I think Lisa hit the nail on the head when she stated at the end of her
post: 

 "it is the loss of the Oxytocin/Prolactin surge state that should be
present for the first few days post birth that negatively impacts not only
breastfeeding, but parenting and bonding in general."  

The vast majority of the women I see in the postnatal ward have had either
an "emergency" or elective Caesarean.  The few vaginal births usually
involve artificial oxytocin and epidurals.  The profound change we are
seeing now with prolonged skin-to-skin contact I am convinced is due mainly
to getting the natural oxytocin to flow in both mother and baby.  I just
wish more babies could be born the way nature intended.  In an ideal world,
there would be very little need for lactation "experts".

(an "expert" is a spurt under pressure - not sure where that one came from?)

Jean Ridler
Cape Town, South Africa
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