Breastfeeding after cesarean section: difficulties in the first four months

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Abstract

Poor adherence to breastfeeding is a current problem among women who had cesarean section. The issues of preserving and maintaining lactation in women in the first 4–6 months after planned operative delivery are the most significant. Cesarean section and the postoperative period are influenced by many factors that make it difficult to establish lactation and maintain a positive attitude towards breastfeeding. These factors include postoperative pain, separate care for new mother and infant, difficulty in selecting the proper breastfeeding position, and the influence of public opinion; all of them may lead to a woman’s lack of confidence in her ability to breastfeed effectively.

To maintain a woman’s positive attitude towards exclusive breastfeeding, it is necessary to actively educate pregnant women about lactation at the prenatal stages, after the birth of the child, and after their discharge from the hospital. For successful breastfeeding, it is important to have maternal/newborn skin-to-skin contact immediately after birth and to put the baby to the breast within the first hour of life. In the future it is recommended to continue monitoring the breastfeeding process to correct potential difficulties experienced by women after cesarean section. Various non-medication methods such as taping and massage can be used to reduce pain.

Conclusion: Cesarean section has a significant negative impact on the subsequent breastfeeding of the newborn. Therefore, it is essential to take preventive measures aimed at reducing the incidence of formula feeding among mothers after operative delivery.

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About the authors

Olga B. Ladodo

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: o_ladodo@oparina4.ru
ORCID iD: 0000-0002-4720-7231

PhD, Head of the National Coordinating Center for Breastfeeding Support

Russian Federation, Moscow

Anna L. Karavaeva

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: a_karavaeva@oparina4.ru
ORCID iD: 0000-0001-5412-6598

Head of Clinical Work, neonatologist, Neonatal Unit

Russian Federation, Moscow

Leila A. Timofeeva

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: l_timofeeva@oparina4.ru
ORCID iD: 0000-0002-3450-7390

PhD, Head of the Neonatal Unit

Russian Federation, Moscow

Viktor V. Zubkov

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: v_zubkov@oparina4.ru
ORCID iD: 0000-0002-9697-9596

Dr. Med. Sci., Director of the Institute of Neonatology and Pediatrics

Russian Federation, Moscow

Dmitry N. Degtyarev

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: d_degtiarev@oparina4.ru
ORCID iD: 0000-0001-8975-2425

Dr. Med. Sci., Professor, Deputy Director for Scientific Work

Russian Federation, Moscow

Anastasia V. Nikolaeva

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: a_nikolaeva@oparina4.ru

PhD, Chief Physician

Russian Federation, Moscow

Daria A. Chutkova

Academician V.I. Kulakov National Medical Research Centre for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Author for correspondence.
Email: huhreva@gmail.com
ORCID iD: 0000-0002-0356-1220

Deputy Head of the National Coordinating Center for Breastfeeding Support

Russian Federation, Moscow

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