The relationship of bupivacaine and ropivacaine with the smoothness of breast milk in maternity patients

Abstract

Introduction: Breast milk is the most crucial source of nutrition containing essential substances for a child’s immunity against diseases can digest solid food. The medical world always strives to find appropriate methods to reduce pain during labor, called Intrathecal Labor Analgesia (ILA) method. This study aims to analyze the relationship of bupivacaine and ropivacaine with the smoothness of breast milk in maternity patients. M ethods: The patients were given analgesic drugs to determine the effect on their fluencies of breast milk within 24 hours. This research was conducted by doing medical record intervention toward the patients’identity, drugs, and ILA doses and observing them through giving questionnaires for the treatment of post-partum through the ILA method at a puerperal room of the hospital. Results: Ninety-six mothers were included in this study. Most mothers were at age 20-30 years (43.8 %), master’s degree (50.0 %), housewives (46.9 %), and primiparous (68.8 %) have fluency in breastmilk. Sixty-nine mothers with 2.5 mg of bupivacaine (71.8 %) and twenty-seven mothers with 4.5 mg of ropivacaine (26.2 %) analgesic through the ILA method had breastfeeding fluency. At the same time, 6 mothers with 2.5 mg of bupivacaine analgesia (8.7 %) and 6 mothers with 4.5 mg of ropivacaine analgesia (22.2 %) through the ILA method had no breastfeeding fluency. Conclusion: There is no relationship between bupivacaine and ropivacaine with the smoothness of breast milk in patients giving birth.