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Date: | Sun, 21 Aug 2005 12:06:50 +0200 |
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Mary,
I think this reference will help with the first question:
http://pediatrics.aappublications.org/cgi/content/abstract/112/3/607
PEDIATRICS Vol. 112 No. 3 September 2003, pp. 607-619
Risk Factors for Suboptimal Infant Breastfeeding Behavior, Delayed Onset of
Lactation, and Excess Neonatal Weight Loss
Kathryn G. Dewey, PhD, Laurie A. Nommsen-Rivers, MS, RD, IBCLC, M. Jane
Heinig, PhD, IBCLC and Roberta J. Cohen, PhD.
You'll have to read it fully, but I seem to remember that it is the stress
factor (hormones) which can lead to delayed lactogenesis, not the mode of
delivery. I think it is this study by Dewey et al that showed that
non-urgent c-sections were no different than normal vaginal birth and that
the unexpected emergency c-section can lead to delayed lactogenesis - the
stress factor relationship again.
If I'm wrong on the article then I'll dig deeper for the right one!
yours
Sara Bernard
The Netherlands
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