Delayed milk production
Studies have shown that C-sections may delay the start of mature milk production, which is when your milk comes in. During the first few days after birth, your body produces colostrum — your baby's first milk. Colostrum is low in volume but full of antibodies and other protection for your baby.
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.
While the biological process is the same, postpartum care often differs. Less skin-to-skin contact, a delayed start to breastfeeding and added postpartum stress may lower a women's breast milk supply after a cesarean.
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 %, ...
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.
Infants born by scheduled caesarean section were not found to sleep any shorter than infants born vaginally. Kozyrskyj said earlier research showed an association between a mother's socio-economic status and shorter infant sleep duration, but this is the first study to determine which factors link the two.
Sometimes a mother has a health condition that may temporarily delay the large increase in milk production usually seen between 3 to 5 days following birth. These mothers may not begin to produce large amounts of milk until 7 to 14 days after giving birth. If this happens to you, don't feel discouraged.
Some moms who have had a C-section find that their milk comes in a little later than expected, probably due to the extra stress of surgery. You can keep your milk supply on track by: Cuddling skin-to-skin with your baby as often as you can. Starting those first nursing sessions as soon as possible.
Perhaps you have polycystic ovary syndrome (PCOS), a low or high thyroid, diabetes, hypertension (high blood pressure) or hormonal problems that made it difficult for you to conceive. Any of these issues may also contribute to low milk supply because making milk relies on the hormonal signals being sent to the breasts.
Expressing colostrum antenatally will not decrease or increase your milk supply after baby is born. Colostrum can be collected two to three times each day in the same syringe.
“It's recommended that you get up and walk around,” says Dr. Higgins. “We don't want someone lying in bed for two weeks.”
One of such environmental changes can be the mode of delivery. Indeed, the study by Smajlagic and colleagues observed that, compared to children born vaginally, children born by Cesarean section show lower intelligence quotient (IQ) score if they possess certain genetic variation within GRIN2A gene.
Babies born by Caesarean section have dramatically different gut bacteria to those born vaginally, according to the largest study in the field. The UK scientists say these early encounters with microbes may act as a "thermostat" for the immune system.
Surgery, stress, pain, and the emotional factors associated with having a cesarean section can make it take longer for your breast milk to come in. Start breastfeeding as soon as you can after your c-section and breastfeed very frequently.
Newborns should not go more than about 4–5 hours without feeding. Signs that babies are hungry include: moving their heads from side to side. opening their mouths.
In short, you should pump until milk isn't coming out any more. Or, if you're trying to boost your supply, pump a little while longer after the milk stops flowing.
The classic back sleeping position
While back sleeping isn't recommended once you're more than 20 weeks pregnant, this position is recommended for those recovering from surgery. It places the least amount of strain and pressure on your incision site and ensures that your body is aligned in a neutral position.
Some women feel the let-down reflex as a tingling sensation in the breasts or a feeling of fullness, although others don't feel anything in the breast. Most women notice a change in their baby's sucking pattern as the milk begins to flow, from small, shallow sucks to stronger, slower sucks.
BEFORE MILK COMES IN AND AS IT'S COMING IN, PUMP 10-15 MINUTES if baby doesn't latch/suckle well, to stimulate milk production hormones. ONCE MILK IS IN, PUMP TO EMPTY, as emptiness prompts the cells to make more for each feeding.