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Neonatal neurobehavioral organization after exposure to maternal epidural analgesia in labor

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Fiscal Year:
2010
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Bell, A., White-Traut, R. C, & Medoff-Cooper, B. (2010). Neonatal neurobehavioral organization after exposure to maternal epidural analgesia in labor. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 39, 178-190. - Maternal cortisol levels were significantly lower in the epidural group, a well-established finding in the literature. Additionally, Black women had significantly lower cortisol levels than Latina, which may suggest dysregulated HPA function. Umbilical artery results were not yet available. Frequency of alertness was not significantly related to epidural exposure or to nutritive sucking parameters. Latina infants were significantly more alert than Black infants, and a longer labor was significantly related to more alertness. Total number of sucks and sucking pressure were not significantly related to epidural exposure; although, an epidural drug dosage effect on total number of sucks was evident when gender was a factor. Unmedicated girls demonstrated significantly more sucks than girls in the high dosage epidural group (of either fentanyl or bupivicaine). Epidural drug dosage effects on neonatal neurobehavioral organization have been reported in the literature. Girls also demonstrated stronger sucking pressure than boys, unrelated to epidural group. Evidence in the literature supports earlier perinatal development of oral-motor skills and neonatal neurobehavioral organization in girls versus boys. Additionally, there were significant interactions between gender and race/ethnicity on sucking parameters.
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Peer-reviewed publications in scholarly journals Published/In Press
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