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Subject:
From:
Sara Bernard <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 21 Aug 2005 12:06:50 +0200
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Mary,

I think this reference will help with the first question:
http://pediatrics.aappublications.org/cgi/content/abstract/112/3/607
PEDIATRICS Vol. 112 No. 3 September 2003, pp. 607-619
Risk Factors for Suboptimal Infant Breastfeeding Behavior, Delayed Onset of 
Lactation, and Excess Neonatal Weight Loss
Kathryn G. Dewey, PhD, Laurie A. Nommsen-Rivers, MS, RD, IBCLC, M. Jane 
Heinig, PhD, IBCLC and Roberta J. Cohen, PhD.

You'll have to read it fully, but I seem to remember that it is the stress 
factor (hormones) which can lead to delayed lactogenesis, not the mode of 
delivery. I think it is this study by Dewey et al that showed that 
non-urgent c-sections were no different than normal vaginal birth and that 
the unexpected emergency c-section can lead to delayed lactogenesis - the 
stress factor relationship again.

If I'm wrong on the article then I'll dig deeper for the right one!

yours

Sara Bernard
The Netherlands 

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