Hi Danny
I'm really late with my lactnets so you may well have been inundated with
replies by now. But I'll give you my 2c worth anyway - discard if you've
been overwhelmed :)
Breastfeeding after c/s:
Is it really so painful? Our mothers generally have very good pain relief,
often from epidural morphine given by anesthestist during op, or from PCA
(patient controlled analgesia) - just make sure they use it enough. I feel
the most important aspect in the first 24 hours is that the lactation is
managed well and that the baby is latched really well. In my experience a
new mother (cs or not) CANNOT latch a baby properly lying on her side (in a
few weeks time she might, but not yet). And that of course is the ideal
position for her - sooo, the staff should latch every feed that she needs
to do lying on her side.
Once she's able to get up I suggest she do every feed sitting in a chair -
I hate it when they try to feed reclining in the bed, not a good position
for anyone to be learning in.
Breastfeeding classes:
Did anyone refer you to the www.bflrc.com/ljs/teaching/bf_class.htm
website? Also the medela site has a breastfeeding curriculum.
Personally, my curriculum covers 1. 'how to do it' (use dolls, an anatomy
of the breast chart to show lactiferous sinuses, and a really good video on
latch (or live mother and little baby)), 2. to follow baby cues, 3. how to
tell whether baby's getting enough and 4. where to go for help if they have
a problem.
I start the class with a brainstorming session, "What have you heard about
breastfeeding - good and bad" - do it properly with your back to them, just
writing everything they call out on the whiteboard, don't comment on
anything until you have finished - I find this brings out just about
everything they wanted to know about.
Then I talk on what they have brought up - eg sore nipples (that's when I
do latch), crying baby (that's when i talk about following cues). There'll
be lots of other good and bad things that come up which should fill up the
whole session. So no two classes are ever the same, except for the 4 things
I make sure I always cover.
Hope this helps
Denise
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Denise Fisher, BN, RM, IBCLC
BreastEd Online Lactation Studies Course
http://www.breasted.com.au
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