What Should I Know about Cesarean Section and Breastfeeding?

Having a Cesarean section and breastfeeding afterward can be challenging. Mothers who deliver their babies via Cesarean section can still breastfeed their babies, though some accommodations may need to be made to help feed the baby comfortably and safely during the healing process. Discussing your plans to breastfeed with your doctor; preparing before the birth can smooth the process if you know you’re having a Cesarean section.

The pain accompanied by a Cesarean section and breastfeeding can be difficult to manage. Many mothers are extremely uncomfortable and tired after the birth and may find it difficult to hold or nurse their babies. It’s important to attempt to breastfeed as soon as possible after delivery to make the process easier for you and your newborn in the following days. A nurse or doctor can help you position your baby near your breast, even if you are lying down.

Going through a Cesarean section and breastfeeding is often made easier with the help of a good lactation consultant and a supportive hospital or medical facility. Discussing your plan to breastfeed before the birth or as soon as possible after you know that you will be having this type of delivery can help the facility make sure a nurse or lactation consultant is available to help you position your baby and teach you feeding techniques during recovery. Protecting your incision during breastfeeding is extremely important; a rolled up towel or blanket can help support and protect your incision while it heals.

Your milk can be affected if you're having a Cesarean section and breastfeeding. Pain can suppress your milk and make it more difficult for you to breastfeed, so it’s important to take your pain medication as prescribed to increase your comfort level following surgery. Most medications won’t affect your ability to feed your baby, but you should make sure your doctor knows you’re breastfeeding. Babies who are breastfed following this type of delivery might be a little more tired or lethargic due to the pain medication passed through your milk.

If you’re having a Cesarean section and breastfeeding, learning the proper holds to protect your wound can help ensure both you and baby are comfortable and make it easier for your infant to latch onto your breast. You can lie on your side and prop yourself up slightly with pillows, pulling your baby to your breast so that you are lying chest-to-chest with your newborn. Using a clutch hold can also help: position your baby’s feet against your side and pull his head to your breast while supporting his upper body with your elbow and forearm. This type of hold points your baby’s feet away from your incision and balances his weight along your side so that he is not bearing down on your wound.