Do C-sections alter your milk production? Some women find that C-sections delay breast milk production, but rest assured that your milk will come in eventually. In the meantime, have lots of skin-to-skin contact with your newborn, and try nursing as frequently as possible.
Delayed milk production
Studies have shown that C-sections may delay the start of mature milk production, which is when your milk comes in. During the first few days after birth, your body produces colostrum — your baby's first milk. Colostrum is low in volume but full of antibodies and other protection for your baby.
Start Breastfeeding Early After a Cesarean Section
For most, milk transitions from colostrum (early milk) to milk coming in by 72 hours of birth.
Women who delivered by emergency c-section were found to have a higher proportion of breastfeeding difficulties (41%), and used more resources before (67%) and after (58%) leaving the hospital, when compared to vaginal delivery (29%, 40%, and 52%, respectively) or planned c-sections (33%, 49%, and 41%, respectively).
Less skin-to-skin contact, a delayed start to breastfeeding and added postpartum stress may lower a women's breast milk supply after a cesarean. The good news is that women who are committed to breastfeeding after a c-section can address and account for all three potential stumbling blocks.
In short, you should pump until milk isn't coming out any more. Or, if you're trying to boost your supply, pump a little while longer after the milk stops flowing.
Infants born by scheduled caesarean section were not found to sleep any shorter than infants born vaginally. Kozyrskyj said earlier research showed an association between a mother's socio-economic status and shorter infant sleep duration, but this is the first study to determine which factors link the two.
Perhaps you have polycystic ovary syndrome (PCOS), a low or high thyroid, diabetes, hypertension (high blood pressure) or hormonal problems that made it difficult for you to conceive. Any of these issues may also contribute to low milk supply because making milk relies on the hormonal signals being sent to the breasts.
However, from the current medical evidence, most medical authorities do state that if multiple C-sections are planned, the expert recommendation is to adhere to the maximum number of three.”
Sometimes a mother has a health condition that may temporarily delay the large increase in milk production usually seen between 3 to 5 days following birth. These mothers may not begin to produce large amounts of milk until 7 to 14 days after giving birth. If this happens to you, don't feel discouraged.
#1: Delaying Milk 'Coming In'
A recent study showed a direct link between pain medications (including epidurals) used during labour and a delay in a mother's milk 'coming in'.
The more milk your baby removes from your breasts, the more milk you will make. Despite views to the contrary, breasts are never truly empty. Milk is actually produced nonstop—before, during, and after feedings—so there's no need to wait between feedings for your breasts to refill.
The most common reason for low milk production is a slow start with breastfeeding – not enough milk being removed from the breasts in the early days after birth. Milk supply usually reaches its peak around four weeks after birth, with most of the increase happening in the first two weeks.
“It's recommended that you get up and walk around,” says Dr. Higgins. “We don't want someone lying in bed for two weeks.”
Babies born by Caesarean section have dramatically different gut bacteria to those born vaginally, according to the largest study in the field. The UK scientists say these early encounters with microbes may act as a "thermostat" for the immune system.
A natural caesarean is a “slowed-down section” with benefits that might include improved bonding between mother and child, easier breastfeeding and calmer infants.
For many moms, 10-15 minutes of pumping is long enough. Once a week, add up the milk you pump in a 24-hour period. Write it down and compare your totals each week. You'll know right away if your production drops.
If your breasts feel like they're full but you're not able to get the milk flowing out when you pump, it could be that you're not achieving let down. The let down reflex releases your milk from the milk ducts. This only occurs when you're either breastfeeding or pumping.
If you're pumping for a freezer stash or to store milk for a future separation from your baby, try pumping shortly after you finish nursing – maybe 15 to 30 minutes. That way, your body will have an hour and a half or so to replenish breast milk for your next nursing session.