Heather posted that she does not see the delayed lactation which several
other posters have reported, following CS, particularly planned CS.
I have the same impression as Heather does. If baby comes to breast shortly
after birth, BF proceeds as it always does. If there is any significant
delay, it doesn't matter whether it was a CS or a spontaneous vaginal birth,
BF will take longer to get rolling.
In fact, in cases where mother is spending more time in bed than usual
because of a spinal headache, or a major postpartum hemorrhage (say, over
1000 ml), as long as baby is with her, she will usually be swimming in milk
by day 3 or 4. And mothers whose babies have not been spending much time at
the breast, will not have as much milk.
With a systematic approach to manual expression and/or pumping from day one,
mothers can get the same effect on milk production as with an eager baby,
and I have seen it happen hundreds of times.
This does not mean I am unconcerned about the sharp rise in CS at my
hospital over the past couple of years, or in the country at large. I am
very much alarmed by the current trend, and I see that we are having more
profound BF problems than before in the babies who aren't 'getting it' the
first few days. I am also alarmed because I seem to be the only voice in
the wilderness speaking (shouting!) about the problem. There are plenty of
people who are concerned about what is happening to birth, but not many are
mentioning the disastrous effects on breastfeeding. We are putting far more
resources into the medicalization of birth, and the resources are being
taken from the postpartum wards, and nobody seems to care.
Rachel Myr
Kristiansand, Norway
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