ABSTRACT
The effects of maternal epidural anesthesia with bupivacaine on the infant's performance on the Neonatal Behavioral Assessment Scale (NBAS) over the first month of life were examined. 20 non-medicated infants were matched for biomedical and demographic variables with 20 infants delivered with bupivacaine epidural anesthesia. The NBAS was administered on days 1, 3, 7 and 28. The epidural group showed poorer performance on the orientation and motor clusters during the first month of life. Epidural mothers reported spending less time with their infants while in the hospital; post hoc analyses showed that they had longer labor, more forceps deliveries and a greater amount of oxytocin. Controlling for the effects of these medical variables, a dose effect was found for the mean orientation and motor cluster scores. The results are discussed in terms of possible effects of the infant's early disorganization on the mother-infant interaction.
Subject(s)
Anesthesia, Epidural , Anesthesia, Obstetrical , Arousal/drug effects , Bupivacaine , Infant, Newborn , Motor Activity/drug effects , Neurologic Examination/drug effects , Bupivacaine/adverse effects , Bupivacaine/pharmacokinetics , Dose-Response Relationship, Drug , Female , Humans , Male , Mother-Child Relations , Obstetrical ForcepsABSTRACT
The purpose of the study was to investigate effects of fatigue on intelligence test performance in the elderly. Dependent variables were Verbal Comprehension, Numerical Facility, Perceptual Speed, and Word Fluency tests. Fatigue effects were investigated by varying the number of previous tests administered, by introducing breaks between tests in some conditions, and by using a pre-test fatigue-producing condition, a modified form of the Finding A's test. Subjects' ages were between 57 to 91-years. It was hypothesized that the Finding A's test would be more fatiguing than a long battery of tests and that introducing a break condition between the Finding A's test and the main battery would alleviate fatigue effects. Analyses of Variance resulted in a main effect due to a pre-test condition for the Perceptual Speed test only, and only when the main battery was preceded by the Finding A's task (p less than .001). It appears that the elderly are not as susceptible to test fatigue as previous results seemed to suggest.
