Some women have mixed emotions after giving birth by caesarean section. On the one hand, they feel positive that they finally have their child, but on the other, the experience can be quite negative, as they feel that they haven't ?been involved? in their child's birth. It is especially important that mothers who delivered by caesarean begin to breastfeed at once.



Breastfeeding can begin within an hour of a caesarean birth. If you have had general anaesthetic you will feel groggy and shaky for about an hour or so and may need the help of a midwife. If you have had epidural anaesthetic you will continue to receive pain relief for a few hours after the birth. Either way, you will be feeling sore and will almost certainly receive some form of pain relief. The pain relief drugs may enter your breast milk but you should still breastfeed your baby, as getting the baby to latch on and feeding within the first few hours is of great benefit to the child. Homeopathic treatment that does not affect your baby is available. Discuss its use with your doctor and midwife before the birth. You'll receive advice on what form of homeopathic treatment is best for you and, by discussing well before the birth, the hospital will have plenty of notice of your wishes beforehand.

Feeding by lying down on your side or in a semi reclining position are the best positions to use immediately after a caesarean. You can place a soft pillow over your belly so that your baby doesn't kick at the incision. Having a pillow or two under you arm can also help to make you comfortable. It is important that you feel comfortable in whatever ever position you use after a caesarean, as feeding can take quite some time. If you breastfeed by lying down on your side, hold your baby on her side, facing you with her mouth facing the nipple. You should support your baby's back with your arm. You can offer your baby the other breast by simply placing her on your chest and then rolling over.

During the first few hours after birth you will receive help from your midwife and nurses. You are bound to feel sore and tired and will almost certainly need their support in helping you to move into a position you and your baby feel comfortable with. Your midwife will also monitor your breastfeeding, making sure that your baby is latching on properly and is suckling well.

Over the next few days you will be encouraged to try nursing your baby in an upright position. Don't be forced into this: go at your own pace. When you return home it is vitally important that your partner, family or friends give you support. After leaving hospital you will still need help to position the baby when feeding.

Nursing your baby frequently, and other forms of physical contact, are the best ways to establish the normal hormonal balance and closeness with your baby.