Birth affects breastfeeding in many ways that most families don't even think about. Often they think of the birth as being totally separate from the breastfeeding experience. But how you give birth can affect how your baby nurses. Here are some of the most common ways that various birth practices interfere with breastfeeding:
Overcoming Issues
If you feel like you are having problems or issues with breastfeeding, because of labor interventions or something else, here is your plan of action: Get help early and often. When in doubt start pumping your breasts with a hospital grade pump. If you haven't had a good feed by four hours postpartum - start the pumping, every 3-4 hours until the problem is resolved - this will help protect your milk supply. Do not use bottles or supplements. If you need to give baby feedings away from the breast, use an alternative like a cup, syringe, finger feeding... Supplements should be last resort with pumped breast milk from you or donated breast milk next. Skin to skin with baby can help, no matter what is going on.
Source:
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Chang ZM, RN, MN, IBCLC, and Heaman MI, RN, PhD. "Epidural Analgesia During Labor and Delivery: Effects on the Initiation and Continuation of Effective Breastfeeding." Journal of Human Lactation 2005 21:305-314.
Goma HM, Said RN, El-Ela AM. "Study of the newborn feeding behaviors and fentanyl concentration in colostrum after an analgesic dose of epidural and intravenous fentanyl in cesarean section." Saudi Med J. 2008 May;29(5):678-82.
Meier PP. "Breastfeeding in the Special Care Nursery: Prematures and Infants with Medical Problems." Pediatr Clin North Am. 48(2):425-442, 2001.
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