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Organization of breastfeeding after cesarean section


If the mother has to undergo a cesarean section, she usually worries about how she will develop further with breastfeeding. In our society, there is a stable belief that after cesarean breastfeeding is much more difficult to establish than after normal birth, problems often occur, milk goes away, etc. However, breastfeeding counselors know that breastfeeding can be arranged even for an adopted child, so organizing feeding after cesarean is no more difficult than setting up feeding after any other birth in a maternity hospital with separate care. Of course, like any other non-standard situation, feeding after a cesarean will first have its own characteristics. However, if you are ready for this, all this will be temporary measures that can be gradually abandoned. So, what are the features of feeding after cesarean section. The problem with the first attachment For successful breastfeeding, a properly organized first attachment to the chest during the first hour (and according to some documents recommended even for the first 30 minutes) after birth is necessary, but how can this be done after a caesarean section? Let's start with the fact that properly organized attachment to the breast, that is, full-fledged imprinting in maternity hospitals is generally rare. A full-fledged imprinting includes not only early breastfeeding, but also the implementation of this act at the time of the child’s highest sucking activity, which depends very much on how the birth proceeded and very rarely occurs in the first 30 minutes of his life! When fully applied, the child sucks only one breast for 30–40 minutes, or even longer, after which it must be transferred to the other breast, which will suck as much. It is obvious that in most Russian maternity hospitals such attachment usually occurs several hours later and sometimes several days after birth! After a cesarean section, during the first hour after birth, the sucking activity of the child is reduced or absent altogether, therefore world practice recommends applying such a baby to the chest 1 hour after birth. If the child does not show sufficient sucking activity, he is offered a breast for every squeak until he wants to suck properly. Scientific studies have shown that high sucking activity children who are not attached directly to the chest, retain during the first 6 hours after birth, therefore, in the case of Cesarean, it is enough that attachment to the chest occurs during these 6 hours. In any case, this attachment occurred after 1 hour or a little later, it is very important that the mother’s breast is the first thing that gets into the baby’s mouth. To do this, you should exclude any feeding and feeding the baby until his mother feeds him for at least 1 hour in a row! But it already depends on how mother will prepare for this process, what she will negotiate with the doctors, for which she will ask to follow the relatives. For example, in the case of paid deliveries and a separate ward, it can be agreed that the father or grandmother will observe through the glass all the procedures that take place in the nursery and that the child will be given to the ward as soon as all the necessary procedures are done. It is possible to agree in advance on such a ward, where the child is not separated from the mother at all. Thus, the problem with the first application is greatly exaggerated and to organize this situation competently after a cesarean is also real, as well as after other genera of the maternity hospital. The problem with the intensive care unit After a cesarean from 1 to 3 days, the woman is in the intensive care unit, so even in those hospitals where joint care is taken, she is separated from her child. How is breastfeeding? In fact, this is the main problem, which, unfortunately, is connected exclusively with the rules for organizing care in maternity hospitals in Russia. Nowhere in the world is there such a problem, the child is with the mother always, even in the postoperative ward, except for the need for hardware breathing for the mother or for the child. This is required by the International Convention on the Rights of the Child. And until our mothers begin to demand respect for their original maternal rights, no one will do it for them! Therefore, ask, demand, agree, while there is time for this, that is, before delivery. You can agree on different things. For example, you can arrange for the child not to be fed while you are in the postoperative department. I assure you the absence of 10 ml of colostrum, that it sucks in the first day and 30 ml in the second, they do not condemn the child to the pangs of hunger! However, if your trustee is not near the child, you can hardly check the compliance with the agreement. If the mother is immediately in her room, it can be agreed that the father or grandmother is caring for the baby while the mother is not able to do this. They can also feed the baby from a spoon if the doctor insists on a supplement. If you are still separated, you should not lose heart. Get over the fact that you will have to retrain the child, and enjoy your moments of rest. True, you can relax only the first day. On the second day it is necessary to organize the decantation of both mammary glands, every 2 hours, excluding the night break from 24.00 to 6.00. It is better to start pumping with stimulation of the nipples with the palm of your hand, then express it for about 5 minutes, no matter how much it stands out. The rest of the time - rest. If the mother does not forget to express herself and is ready to retrain the child to suck properly, as soon as she meets him, success is guaranteed! Thus, even if the mother is separated from the child in the first days, then everything can be arranged, and if you competently agree with the medical staff in advance, the separation time can be greatly reduced! The problem with the lack of milk After a cesarean section, many mothers have a slow arrival of milk, it can come even on day 9, supplementation is inevitable, how do you start feeding? Of course, if mom's milk comes so late, the baby will have to be fed for a while.
However, firstly, not every woman has a slow arrival of milk after cesarean. A child in the early days is designed only for colostrum, and his women produce differently. Therefore, do not rush to draw conclusions. Do not pay attention to how much the child loses weight, because this loss does not depend on the method of feeding. And do not rush to feed the child, until you have a so-called "test for wet diapers." Count the number of urinations a child has. In the first 3 days, only 2 are enough, the next three from the third to the sixth, only 4, starting from the sixth, should be at least 6. These are lower bounds, urination can be much more, but according to WHO and the International Dairy League up to 10 days of life A child can easily exist without supplements while observing these norms. And by the 10th day milk usually appears. Secondly, sometimes during breastfeeding supplementation at the initial stage is even necessary! If we feed a premature, weakened child, in the first days he will definitely need additional nutrition, because he simply does not have the strength to suck out all the necessary rations! The truth is that the supplemented milk is organized here, but it is thanks to the supplement that the child begins to grow, he has the strength to suck better and better and the need for supplementary nutrition gradually disappears. Also it is necessary to treat the supplement with the slow appearance of milk. Milk will come when the baby is sufficient to stimulate the breast with sucking. A child who does not receive a supplement, or very nervous at the breast, or quickly falls asleep exhausted. Supplement will allow him to feel more relaxed, and at the same time he will have enough strength for quite a long stimulation of the breast by sucking. As the milk arrives, the supplement can be waived. Thirdly, the supplement itself is not as dangerous as the way it is given! For breastfeeding a bottle with a nipple is the most harmful and useless item. If the mother is going to breastfeed the baby, then supplementing the nipple is not allowed! It is the mother who must determine the way the child is fed. In our maternity hospitals, unfortunately, it is not customary to feed children in other ways in children's wards. Of course, if the child is brought to the mother according to the regime, then she will have to put up with it. However, as soon as the baby stays with the mother, the nipples should be constantly canceled! Mom or relatives helping her can feed the child, observing the following rules: · a small spoon, a pipette, a medical syringe, a penicillin vial, etc., but not a bottle with a nipple, are used for additional feeding; · Supplementation is given strictly according to the regime, offering breasts before and after supplementation; · In the first 10 days, the child is not given more than 30 ml of supplement at the same time; · Supplement we give only to the extent that increases the amount of urination to normal. Thus, even with a slow arrival of milk, and the need for an additional feed, the mother will be able to breastfeed if she correctly organizes supplement. The problem with retraining a child A child who was fed improperly, usually gets used to the regime with the help of a bottle and in large portions, does not take the breast too often and, moreover, incorrectly captures it. If he is offered a chest more often, he just sleeps, and if he is not allowed to grab his chest in his usual wrong position, he cries. Is it possible to retrain such a small child? Not only possible, but necessary. Feeding in accordance with their biological rhythms, feeding in the right position, not only necessary for good lactation at the mother, it is primarily necessary for the child himself. In the genetics of the baby laid this way of sucking. All his cells are waiting for the necessary signals. As soon as the behavior of the mother begins to meet the genetic expectations of the child, his hereditary program is activated. The body of the child begins to produce endorphins - the hormones of joy, happiness, only with frequent feeding in the correct position. Therefore, even when retraining, even when crying, the child does not receive stress! In order to offer the baby more often, it’s not necessary to wake him up, you just have to watch his sleep and invite him to take the chest 1.5-2 hours from the start of falling asleep, at the moment when he starts making smacking movements in his sleep! In order to teach a child to take a breast in a new way, as a rule, several days are enough. But only, provided competent advice and appropriate support. Mom herself, as practice shows, cannot cope with this, no matter how many good books and correct articles she has read! Neither videos nor colorful posters help! Attaching to the chest is an art transmitted from mom to mom! Only a mother who has experience of such retraining can teach another mother to do so. And the easiest way to find such a mother is to contact lactation consultants. Thus, no matter what mistakes you make in the first days after giving birth, if you ask for help in a timely manner, all of them can be overcome! Of course, there are other problems when breastfeeding after cesarean, but they are no different from the problems of mothers who gave birth in the maternity hospital in a different way, therefore they are also solved. And for skeptics, I want to add that among our consultants there are enough women who not only were able to breastfeed a child up to 2 years after cesarean, but also successfully teach other moms now! Mayorskaya M. B. Experienced Breastfeeding Consultant
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Organization of breastfeeding after cesarean section

  1. Breastfeeding after cesarean section
    If your baby was born using caesarean section, then you will need more effort in establishing breastfeeding than women who gave birth naturally. Act correctly and persistently, and you will succeed! If there are no contraindications, then after cesarean section you can and should breastfeed your baby! ^ After surgery with an epidural anesthesia baby can be immediately
  2. Peritonitis after cesarean section
    According to the literature, peritonitis after caesarean section develops from 1.5 to 2% of cases. Mortality from it in the structure of maternal mortality with purulent-septic complications is 37%. Given the current trend towards an increase in the number of cesarean sections, it is certainly important to reduce the risk of peritonitis in the postoperative period. The cause of the development of peritonitis, in
  3. Breastfeeding after cesarean section
    I gave birth to a child through cesarean section. Do I need special help with breastfeeding? Yes, you need special help as long as you have two responsibilities: to get better yourself and feed your baby. Use the following time-tested tips for breastfeeding after childbirth complicated by surgery: - Pain suppresses
  4. Problem 48. OBSTETRIC PERITONITIS AFTER THE CESARIAN SECTION
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  5. INFECTION OF OPERATING WOUNDS AFTER THE KESAREV SECTION
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  6. MANAGEMENT OF PREGNANCY AND LABOR IN THE PRESENCE OF A CALIBLE ON THE PROPHETAL AFTER PREVIOUSLY TRANSFERRED CAESARIAN SECTION AND OTHER OPERATIONS ON THE PROPOSAL
    Pregnant women with a scar on the uterus, primarily after a cesarean section, constitute a special risk group for uterine rupture. The healing of the uterine wall after surgery on it can occur with a complete or almost complete recovery of muscle elements. Usually in such cases they talk about a full-fledged scar. But often the healing takes place with the formation of a connecting
  7. Breastfeeding: the onset, duration, and practice of exclusive breastfeeding
    Due to the lack of comprehensive and comparable data and unified international definitions, it is difficult to make any general statements about the prevalence of breastfeeding in the WHO European Region. Data on the percentage of breastfed babies, shown in Fig. 8, taken from various sources (27). These data must be approached carefully: survey methods
  8. Maternal breastfeeding support group in Samara. Breastfeeding the most important issues, 2014

  9. CESAREAN SECTION
    Caesarean section (caesarean section) is a surgical operation in which the fetus and the afterbirth are removed through an incision in the abdominal wall (laparotomy) and the uterus (hysterotomy). This definition does not include removal of the fetus from the abdominal cavity in cases of uterine rupture or during abdominal pregnancy. There are abdominal caesarean section, produced by cutting the anterior abdominal wall, and vaginal,
  10. Abdominal Caesarean section
    A caesarean section is performed in cases where delivery through the natural birth canal is impossible or dangerous to the life of the mother or fetus. Caesarean section is the most common operation in obstetrics. In Russia, the caesarean section over the past 10 years has increased by about 3 times (from 3.3% in 1985 to 13.0% in 1997) and continues to grow. The reasons for the increase in the number of cesarean operations
  11. CESAREAN SECTION
    A caesarean section is one of the oldest surgical abdominal surgery. This delivery operation, in which the fetus and afterbirth is extracted through an artificially made incision in the uterus, is currently a common surgical intervention, its frequency ranges from 25 to 17%. In its development, this operation went through many stages. In ancient times, this operation was performed on
  12. CESAREAN SECTION
    A caesarean section is one of the oldest surgical abdominal surgery. This delivery operation, in which the fetus and afterbirth is extracted through an artificially made incision in the uterus, is currently a common surgical intervention, its frequency ranges from 25 to 17%. In its development, this operation went through many stages. In ancient times, this operation was performed on
  13. EMERGENCY KESAREVO SECTION
    Definition Emergency caesarean section is an immediate or urgent delivery with fetus extraction through the incision of the anterior abdominal wall. Etiology The severity of the condition of the mother or fetus, requiring, in the opinion of the obstetrician, immediate or urgent cesarean section. Typical cases Immediate cesarean section: severe fetal distress; umbilical cord prolapse; massive bleeding;
  14. Abdominal Caesarean section for abortion
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  15. CESAREAN SECTION
    Caesarean section for vital reasons from both the mother and the fetus is currently in the United States with approximately 20% of births. The conventional method of opening the uterus is a transverse incision in the area of ​​the isthmus, except in cases where, according to some indications, you have to perform a classic longitudinal incision in the area of ​​the body and bottom of the uterus. Purpose of operation
  16. KESAREVO SECTION AT COWS
    Caesarean section in cows is an efficient, cost-effective operation. This operation is successfully performed not only in specially equipped surgical clinics, but also directly in the conditions of farms of state farms and collective farms. 80-90% of operated cows recover, and often the fetus can be saved. After cesarean section, cows, as a rule, do not lose their milk productivity, and 65-70%
  17. Anesthesia for caesarean section
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