>Have you heard  of any evidence that milk will not come in for 5 days after
>a c-section?  I overheard a nursery nurse while taking the newborn into mom
>to nurse for first time telling her this and that she would have to think of
>what she wanted to do to supplement baby in the meantime.  The reason for
>this she said was fluid loss in surgery (and I thought we were concerned
>about extra fluid after surgery or labor!)  Is this just a nurse wanting to
>convince a mom to allow supplements to make the nursery nurse's job in the
>nursery easier?  They all seem to LOVE to feed the babies! At least night
>shift, anyway!  Any opinions here?
>
>Janette

This is an old wives' tale (old nurses' tale??). Some years ago Peter
Hartmann studied this and found there was *no difference* in the timing of
milk coming in with different methods of delivery, specifically c-sec.
Lactogenesis was triggered by removal of the placenta, and its hormones -
pure and simple.

The reason postulated for the observation of many c-sec mums having late
milk was that there was a greater restriction in early breastfeeding and
longer delay to first breastfeed, so that it was the lack of stimulation
*after* the birth which resulted in later coming in of milk.

******************************************************************
Joy Anderson B.Sc. Dip.Ed. Grad.Dip.Med.Tech. IBCLC
Nursing Mothers' Association of Australia Breastfeeding Counsellor
Perth, Western Australia.   mailto:[log in to unmask]
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