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Organization of breastfeeding after cesarean section


If the mother is going to have a caesarean section, she usually worries about how she will develop further with breastfeeding. In our society there is a firm belief that after cesarean breastfeeding is much more difficult to adjust than after normal births, problems often occur, milk goes away, etc. However, breastfeeding consultants know that it is possible to initiate breastfeeding even with an adopted child, so the organization of feeding after cesarean is no more difficult than feeding after any other birth in the maternity home with separate maintenance. Of course, like any other non-standard situation, feeding after cesarean will first have its own characteristics. However, if you are ready for this, all this will be temporary measures, from which you can gradually refuse. So, what are the features of feeding after cesarean section. Problem with the first application For successful breastfeeding, the first proper attachment to the breast during the first hour (and according to some documents it is recommended even in the first 30 minutes) after birth is necessary, but how to do this after cesarean section? To begin with, a properly organized attachment to the chest, that is, full imprinting in maternity homes is generally rare. Full imprinting includes not only an early attachment to the chest, but also the implementation of this act at the time of the child's highest sucking activity, which is very dependent on how the childbirth was born and very rarely occurs in the first 30 minutes of his life! When fully attached, the child sucks only one breast for 30-40 minutes, or even longer, after which it must be transferred to another breast, which will suck as much. It is obvious that in most Russian maternity hospitals such an application usually occurs after several hours and sometimes several days after birth! After cesarean section during the first hour after birth, the child's sucking activity is reduced or absent altogether, so the world practice recommends that such a baby be applied to the breast 1 hour after birth. If the child does not show enough sucking activity, he is offered a breast for each squeak until he wants to suck properly. Researches of the scientists showed that the high suckling activity of children not attached immediately to the breast is preserved during the first 6 hours after birth, therefore in the case of caesarean, it is enough that the attachment to the breast occurred during these 6 hours. In any case, this application took place after 1 hour or a little later, it is very important that the mother's breast be the first thing that gets into the child's mouth. To do this, it is necessary to exclude any additional feeding and dopaivanie baby until it does not feed the mother for at least 1 hour in a row! But this depends on how Mom will prepare for this process, which will be negotiated with the doctors, which will be asked to track the relatives. For example, in the case of paid delivery 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 to him. It is possible to agree in advance and about such chamber where the child with mum at all do not separate. Thus, the problem with the first application is greatly exaggerated and to organize this situation correctly after cesarean also realistically, as well as after other births in the maternity hospital. The problem with the intensive care ward After cesarean from 1 to 3 days a woman is in the intensive care ward, so even in those maternity homes where joint maintenance is accepted, she is separated from her child. How do I breastfeed? In fact, this is the main problem, which, unfortunately, is connected exclusively with the rules for organizing assistance in maternity hospitals in Russia. Nowhere in the world is there such a problem, the child is with his mother always, even in the postoperative ward, the exception is the need for breathing apparatus for the mother or the child. This is required by the International Convention on the Rights of the Child. And while our mothers do not begin to demand respect for their motherly rights, no one will do it for them! Therefore, ask, demand, agree, while for this there is time, that is, before giving birth. You can agree on different things. For example, you can agree that while you are in the aftercare department, the child is not fed. I assure you the absence of 10 ml of colostrum, which it sucks in the first day and 30 ml in the second, does not doom the child to the throes of hunger! However, if your trusted person is not near the child, compliance with the agreement is unlikely to be verified. If the mother is immediately in her room, you can agree that the father or grandmother cares for the baby, while the mother can not do it. They can also feed a baby from a spoon if the doctor insists on supplementation. If, however, you are separated, do not lose heart. Resign yourself to the fact that you have to retrain the child, and enjoy the rest minutes. True rest can only be the first day. On the second day, it is necessary to organize the expression of both mammary glands, every 2 hours, excluding a night break from 24.00 to 6.00. Start pumping better with the stimulation of the nipples with the palm of your hand, then decant for about 5 minutes, no matter how much it stands out. All rest time - have a rest. If the mother does not forget to decant and is ready to retrain the child properly suck, as soon as to meet him, success is guaranteed! Thus, even when the mother is away from the child in the first days, then you can adjust everything, and if you competently agree with the medical staff in advance, the terms of separation can be greatly reduced! The problem with lack of milk After caesarean section, many mothers have a delayed arrival of milk, it can even come on day 9, supplementation is inevitable, how then to start feeding? Of course, if the mother's milk comes so late, the child will have to be fed for a while.
However, firstly, not every woman after cesarean has a slow arrival of milk. A child in the early days is designed only for colostrum, and his women produce differently. So do not rush to draw conclusions. Do not pay attention to how much the child loses weight, since this loss does not depend on the method of feeding. And do not rush to supplement your baby until you hold a so-called "wet diaper test." Count the number of urination of the child. In the first 3 days, only 2, the next three from the third to the sixth, only 4, starting with the sixth of them must be at least 6. This lower limit, urination can be much larger, but according to the materials of the WHO and the International Dairy League before 10 days of life a child can safely exist without supplementation while observing these norms. And by the 10th day, milk usually appears. Secondly, sometimes with breastfeeding, supplementation at the initial stage is even necessary! If we feed a prematurely, weakened child, in the first days it will necessarily require supplementation, because it simply does not have the strength to suck out all the necessary portions! True, here the supplementary feeding is organized by expressed milk, but it is thanks to the supplementary feeding that the child begins to grow, he has the strength to suck more and better and the need for complementary feeding gradually disappears. Also it is necessary to treat supplementation with delayed appearance of milk. Milk will come when the baby will sufficiently stimulate the breast by sucking. A child who does not receive pre-breastfeeding, or is very nervous at the chest, or quickly falls asleep exhausted. Doping will allow him to feel more calm, and at the same time he will have enough strength for a sufficiently long stimulation of the breast by sucking. As soon as milk comes, it will be possible to refuse from supplementary feeding. Thirdly, not so dangerous is the supplement, as the way it is given! For breastfeeding, the bottle with the pacifier is the most harmful and useless thing. If the mother is going to breastfeed, then the supplement from the nipple is unacceptable! It is the mother who must determine the method of supplementing the child. In our maternity homes, unfortunately, it is not customary to supplement children in other ways in children's departments. Of course, if a child is brought to her mother by regime, she will have to accept this. However, as soon as the child will stay with her mother constantly supplementing the nipple should be canceled! Mom or relatives who help her can supplement the child, following the following rules: · for feeding, use a small spoon, a pipette, a medical syringe, a penicillin vial, etc., but not a bottle with a pacifier; · Supplementary feeding is given strictly according to the regime, offering the breast before and after complementary feeding; · In the first 10 days the child is not given more than 30 ml of supplementary feeding at a time; · Supplementation is given only in the amount that increases the number of urination to normal. Thus, even with a delayed arrival of milk, and the need for complementary feeding, the mother can breast-feed if she properly organizes supplementation. The problem with relearning a child A child who has been fed improperly, with the help of a bottle and in large portions, usually gets used to the regimen, does not take the breasts too often and besides, wrongly grasps it. If he is offered breast more often, he just sleeps, and if they do not allow to grasp the chest in the usual wrong position - he cries. Is it possible to retrain such a small child? Not only it is possible, but also it is necessary. Feeding in accordance with their biological rhythms, feeding in the right position, is not only necessary for good lactation in the mother, it is primarily necessary for the child himself. In the genetics of the baby this is the way of sucking. All his cells are waiting for the necessary signals. As soon as the behavior of the mother begins to meet the child's genetic expectations, his hereditary program is included. The child's organism begins to produce endorphins - hormones of joy-happiness, only with frequent feeding in the right position. Therefore, even with retraining, even with crying, the child does not get stressed! To offer a baby a breast more often, it is not necessary to wake him, you just need to watch his sleep and invite him to take breast after 1.5-2 hours from the beginning of falling asleep, at the moment when he starts to make smacking movements in a dream! In order to teach a child to take a new breast, usually a few days are enough. But only, on condition of competent consultation and appropriate support. Mom, as practice shows, can not cope with this, no matter how many good books and correct articles she has not read! Do not help, either video films, or colorful posters! Applying to the chest is an art passed from mom to mom! Only a mother who has had the experience of such re-education can teach this to another mother. And the easiest way is to find such a mother by contacting lactation consultants. So, whatever mistakes you made in the first days after delivery, with timely access for help, they are all overcome! Of course, when feeding a baby after a cesarean, there are other problems, but they are no different from the problems of mothers who gave birth in another way in the maternity home, that's why they are being solved as well. And for the skeptics, I want to add that among our consultants there are enough women who not only could breastfeed until 2 years after cesarean, but also successfully teach this to other mothers! Mayorska MB experienced counselor on breastfeeding
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Organization of breastfeeding after cesarean section

  1. Breastfeeding after caesarean section
    If your baby was born with caesarean section, then you will need more efforts in establishing breastfeeding than women who gave birth naturally. Act correctly and persistently, and you will succeed! If there are no contraindications, then after the cesarean section breastfeeding can be and is necessary! ^ After the operation with epidural anesthesia the baby can be immediately
  2. Peritonitis after caesarean section
    According to the literature, peritonitis after cesarean section develops from 1.5 to 2% of cases. The lethality 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 urgent to reduce the risk of peritonitis in the postoperative period. The cause of the development of peritonitis, in
  3. Breastfeeding after caesarean section
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  5. INFECTION OF OPERATIVE WAITING AFTER KESAREVA SECTION
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  7. Breastfeeding: the beginning, duration and practice of exclusive breastfeeding
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  9. CESAREAN SECTION
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  10. Abdominal cesarean section
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  11. CESAREAN SECTION
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