Everyone knows that breastfeeding is best, and most women intend to breastfeed for at least six weeks after birth. However, breastfeeding after a C-section can present unique challenges to both mother and child. With a little work and a dose of patience, these challenges can usually be overcome, and a happy breastfeeding relationship established.

The first challenge that confronts many mothers after a C-section is pain from the surgery. This can make it difficult to hold the baby in the classic cradle hold, as that uses the abdominal muscles and places pressure on the lower abdomen. There are two solutions for this. The first is to use the “football” hold when breastfeeding, by holding the baby’s head in one hand and tucking her body back under the mother’s arm. This is also an easier position for many to learn breastfeeding in, as it holds the baby closer to the body and gives the mother a better view of the baby’s mouth and her breast. A diagram of this hold is included in most baby books and breastfeeding manuals. The other solution is to use a nursing pillow, such as the Boppi or Mother’s Breast Friend. These are easily found in the baby section of most mass retailers, as well as online. Using a nursing pillow supports the mother’s arms and the baby in position, takes the strain off the abdominal muscles, and places a soft pad over the lower abdomen. The nursing pillow and football hold can also be used in combination, by tucking the pillow around the mother’s side.

The other common challenge for a C-section mother is a delay in milk production. Natural birth helps to jumpstart milk production, usually bringing the milk in within 3 days after birth. After a C-section, it is not unusual for milk production to take 5 days to start. In the meantime, the colostrum is sufficient for the baby, and all the baby actually needs. It is common and expected that the baby will lose weight during this time – up to a 10% loss is considered normal. The best ways to stimulate milk production are to breastfeed as often as the baby desires, drink plenty of fluids, and avoid the use of formula or artificial nipples, such as pacifiers, as these will prevent the baby from nursing as often can interfere with learning the proper latch.

For the baby, the challenges after a C-section are fatigue and separation. Often the medications and anesthetics used during surgery can make the baby sleepier than usual. The medication will leave the baby’s system