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Subject:
From:
"Mary Jozwiak BS, IBCLC, RLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 30 Jun 2008 11:54:54 -0400
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Katherine I have heard MANY women complain of this same pain. It happened 
to me, after my third baby was born, via C Section. 

I have two theories. 1) Too many women tend to "hunch" over their babies 
while breastfeeding and while pumping. They are often bringing the breast to 
the baby, rather than the baby to the breast. My third was preterm, and very 
tiny, and when I wasn't using a perfect pillow configuration (which wasn't 
always possible, because I didn't always have pillows, and she nursed about 
15 times every 24 hours in the beginning. And, the "knees up" position was 
impossible, after a C Birth, (ug, knees up, impossible, your belly tissue folds 
RIGHT where the incision is) and her tiny size, and she was still to far from my 
breast and the fact that I was often holding her up to my breasts, thinking 
she as so tiny, it wouldn't make much of a difference. When I realized I had 
felt this exact pain before, I realized it was when I had either been hunched 
over a computer, with a chair with the wrong height, or doing project with my 
children at the dinning room table, with my arms in an uncomfortable position 
while, yet again, hunched over the table and trying to do fine motor 
positioning with my hands, like using pens, crayons, and especially scissors. I 
corrected my mistake, and eventually (months actually, and then I ripped 
something in my back when attempting to exit our water bed while holding the 
baby in an awkward position, so I wouldn't wake her up.) When I ask my 
clients if their pain is similar to this, they usually always say, "That's IT. That 
is exactly what it feels like!" Usually repositioning, getting mom to lean back 
more, and making sure she is bringing baby to breast, not the other way 
around really helps.

2) Sometimes there is some referred pain from the Epidural or Spinal which is 
given during the C Section. I never had this pain with my first two babies, in 
which I was given an epidural, but had it with the third, when I was given a 
Spinal. In fact, the anesthesiologist said I might get some back pain "for a 
while" after the regional. Although I was told this with both Epidurals and 
Spinals. 

I am not sure if the two presented here are the only reasons for the pain. I am 
sure much of the tissues, muscles, connective tissue etc which were 
stretched during pregnancy and maybe damaged if the Mom wasn't careful 
about everything from lifting to walking has anything to do with this, but I am 
pretty sure this does too. 

Mary Jozwiak IBCLC, RLC, LLLL
Private Practice 

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