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Pregnancy Today's Advisory Panel Answers:
Can I nurse immediately after a C-section?

by Melissa Clark Vickers
      MEd, IBCLC
Lactation Consultant
Melissa Clark Vickers, MEd, IBCLC

Question

Can you nurse immediately after a C-section? I plan to breastfeed and wonder if I can still be able to breastfeed within an hour if I were to have a C-section done. Can they still let my baby stay with me in the same room after birth from a C-section or do they take the baby away for check up? I really need to know and worry about it. I don't want to take any chances of my baby given bottle for the first time or else he will get nipple confusion.

Yes, you can nurse soon after delivering by cesarean section. How long after depends largely on what form of anesthesia you have--you need to be awake enough to hold your baby! Some C-sections are done with regional anesthesia, and if you are your baby are alert, then you can nurse in the delivery room. If you have a general anesthetic, you may be out of it for a while. As soon as you are awake and your baby is ready for feeding, you can go ahead and nurse.

Hospital policies vary on this, and some of it depends on whether the C-section is done in an emergency situation. Talk with your doctor or midwife about what your options might be if you do have a cesarean birth, and let them know that breastfeeding is important to you.

If you do have a cesarean birth, you'll need to use pillows and have help positioning for a few days to protect your incision. Many moms find that either a side-lying position or a football hold (your baby tucked under your under your arm with her legs behind you and so her head is at your breast) works best to keep baby off the incision.

This Week's Expert Q & A

Kathy Loebel, certified nurse-midwife, answers: “How can I avoid an episiotomy or tearing?"

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