Some women find that C-sections delay breast milk production, but rest assured that your milk will come in eventually. In the meantime, have lots of skin-to-skin contact with your newborn, and try nursing as frequently as possible.
Start Breastfeeding Early After a Cesarean Section
For most, milk transitions from colostrum (early milk) to milk coming in by 72 hours of birth. After your baby and your placenta are birthed, your milk-making hormones go into overdrive and cause the cells that make your milk to switch on into production.
Your milk may come in anywhere from day 2 to day 6 (usually around days 2-3). If your milk is slow coming in, try not to worry, but put baby to breast as often as possible and stay in contact with your lactation consultant so she can monitor how baby is doing.
If you're not yet able to express enough breast milk for your baby, you'll need to supplement her with donor milk or formula, under the guidance of a medical professional. A supplemental nursing system (SNS) can be a satisfying way for her to get all the milk she needs at the breast.
It takes about three days to four days for your milk to come in if you're a first-time mum. If you've had a baby before, it can happen more quickly. This may be because your breasts "remember" what to do from your previous pregnancy and birth.
Hypoplasia or IGT. Hypoplasia of the breast, also known as insufficient glandular tissue or IGT, occurs when the mammary tissue and glands don't develop normally. Women with this rare condition often have breasts that don't produce enough milk to nurse exclusively.
Women who delivered by emergency c-section were found to have a higher proportion of breastfeeding difficulties (41 %), and used more resources before (67 %) and after (58 %) leaving the hospital, when compared to vaginal delivery (29 %, 40 %, and 52 %, respectively) or planned c-sections (33 %, 49 %, and 41 %, ...
Do C-sections alter your milk production? Some women find that C-sections delay breast milk production, but rest assured that your milk will come in eventually. In the meantime, have lots of skin-to-skin contact with your newborn, and try nursing as frequently as possible.
If nursing after a C-section is delayed or cannot happen in the hours following birth, it is important to begin pumping so you can initiate your breast milk supply. A hospital-grade (multi-user) double electric breast pump should be used to ensure frequent stimulation so you can start pumping.
Your healthcare provider would likely recommend that you continue to pump until your baby is able to breastfeed effectively and once you have a sufficient milk supply. Once this has happened, they will likely advise you to stop pumping and just breastfeed - and, of course, get plenty of rest in between.
You're not getting let down. If your breasts feel like they're full but you're not able to get the milk flowing out when you pump, it could be that you're not achieving let down. The let down reflex releases your milk from the milk ducts. This only occurs when you're either breastfeeding or pumping.
Some parents impacted by the baby formula shortage may be wondering if they can start breastfeeding again. A process known as re-lactation can help patients produce breast milk, even if it has been weeks or months since they did so.
“So, every patient is different and every case is unique. However, from the current medical evidence, most medical authorities do state that if multiple C-sections are planned, the expert recommendation is to adhere to the maximum number of three.”
Research has found lower rates of early breastfeeding after c-section compared to vaginal birth. It has also been found that women who have c-sections after labour has begun (an emergency c-section) have higher rates of breastfeeding than those women who have elective c-sections (c-setion with no labour).
What is the Golden Hour? After the birth of the baby, both vaginal and c-section birth, the Golden hour consists of uninterrupted and immediate skin to skin contact, limited interventions that are not necessary, if possible and desired having delayed cord clamping, and having the first feeding of baby completed.
Sleepy baby
Babies born by caesarean section may be a little sleepy. They may need some extra encouragement to stay alert during the first few feeds. Skin-to-skin contact will encourage them to latch and feed more often.
Your breasts feel softer
This happens as your milk supply adjusts to your baby's needs. The initial breast fullness reduces in the first few weeks. At around 6 weeks, breast fullness is completely gone and your breasts may feel soft. This is completely normal and has no effect on your milk supply.
How do I know whether my breasts are empty? There's no test or way to know for sure. In general, though, if you gently shake your breasts and they feel mostly soft and you don't feel the heaviness of milk sitting in them, you're probably fine.
In breastfeeding women, low milk supply, also known as lactation insufficiency, insufficient milk syndrome, agalactia, agalactorrhea, hypogalactia or hypogalactorrhea, is the production of breast milk in daily volumes that do not fully meet the nutritional needs of her infant.