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Abstract

Objective:To discuss the influence of patient-controlled epidural analgesia(PCEA) after cesarean section on breast feeding and lactogenesis.Methods: 240 puerperae were divided randomly into two groups.One group received patient-controlled epidural analgesia(PCEA) after cesarean section(PCEA group).Another group was given Pethidine 50mg by intramuscular injection(control group).The rooming_in and complete breast feeding were practised in the two groups.The efficacy of analgesia,flatus passage,postoperative colostrous time,and serum prolactin(PRL) concentration were observed in the two groups.Results:There was significant difference(P0.01)in the efficacy of analgesia,and no significant difference in flatus passage(P0.05).In the PCEA group the advances of postoperative colostrous time(P0.05)and the frequency of breast feeding within 24 hours(P0.01) were significant,and the postoperative serum PRL concentration significantly enhanced.Conclusion:The efficacy of patient_controlled epidural analgesia(PCEA) after cesarean section is satisfactory,so PCEA should be advocated.

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Objective:To discuss the influence of patient-controlled epidural analgesia(PCEA) after cesarean section on breast feeding and lactogenesis.Methods: 240 puerperae were divided randomly into two groups.One group received patient-controlled epidural analgesia(PCEA) after cesarean section(PCEA group).Another group was given Pethidine 50mg by intramuscular injection(control group).The rooming_in and complete breast feeding were practised in the two groups.The efficacy of analgesia,flatus passage,postoperative colostrous time,and serum prolactin(PRL) concentration were observed in the two groups.Results:There was significant difference(P0.01)in the efficacy of analgesia,and no significant difference in flatus passage(P0.05).In the PCEA group the advances of postoperative colostrous time(P0.05)and the frequency of breast feeding within 24 hours(P0.01) were significant,and the postoperative serum PRL concentration significantly enhanced.Conclusion:The efficacy of patient_controlled epidural analgesia(PCEA) after cesarean section is satisfactory,so PCEA should be advocated.

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Available abstract

Objective:To discuss the influence of patient-controlled epidural analgesia(PCEA) after cesarean section on breast feeding and lactogenesis.Methods: 240 puerperae were divided randomly into two groups.One group received patient-controlled epidural analgesia(PCEA) after cesarean section(PCEA group).Another group was given Pethidine 50mg by intramuscular injection(control group).The rooming_in and complete breast feeding were practised in the two groups.The efficacy of analgesia,flatus passage,postoperative colostrous time,and serum prolactin(PRL) concentration were observed in the two groups.Results:There was significant difference(P0.01)in the efficacy of analgesia,and no significant difference in flatus passage(P0.05).In the PCEA group the advances of postoperative colostrous time(P0.05)and the frequency of breast feeding within 24 hours(P0.01) were significant,and the postoperative serum PRL concentration significantly enhanced.Conclusion:The efficacy of patient_controlled epidural analgesia(PCEA) after cesarean section is satisfactory,so PCEA should be advocated.

Key concepts: Medicine, Pethidine, Anesthesia, Prolactin, Significant difference, Analgesic, Hormone, Internal medicine

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