Birthrites: Healing After Caesarean.

Caesarean Birth:
Making Informed Choices.

What to Expect After a Caesarean.

Can I breastfeed after a caesarean?9, 10

Two great resources, used to compile the information contained in this section of the booklet, are:
Australian Breastfeeding Association Website - http://www.breastfeeding.asn.au/index.html
La Leche League International Website - http://www.lalecheleague.org/

Of course you can, if you want to. Breastmilk is the best food for your baby, fulfilling all his/her nutritional needs in an easily digestible form. The best way to make sure your baby and you get off to a good start is to:

  • Breastfeed as soon as you feel able to after the caesarean -> It's even possible in the theatre, or recovery room, if you are keen.
  • Unwrap your baby and place him/her next to your naked skin. Breastfeeding will be the next natural impulse.
  • Find a breastfeeding position that suits you -> one that doesn't place your baby directly over your wound area. Such as, lying down on your side, with the baby raised to your breast on a pillow or using the football hold
  • Make sure you have your post-surgical pain under control, as tension may affect your let-down reflex
  • Get help to make sure your baby is correctly attached to your breast -> this will help prevent sore nipples and a frustrated baby! Your midwife can direct you, or you can seek the assistance of a lactation consultant (many hospitals employ their own consultants)

If you have problems breastfeeding, then you need to seek help straight away, otherwise it might all just seem too difficult when it becomes yet another challenge you are facing while recovering from your surgery. If the hospital employs a lactation consultant, then this would be the person to contact for advice, remembering that she may not be available on the weekends -> so don't hesitate if you need her help during the week and the weekend is approaching! Remember most Mothers can breastfeed, with the right support, and it may be beneficial to contact a lactation consultant during pregnancy about doing a short course, which will inform you of everything you need to know to get a positive start once your baby arrives (i.e., increase confidence and learn breastfeeding techniques).

It can be enormously rewarding, to both Mother and Child, to establish breastfeeding. The knowledge that your body is able to totally care for all your baby's nutritional needs during the first 6 months (or more) of his/her life is wonderful. This knowledge is especially valuable when you may feel that your body had not been able to birth your baby naturally (this time). The naturalness, bonding and feelings of nurturing that are gained from being able to fully breastfeed your baby cannot be over-emphasized.

The drugs you received during your surgery, and for pain relief afterwards, may affect your letdown reflex, or even your milk supply. So it's worthwhile questioning this if you are experiencing difficulties. These drugs may also pass into your milk supply, and therefore to your baby. If you are concerned then ask your midwife, doctor or the pharmacist for information about the properties of the drugs you are receiving, or have received.

For advice on breast-feeding concerns, after leaving hospital or while still at hospital, you could contact the below organizations:

  • The hospital's breastfeeding centre/lactation consultant
  • Nursing Mothers Australia Association (NMAA)
    *24 Hour service -> (08) 9340 1200 - Perth (check the phone book for local numbers)
  • La Leche League -> (08) 9321 4631 - Perth (check the phone book for local numbers)
  • Your child health nurse
  • Your GP -> family doctor or the doctor involved in the birth of your child
  • Your independent midwife
  • Local parenting centres
  • Your baby's 'Personal Health Record' booklet often lists local services that you can access

If you choose to bottle-feed your baby, or find that breast-feeding is not possible for some reason, then the midwife can assist you in finding comfortable positions in which to do this. She will also explain sterilisation techniques and formula mixing, etc.

Even bottle-fed babies love skin-to-skin contact. So don't deny yourself, or your baby, the joy of this sensory experience.


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