The ABC’s of Breastfeeding: Breastfeeding After a C-Section
Breastfeeding after a c-section might have some additional physical challenges at the beginning, but it is completely possible. Hospitals nationwide are also making fantastic adaptations to their c-section procedures to help mothers and babies have better bonding opportunities, and this is making a real difference, too.
One important thing to note at the outset is that if you have had a c-section, your milk might come in slightly later than otherwise. In most cases, this is not a problem; keep baby close to you, nurse frequently, and watch for signs of deydration (reduced urine output, sunken soft spot, little to no energy). Since your body is still producing some colostrum and newborns need only a *tiny* bit of milk at each feeding, chances are that a wonderful nursing relationship is still in your future. It's just vital to stay connected with your care providers in the early days (truthfully, this is a good idea for ALL newly postpartum women!)
Keeping baby close is important from the very beginning; ask the medical staff if it is possible to place baby on your chest right after the surgery, so that skin-to-skin contact and bonding (and that first, vital nursing session can happen).
Positioning can be extremely important for nursing after a c-section. Do not be shy in asking for help! Lying on your side for nursing is one recommended position, as is a football hold (with baby's body tucked to your side instead of in front of you). Pillows for additional support can be crucial.
Finally, continue skin to skin contact and frequent nursing as much as possible; this means including at least one night nursing session to help firmly establish supply. If you are on stronger pain medications because of the surgery, it is important to ask your partner (or postpartum doula!) to help make sure you and baby are using safe sleep practices. Although there is solid research for safe co-sleeping, the additional factors of c-section meds are an additional risk factor that cannot be overlooked.
Other Posts in This Series:
A: Adoration, Anger, & Asking For Help
B: Biting