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What causes lack of breast milk after a C-section?

Understanding the Causes of Lack of Breast Milk After a C-Section
The experience of breastfeeding after a cesarean section (C-section) can be fraught with challenges, leading some new mothers to worry about their milk supply. While a C-section itself does not directly cause a lack of breast milk, several factors associated with the surgical delivery can contribute to difficulties in initiating breastfeeding and establishing a robust milk supply.
Hormonal Disruptions and Delayed Milk Production
One of the primary reasons for a perceived lack of breast milk after a C-section is the disruption of hormonal pathways that stimulate lactation. After childbirth, hormonal shifts are crucial for milk production, and these shifts can be slightly delayed in women who undergo C-sections, particularly if the surgery was emergency-based or involved general anesthesia. This delay can lead to a slower onset of milk production, which may cause anxiety for new mothers who expect immediate milk supply.
Physical Recovery and Pain Management
Recovery from a C-section can be physically taxing. The surgical procedure involves significant abdominal trauma, which can lead to pain and discomfort when attempting to breastfeed. Many mothers find it challenging to sit up or hold their baby comfortably due to the incision site. This discomfort can hinder the breastfeeding process, making it difficult for mothers to relax and effectively nurse their infants. Experts suggest using pillows for support and managing pain with appropriate medications to facilitate a more comfortable breastfeeding experience.
Fatigue and Stress Factors
Both the mother and the newborn may experience fatigue after a C-section, especially if the birth was complicated or required extended medical intervention. This fatigue can affect the baby’s alertness and willingness to latch, which is essential for stimulating milk production. Additionally, the stress of the surgical experience and the recovery period can impact a mother’s ability to produce milk. Stress hormones can interfere with the hormonal balance necessary for lactation, further complicating the breastfeeding journey.
Support Systems and Education
The role of support from healthcare providers and family cannot be overstated. Many mothers may feel overwhelmed and unsure about breastfeeding after a C-section. Access to lactation consultants and supportive maternity teams can make a significant difference in overcoming initial hurdles. Education about breastfeeding techniques and the importance of skin-to-skin contact can help mothers feel more empowered and capable of establishing a successful breastfeeding routine.
Conclusion
In summary, while a C-section does not inherently cause a lack of breast milk, the associated physical, hormonal, and emotional factors can create challenges for new mothers. Understanding these factors and seeking appropriate support can help mitigate issues related to milk supply and enhance the breastfeeding experience. With patience and the right resources, many mothers can successfully navigate these challenges and establish a fulfilling breastfeeding relationship with their newborns.

Why am I not producing enough breast milk after a C-section?

Some of the conditions linked to a delay in your milk coming in may also have an ongoing effect on milk production, including: Conditions from a baby’s delivery, such as having a caesarean section, premature birth, stress during birth, and certain medicines. Excessive bleeding (severe postpartum hemorrhage)

How to boost milk supply after a C-section?

Feed and/or Express Frequently
Feeding your baby frequenly will help to boost your supply and help switch your milk supply on. Typically, newborn babies will breastfeed eight to twelve times per 24 hours, with the interval varying from two to three hours on average. However, this varies widely between babies.

Are C-section moms less likely to breastfeed?

A population-based study of more than 5546 childbirths found that women undergoing a cesarean section had an 86% lower rate of early-initiation of breastfeeding [3].

Why am I unable to produce breast milk?

Reasons for low milk supply
A history of polycystic ovarian syndrome, diabetes, thyroid or other hormonal disorders. Mums with these conditions sometimes experience a low milk supply. The rare medical condition mammary hypoplasia, in which there isn’t enough milk-producing glandular tissue within the breast.

What to do if milk is not coming after C-section?

Ask your midwife for advice on expressing breast milk. This may help to stimulate your breastmilk supply. This is also helpful as it means that your partner (if you have one), a relative or friend can feed your baby expressed breastmilk if you need to rest.

Should I keep pumping if no milk is coming out?

Increasing your milk supply will take time, so don’t give up. Even dry pumps (when you pump but nothing comes out) sends a signal to your body that more milk is needed on tap, so it’s getting the work done even if there’s no output to show for it right away. Stick with it and you’ll see the results after a few days.

How to tell if breast milk is drying up?

If your milk supply is decreasing, you’ll notice: Your baby stops gaining or begins to lose weight. Younger babies will gain between 1.5 and 2 pounds each month. Weight gain slows down to 1 to 1.25 pounds each month from 4 to 6 months, 1 pound each month from 7 to 9 months, and 13 ounces a month during months 10 to 12.

What to do if breastmilk is not coming in?

If you have a delay in your milk coming in, don’t give up. Continue to express milk. That means removing milk from your breasts with a breast pump or by hand. Breastfeed often.

Does a C-section affect breast milk production?

This increase in milk production usually occurs in a few days. However, it is often delayed following a cesarean birth. Causes of this delay may include: strong medications received during labour, such as those given via an epidural.

Do soft breasts mean no milk?

Your breasts feel softer
This happens as your milk supply adjusts to your baby’s needs. The initial breast fullness reduces in the first few weeks. At around 6 weeks, breast fullness is completely gone and your breasts may feel soft. This is completely normal and has no effect on your milk supply.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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