Purpose of review: To evaluate the effect of epidural analgesia on breastfeeding.
Recent findings: Alarming messages were sent out following a retrospective study indicating that epidural analgesia caused more breastfeeding failures. The limitations of this study were reviewed as well as the critical importance of good lactation support.
Summary: There is no good evidence that epidural analgesia causes reduced breastfeeding success. Good lactation support is critical.