Day 3rd and later

Food ration should be varied little by little. On the 3rd day after operation you may include a non-fat chicken broth, minced boiled meat, cotton cheese or meat puree or soufflé, porridge in your menu. The whole ration is divided into 5-6 meals. You can drink not very sweet tea, not thick kissels, compotes, dog-rose extract. A usual quantity of food during each meal is 70-100 mL.

The first independent stool should fall on 3rd-5th day after operation. After this you may return to food, which you ate during pregnancy, but taking into account restriction, recommended for nursing moms. You know, milk appears by this time as a rule.

Normalization of stool and preventive measures against constipations:

- moderate physical activity,

- enough quantity of vegetables and fruits (especially prunes) in your ration. During this period there are already no peculiarities of nutrition for women, who gave birth with help of Cesarean section.

BREAST FEEDING FROM “A” TO “Z”

There is a possibility of first feeding in operating-room yet, under condition that you were given local anaesthetic, and rules of hospital allow such feeding. However, you will have to wait a little with feeding, in case you were given general anaesthetic or your baby requires medical treatment.

Try to take your baby off children ward, as soon as you recover. You need to remember that certain physical factors make a baby’s putting to breast difficult.

Even fear may become a reason of first unsuccessful feedings. Moreover, milk may come later (on the 5th-9h day) because of the fact that you were given general anaesthetic and restriction of usage of remedies that contract uterus, lack of necessary hormones, secreted during natural childbirth. However, your baby needs breast milk so much!

Remember these rules

- Require your baby to put him to your breast right after delivery or after you recover from anaesthesia. But don’t expect a real feeding from the first putting to breast, as you both still need learning a lot.

- Ask for your doctor’s support, if you face doctors’ or nurses’ prohibition to feed your baby in post-natal ward, moreover, if delivery passed well. They should bring your baby to you for breast feeding.

- Most often they use medicines, compatible with breast feeding in maternity hospitals after Cesarean section, however, nurses still frighten mothers with harmful medicines, especially antibiotics. Ask your doctor which preparations are prescribed to you, and whether they are compatible with breast feeding. Write down names of these medicines.

- It may happen that during time, meant for feeding, your baby will be sleeping. Wake him up, regardless of the fact that it may seem unethical. When he awakes, start feeding at once. The main is your wish to start and continue feeding. Processing of milk depends on 2 factors a lot: your confidence that you can feed your baby and a baby’s sucking activity.

- Whenever they bring your baby to you for feeding, put him to breast surely, even if he is sleeping: babies can suck even half asleep.

- Be patient. Don’t worry, your baby will not be hungry, as new-born babies’ need in food is small. First of all, your baby needs love and caress. Cuddle him to yourself. He will “remember” your heartbeat and “recognize” you.

- If a baby turned out to be with you only on 3rd day and is kept separately still:

While staying in a ward separately from your baby, draw off both breasts – it is better to do 8-10 short 5-minute attempts, every 2 hours, excluding night break from 24.00 to 6.00. Your baby has just been born, and there is little colostrums produced still – according to its natural need. So 5-10 g you draw off – are enough. And it is impossible to draw off everything. Don’t torture yourself. Put colostrums in a bottle, it should be kept out of fridge during 8 hours, under room temperature. While the first opportunity give colostrums to your baby, it is better to do it using a spoon, putting a baby on your elbow, so that he would lie half-vertically on it.

If they bring your baby to you according to a schedule, keep also 6-8 decantations, excluding night break. As a rule, every second feeding is ineffective, because a baby is given supplemental feeding, and he got used to suck from a bottle. If a baby was sucking breast actively in a correct position during feeding, you can treat this date as a decantation. If he sucked inertly, draw off breast after feeding.

- While every date with your baby you should concentrate not on the quantity he sucks, but on the way he takes breast.

- Put your baby to both breasts surely during one feeding, for better stimulation of lactation. Do this until you feel considerable flood of milk, which may begin on the 2nd-5th day after they started bringing your baby to you regularly.

- Feed your baby only when he is calm. Otherwise he will not be able to find and catch a nipple. If a baby is crying strongly, cuddle him, waggle and calm down. Then give him breast. To reduce postoperative lethargy, put a pillow under your baby while feeding, lying on your side. With time a pain of stitch will pass away and you will feel only joy while feeding your baby.

You are at home with your baby! Don’t get nervous, if you face troubles feeding your baby. You should start feeding being calm and relaxed as possible as you can. Learn thinking of nothing that may make you sad or disturb.

Moreover, psychic tension can reduce excretion of milk twice.

- Invite a consultant on breast feeding to learn practice and technique of breast feeding (you need to learn putting, removing your baby to/from breast correctly, making yourself comfortable, feed in different positions, feed lying and sleeping with your baby, draw off correctly, if necessary),

- Put your baby to breast every 2 hours before consultation on breast feeding, regardless of whether he is sleeping or not, excluding night break from 22.00-24.00 to 4 am.

- Take your baby in bed with you, as soon as you go to bed and sleep with him during whole night.

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