Dear Lactnetters, What is the general consensus on the need for a c-section mom to begin pumping if baby is not going to breast after day 2? Is the baby kangarooing and repeated attempts to get him to latch enough stimulation to raise prolactin levels sufficiently to ensure an adequate milk supply? If baby did manage to breastfeed one or two times after the birth before he became sleepy, frustrated, or whatever and started refusing to latch on, do you think the mom has a better chance of getting him to breast with or without pumping? I would not want to exhaust an already tired and frustrated mom with pumping and feeding ebm if the outcome is not justified. I usualy see these moms on day 5 as a VNA mother/baby nurse and would like some guidance on how reluctant/sleepy/refusing babies could better be helped in the hospital. The last mom I saw with this scenario obtained a hospital pump at my suggestion and started pumping, giving ebm via Advent bottle (her choice), and the baby did eventually go to the breast well after four days. He had lost 12% of his birth weight at hosp. discharge, the day before I saw him and had stayed the same on day 5. Thank you for your assistance. Mary-Jane CD(DONA), RN, CCE, Labors of Love Doula Services Pittsfield, Massachusetts