I also have found that those breech babies, who were delivered by CS with no
warning that they were about to enter this world, are sort of in shock.
When mom goes into labor, her body is flooded with a rush of hormones which
prepare her and the baby for the birth.  In a planned c-section, you do not
have that, and the babies don't even know that they are born.  Many have
helmet shaped heads, very high palates, and tongue ties, which make latching
even more difficult.  
We usually tell moms to start with hand expressing and offering spoons of
colostrums to those babies for the first 24 hours until they realize that
they are actually born.  Skin to skin is also great, but many post CS moms
are hurting too much to do it in the first 24 hours.  
They are often edematous if they have had IV fluids for many hours, and just
as their ankles are swollen with excess fluids, so are their areolas, making
latching even more difficult.  They are taught Reverse Pressure softening
ala Jean Cotterman.  That together with hand expression usually results in
babies latching by day 2.  

Esther Grunis, IBCLC
Lis Maternity Hospital
Tel Aviv, Israel

-----Original Message-----
From: J Nicholls [mailto:[log in to unmask]] 
Sent: Wednesday, January 25, 2012 8:06 AM
Subject: Breech babies

Hello Wiseones

I have been  thinking about the breech babies that are delivered where I
work and I have noticed that these babies do not latch for at least 24 hrs
could be longer, but there will be intervention All breech  babies are born
by caesarean section.
So I am wondering why  they seem to need an adjustment time, even with skin
to skin they do not appear to show feeding cues and I am trying to find a
logical answer.  Our workload increases as Lactation Consultants because we
are suppose to be able to get these babies latched!
So my question is has anyone noticed this trend? 
I am hoping that Cathy Watson-Genna will read this post and hopefully have
the time to post a reply that will enlighten me

Many thanks for reading my post

June Nicholls
IBCLC

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