Performing of different types of anesthesia on the effect of postpartum maternal lactation

The importance of breastmilk on healthy growing up of a newborn baby is very large. Many factors can influence the secretion of breastmilk. Caesarian section is a risk factor on late onset of breastfeeding. In our study we compared the lactation process by mothers who were undergoing elective Caesarian section under general anesthesia, spinal anesthesia, epidural anesthesia and normal vaginal birth.84 patients between 18-40 years old and with the risk of ASAII were included. Randomly the patients were divided into 4 groups: group G (Caesarian section under general anesthesia, n:21), group S (Caesarian section under spinal anesthesia, n:21), group E (Caesarian section under epidural anesthesia, n:21), group V (spontaneous vaginal birth, without anesthesia, n:21).By all patients oxytocin, prolactin, estrogen (E2) and progesteron values before and after operation and birth were recorded. By all patients were recorded how many hours after delivery the lactation began.There was no significant difference about age, weight and duration of pregnancy between all groups. In all groups there was no significant difference between hormon levels before delivery. Prolactin levels in group G and oxytocin levels in group V after delivery were significant higher than other groups.The time needed to begin lactation was significantly higher in group G.Keywords: Caesarian section, anesthesia, lactation