The Importance of Nutrition for Breastfeeding Mothers

Breastfeeding is one of the most significant actions a mother can take to ensure the health and well-being of her newborn. The process of lactation not only nourishes the infant but also creates a strong bond between mother and child. However, for breastfeeding to be most effective, the mother’s diet plays a crucial role. This blog will explore the key nutritional needs of breastfeeding mothers, backed by research and expert recommendations.

The Increased Nutritional Demands of Breastfeeding

Breastfeeding mothers require more calories than usual to sustain their energy levels and produce sufficient milk. On average, breastfeeding increases a mother’s energy requirements by about 500 calories per day compared to pre-pregnancy needs . These extra calories should come from nutrient-dense foods that support both the mother's and the baby’s health.

Essential Nutrients for Breastfeeding Mothers

1. Protein: Protein is vital for the growth and development of the baby, as well as for the repair and maintenance of the mother's body tissues. High-quality protein sources include lean meats, poultry, fish, eggs, dairy products, beans, and legumes. A breastfeeding mother should aim for around 71 grams of protein per day .

2. Calcium: Calcium is essential for the development of the baby’s bones and teeth. If a mother’s diet is low in calcium, her body will draw from her bone stores to meet the baby’s needs, potentially leading to a decrease in bone density. Dairy products, fortified plant milks, leafy greens, and calcium-fortified foods are excellent sources of calcium. The recommended daily intake is 1,000 mg for breastfeeding mothers .

3. Iron: Iron is crucial for preventing anemia, a condition that can lead to fatigue and reduced milk production. Red meat, poultry, fish, lentils, and fortified cereals are good sources of iron. The daily recommended intake for breastfeeding women is 9-10 mg .

4. Vitamin D: Vitamin D plays a crucial role in calcium absorption and bone health. Breastfed infants rely on their mother's vitamin D status, making it essential for mothers to maintain adequate levels. Sunlight exposure and foods such as fortified dairy products, fatty fish, and egg yolks can help meet the daily requirement of 600 IU  .

5. Omega-3 Fatty Acids: Omega-3s, particularly DHA (docosahexaenoic acid), are important for the development of the baby’s brain and eyes. Fatty fish like salmon, sardines, and mackerel, as well as flaxseeds and walnuts, are good sources of omega-3s. A breastfeeding mother should consume at least 200-300 mg of DHA daily .

Hydration: A Crucial Component

Breastfeeding mothers need to stay well-hydrated to maintain their milk supply. The general recommendation is to drink about 8-12 cups of fluids per day, but individual needs may vary. Water should be the primary source, but other fluids such as milk, herbal teas, and broths can also contribute to hydration.

Foods to Avoid or Limit

Certain foods and substances can negatively impact both the mother’s and baby’s health. It’s advised to limit caffeine intake to less than 300 mg per day, as excessive amounts can make the baby irritable and disrupt sleep patterns . Alcohol should also be consumed with caution. If a mother chooses to drink alcohol, it’s best to do so right after breastfeeding to allow time for the alcohol to clear from her system before the next feeding.

Conclusion

Breastfeeding mothers should prioritize a balanced and varied diet that includes adequate amounts of protein, calcium, iron, vitamin D, and omega-3 fatty acids to support their health and their baby’s development. Staying hydrated and being mindful of potentially harmful substances are also key aspects of a healthy breastfeeding diet. By making informed nutritional choices, mothers can provide their babies with the best possible start in life.

References:

1. NIH Office of Dietary Supplements. (2021). "Vitamin D." Retrieved from [NIH ODS website](https://ods.od.nih.gov/factsheets/VitaminD-Consumer/)

2. Centers for Disease Control and Prevention. (2021). "Vitamin D and Breastfeeding." Retrieved from [CDC website](https://www.cdc.gov/breastfeeding/recommendations/vitamin_d.htm)

3. Academy of Nutrition and Dietetics. (2021). "Nutrients and Calories Needed During Breastfeeding." Retrieved from [EatRight.org](https://www.eatright.org/health/pregnancy/breast-feeding/nutrients-and-calories-needed-during-breastfeeding)

4. American Pregnancy Association. (2020). "Nutrition While Breastfeeding." Retrieved from [American Pregnancy Association](https://americanpregnancy.org/healthy-pregnancy/breastfeeding/nutrition-while-breastfeeding/)

5. La Leche League International. (2020). "Breastfeeding and Nutrition." Retrieved from [LLLI website](https://www.llli.org/breastfeeding-info/nutrition/)

6. Mayo Clinic. (2021). "Breastfeeding Nutrition: Tips for Moms." Retrieved from [Mayo Clinic website](https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/breastfeeding-nutrition/art-20046912)

The Top Superfoods for Breastfeeding Moms: Nourishing You and Your Baby

Breastfeeding is a beautiful, bonding experience that offers countless benefits for both mother and baby. It’s well known that breast milk is the best source of nutrition for your little one, providing essential nutrients and antibodies that support their growth and development. However, it’s equally important to focus on your own nutrition during this time. Eating a diet rich in superfoods can help you feel your best, boost milk production, and ensure your baby is getting the most nutrient-dense milk possible.

In this blog post, we’ll explore some of the best superfoods for breastfeeding moms and how they can benefit both you and your baby.

1. Oats

Oats are a classic superfood for breastfeeding moms, and for good reason. They are packed with iron, which is crucial for preventing anemia—a common concern during postpartum recovery. Oats also contain saponins, which may help boost milk production by increasing prolactin levels, the hormone responsible for milk synthesis. Additionally, oats are a great source of fiber, helping to keep your digestion smooth and your energy levels steady.

How to Enjoy:

- Start your day with a warm bowl of oatmeal topped with fruits and nuts.

- Add oats to smoothies or bake them into lactation cookies.

2. Salmon

Salmon is rich in omega-3 fatty acids, particularly DHA, which is essential for your baby’s brain and eye development. It’s also a good source of vitamin D, which many new moms are deficient in. Consuming fatty fish like salmon can also help reduce inflammation, support mood stability, and contribute to a healthy milk supply.

How to Enjoy:

- Grill or bake salmon for a delicious, easy dinner.

- Incorporate canned salmon into salads or sandwiches for a quick meal.

3. Leafy Greens

Leafy greens like spinach, kale, and Swiss chard are nutritional powerhouses. They’re loaded with vitamins A, C, E, and K, as well as iron, calcium, and folate—nutrients that are vital for both you and your baby. These greens are also rich in phytoestrogens, which may help support lactation.

How to Enjoy:

- Add a handful of greens to your morning smoothie.

- Sauté spinach or kale with garlic and olive oil as a side dish.

4. Nuts and Seeds

Nuts and seeds, such as almonds, walnuts, chia seeds, and flaxseeds, are excellent sources of healthy fats, protein, and fiber. They also provide key nutrients like magnesium, zinc, and vitamin E, which are important for immune function and skin health. The healthy fats found in nuts and seeds can also enrich your breast milk, making it more nourishing for your baby.

How to Enjoy:

- Snack on a handful of nuts between meals.

- Sprinkle chia or flaxseeds over yogurt or oatmeal.

5. Avocado

Avocados are a superfood staple for breastfeeding moms due to their high content of healthy monounsaturated fats. These fats are essential for providing the energy you need during this demanding time. Avocados are also packed with folate, potassium, and vitamins C, E, and K, making them a nutrient-dense choice that supports both your and your baby’s health.

How to Enjoy:

- Spread avocado on whole-grain toast for a quick and satisfying snack.

- Add sliced avocado to salads or blend it into smoothies for a creamy texture.

6. Yogurt

Yogurt, especially Greek yogurt, is rich in protein and probiotics, which are beneficial for gut health. Probiotics can support your digestion and boost your immune system, which is crucial when you’re sleep-deprived and more susceptible to illness. The calcium in yogurt is also essential for maintaining strong bones, especially when breastfeeding, as calcium demands increase.

How to Enjoy:

- Enjoy a bowl of yogurt with fresh fruit and a drizzle of honey.

- Use yogurt as a base for smoothies or as a topping for pancakes.

7. Berries

Berries like blueberries, strawberries, and raspberries are rich in antioxidants, which help protect your body from oxidative stress and support overall health. They’re also high in vitamin C, which is important for tissue repair and immune function. The natural sweetness of berries makes them a perfect snack or addition to meals, providing a burst of flavor and nutrients.

How to Enjoy:

- Add berries to your morning cereal or oatmeal.

- Mix them into yogurt or blend them into a smoothie.

8. Sweet Potatoes

Sweet potatoes are packed with beta-carotene, which your body converts into vitamin A—an essential nutrient for your baby’s vision, immune system, and cell growth. They’re also a good source of fiber, potassium, and vitamins C and B6, making them a versatile and nutritious addition to your diet.

How to Enjoy:

- Roast sweet potatoes with a drizzle of olive oil and herbs.

- Mash them as a side dish or add them to soups and stews.

As a breastfeeding mom, your nutritional needs are higher than ever. Incorporating these superfoods into your diet can help you feel energized, support your milk supply, and provide your baby with the best possible start in life. Remember, taking care of yourself is just as important as taking care of your little one. By nourishing your body with these nutrient-dense foods, you’re not only supporting your own health but also giving your baby the best foundation for growth and development.

If you have any concerns about your diet or milk supply, don’t hesitate to consult with a lactation specialist or a registered dietitian who can provide personalized advice and support.

Did you know? Breastfeeding reduces the risk of asthma

Breastfeeding has long been celebrated for its numerous health benefits for both infants and mothers. Recent research highlights yet another compelling reason to choose breastfeeding: a significant reduction in the risk of asthma for breastfed babies.

Asthma, a chronic respiratory condition characterized by inflammation and narrowing of the airways, affects millions of children worldwide. It can lead to frequent hospital visits, missed school days, and a reduced quality of life. The exact causes of asthma are complex, involving a mix of genetic and environmental factors. However, one preventive measure that has garnered increasing attention is breastfeeding.

Studies show that breastfed infants have a lower incidence of asthma compared to their formula-fed counterparts. The protective effects are thought to stem from the unique composition of breast milk, which is rich in antibodies, immune-modulating components, and essential nutrients. These elements not only support the overall development of the baby's immune system but also help in reducing inflammation and infections that could trigger asthma symptoms.

Breastmilk contains bioactive molecules such as cytokines, growth factors, and oligosaccharides that play a crucial role in shaping the infant's gut microbiota. A healthy gut microbiome is essential for a robust immune system, and disruptions in this microbiome have been linked to an increased risk of allergic diseases, including asthma.

Moreover, breastfeeding has been associated with a lower risk of respiratory infections in early life. Since respiratory infections are a known trigger for asthma, reducing their frequency and severity can have a direct impact on asthma prevention.

It's important to note that the duration of breastfeeding also matters. Longer periods of exclusive breastfeeding are correlated with greater protective effects against asthma. The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of life, followed by continued breastfeeding along with appropriate complementary foods up to two years of age or beyond.

While breastfeeding is not a guaranteed shield against asthma, it is a significant step that parents can take to potentially reduce their child's risk. As research continues to unveil the myriad benefits of breastfeeding, it becomes increasingly clear that this natural practice holds powerful protective benefits that can have lasting impacts on a child's health.

In conclusion, breastfeeding offers a multitude of health advantages, with the reduction in asthma risk being a noteworthy addition. Encouraging and supporting mothers to breastfeed can contribute to healthier, asthma-free futures for many children.

Getting Started with Pumping

Pumping  can be a game-changer for breastfeeding moms, offering flexibility, convenience, and the ability to share feeding duties with others. Whether you’re returning to work, need to be away from your baby, or simply want to build a milk stash, here’s a guide to help you get started with pumping.

1. Choose the Right Pump

There are several types of breast pumps available, from manual to electric to hospital-grade. Consider your needs:

- Manual Pumps: Great for occasional pumping or when you’re on the go.

- Electric “Wall” Pumps: Ideal for regular pumping, when you are able to sit and pump.

- Wearable or Portable Pumps: Allow you to multitask, but may not be the best for regular pumping multiple times per day.

- Hospital-Grade Pumps: Best for moms who need to establish or increase milk supply or who have preemies.

2. Establish a Routine

Your body will respond best to regular and consistent pumping sessions. Here are some tips:

- Early Morning: Milk supply is often highest in the morning. You could pump right after baby’s first feed, or go ahead and pump if you wake up before baby.

- After Feeding: Pumping after breastfeeding can help increase your supply while maintaining your breastfeeding relationship.

- While Away: If you’re at work or away from your baby, try to pump at least every 3-4 hours to maintain supply.

3. Create a Comfortable Environment

Pumping can be more effective and pleasant if you’re comfortable and relaxed:

- Find a Quiet Space: A private, quiet place can help you relax and let down your milk.

- Stay Hydrated and Nourished: Drink plenty of water and eat a balanced diet to support milk production.

- Use Warm Compresses: Applying a warm compress to your breasts before pumping can help stimulate milk flow.

4. Properly Store and Handle Breast Milk

Storing breast milk safely is crucial:

- Storage Containers: Use clean, BPA-free bottles or breast milk storage bags.

- Labeling: Always label containers with the date and time of pumping.

- Storage Guidelines: Follow these general guidelines for storing breast milk:

  - Room Temperature: Up to 4 hours

  - Refrigerator: Up to 4 days

  - Freezer: 6-12 months

For more info, see the CDC website: https://www.cdc.gov/breastfeeding/breast-milk-preparation-and-storage/handling-breastmilk.html

5. Clean Your Pump Thoroughly

To ensure the health and safety of your baby, clean all parts of the pump that come into contact with milk:

- After Each Use: Rinse pump parts with cool water, then wash with warm soapy water, and air dry.

- Sanitize Regularly: Sterilize pump parts by boiling them, using a sterilizer or using a steam bag once a day.

6. Seek Support

Pumping can be challenging, especially in the beginning. Don’t hesitate to reach out for support:

- Lactation Consultants: They can provide personalized recommendations and support.

- Support Groups: Connecting with other breastfeeding moms can be encouraging and helpful. Join my Facebook group!

- Online Resources: Numerous websites and forums offer tips and community support.

7. Be Patient and Flexible

Every mom’s experience with pumping is different. It might take some time to get into a groove, and that’s okay. Be patient with yourself and open to adjusting your routine as needed.

Pumping can be an empowering part of your breastfeeding journey, allowing you to continue providing your baby with the best nutrition even when you’re not together. With the right tools, techniques, and support, you’ll find your rhythm and make the most of this special time.

Breastfeeding and infant cognitive development

Breastfeeding has been linked to positive cognitive development in children through various studies. Here are some key points summarizing the findings:

1. Nutritional Benefits: Breast milk contains essential fatty acids, such as DHA (docosahexaenoic acid), which are critical for brain development. These nutrients are less abundant in formula milk.

2. Higher IQ Scores: Some studies have suggested that children who were breastfed have slightly higher IQ scores compared to those who were formula-fed. The difference is often modest but statistically significant.

3. Long-term Cognitive Benefits: Longitudinal studies indicate that breastfeeding may have long-term benefits on cognitive outcomes, including better academic performance and higher scores on intelligence tests during childhood and adolescence.

4. Mother-Infant Bonding: Breastfeeding promotes bonding between the mother and infant, which can lead to a more stimulating and nurturing environment. This enriched environment may contribute to cognitive development.

5. Duration Matters: The cognitive benefits of breastfeeding appear to be dose-dependent, with longer durations of breastfeeding associated with greater cognitive advantages.

6. Confounding Factors: It’s important to note that some of the observed cognitive benefits may be due to confounding factors. Mothers who breastfeed are often more likely to engage in other health-promoting behaviors and may have higher socio-economic status and education levels, which independently contribute to better cognitive outcomes.

While breastfeeding is associated with positive cognitive development, it is one of many factors that influence a child's cognitive growth. Genetics, the home environment, parenting practices, and access to educational resources also play crucial roles.

Boosting Your Baby's Immune System Through Breastfeeding

Breastfeeding is often celebrated for its profound health benefits, and one of its most significant contributions is the enhancement of a baby’s immune system. This natural act of nourishment is not just about providing essential nutrients; it also equips newborns with vital immune defenses that protect them during their early, vulnerable months and beyond. Here, we delve into how breastfeeding supports immune system development and why it is an unparalleled choice for infant health.

The Power of Antibodies

Breast milk is a powerhouse of antibodies, particularly Immunoglobulin A (IgA), which plays a crucial role in safeguarding infants from infections. These antibodies are unique because they are specifically tailored to combat pathogens the mother has been exposed to, thus offering customized protection for the baby. This means that a breastfeeding mother can pass on her immunity to various illnesses, effectively shielding her baby from potential infections.

IgA antibodies line the baby's respiratory and gastrointestinal tracts, forming a protective barrier that prevents pathogens from attaching to and penetrating the mucosal surfaces. This reduces the likelihood of infections such as colds, flu, ear infections, and gastrointestinal disturbances, which are common in early childhood.

Cellular Immunity

In addition to antibodies, breast milk is rich in white blood cells, such as macrophages and lymphocytes, which are essential for fighting infections. These cells actively seek out and destroy harmful bacteria and viruses, providing a robust first line of defense. This cellular immunity is particularly important in the early months when the baby’s own immune system is still maturing.

Prebiotics and Probiotics

Breast milk contains prebiotics and probiotics that promote a healthy gut microbiome, which is integral to a strong immune system. The gut is home to a significant portion of the body’s immune cells, and a balanced gut flora helps in the development and function of these cells. Breastfeeding helps in establishing a healthy gut microbiome, which can enhance the baby’s immune responses and reduce the risk of gastrointestinal infections and allergies.

Long-Term Health Benefits

The immune benefits of breastfeeding extend well beyond infancy. Research has shown that breastfed babies have a lower risk of developing chronic conditions such as asthma, allergies, and autoimmune diseases later in life. The early immune support provided by breastfeeding helps to modulate the baby’s immune system, promoting tolerance and reducing the likelihood of overactive immune responses that can lead to chronic conditions.

Personalized Protection

One of the most remarkable aspects of breastfeeding is its ability to provide personalized protection. When a mother is exposed to an infection, her body produces specific antibodies that are then passed on to her baby through breast milk. This dynamic process ensures that breastfed babies receive the most relevant and timely immune support based on their immediate environment.

Conclusion

Breastfeeding is a natural and powerful way to boost your baby’s immune system, offering protection against infections and laying the foundation for long-term health. The unique combination of antibodies, immune cells, and beneficial bacteria in breast milk provides unparalleled support for your baby’s developing immune system. By choosing to breastfeed, you are not only nourishing your baby but also empowering their immune defenses, ensuring they have the best possible start in life.

Benefits of Skin to Skin

It’s always a good time for skin to skin!

The arrival of a newborn is a moment filled with joy, anticipation, and a flurry of activity. Amidst the whirlwind, one simple yet profoundly impactful practice often stands out: skin-to-skin contact. This practice, where a newborn is placed directly on their parent's bare chest, has garnered significant attention for its myriad benefits. Let's explore why skin-to-skin contact is more than just a bonding experience—it's a cornerstone of neonatal care.

The Science Behind Skin-to-Skin Contact

Skin-to-skin contact, also known as kangaroo care, is rooted in the natural instincts of mammals. When a newborn is placed on their parent's chest, several physiological and psychological mechanisms are triggered, promoting the baby's health and well-being. The warmth of the parent's body helps regulate the baby's body temperature, heart rate, and breathing. This close physical proximity also fosters a sense of security and comfort for the infant, mirroring the environment they experienced in the womb.

Benefits for the Baby

1. Temperature Regulation: Newborns often struggle to maintain their body temperature. Skin-to-skin contact helps stabilize their temperature more effectively than an incubator, reducing the risk of hypothermia.

2. Improved Heart and Lung Function: The rhythmic rise and fall of the parent's chest and the sound of their heartbeat can help regulate the newborn's heart rate and breathing patterns.

3. Enhanced Breastfeeding: Skin-to-skin contact immediately after birth promotes early initiation of breastfeeding. The baby’s natural rooting and sucking reflexes are stimulated, leading to better latch and more successful breastfeeding.

4. Lower Stress Levels: Being close to a parent reduces the baby's stress hormones, promoting relaxation and reducing crying. This calm state is crucial for the baby’s overall development and well-being.

5. Boosted Immune System: Close contact allows the baby to be exposed to the parent’s skin flora, which can help build a stronger immune system and protect against infections.

Benefits for the Parent

1. Bonding: Skin-to-skin contact fosters a deep emotional connection between the parent and the baby. This bonding experience is essential for the parent-child relationship and can help in recognizing and responding to the baby’s needs.

2. Increased Confidence: Parents who engage in skin-to-skin contact often feel more confident and competent in caring for their newborn, leading to a more positive parenting experience.

3. Postpartum Recovery: For mothers, skin-to-skin contact can facilitate the release of oxytocin, the "love hormone," which promotes uterine contractions and helps in reducing postpartum bleeding.

4. Mental Health Benefits: The emotional bond formed during skin-to-skin contact can alleviate symptoms of postpartum depression and anxiety, contributing to the overall mental well-being of the parent.

Practical Tips for Skin-to-Skin Contact

- Timing: Initiate skin-to-skin contact as soon as possible after birth. Ideally, within the first hour.

- Frequency: Continue regular skin-to-skin sessions throughout the newborn period. Both parents can participate in this practice.

- Environment: Ensure a warm, quiet, and comfortable environment to maximize the benefits of skin-to-skin contact.

- Duration: Aim for sessions of at least 60 minutes to fully reap the benefits.

Conclusion

Skin-to-skin contact is a simple yet powerful practice that can significantly impact the health and well-being of both the newborn and the parent. By embracing this natural and nurturing approach, families can build a strong foundation for their child’s future development while fostering a deep and enduring bond. Whether you are a new parent or a seasoned caregiver, incorporating skin-to-skin contact into your routine is a step towards a healthier and happier start for your baby.

Things you didn’t know you needed

Here are a few things that aren’t always talked about, but are often really good to have.

• Replacement duckbills-did you know that pump parts may need to be replaced over time? Duckbills are one of the most important parts to replace, as if they are not opening and closing properly you will not get the best possible suction and there for milk output.

I recommend changing duckbills every 2 weeks for exclusive pumpers, every month for full time working and pumping moms, and every 2-4 months for irregular/occasional pumpers.

• Flange inserts/different size flanges-these days flanges and inserts are available in many different sizes and styles. If pumping isn’t going well with the size(s) that came with your pump, you may want to look into trying another size. A lactation consultant can help with this.

• Snacks. Breastfeeding makes you hungry! And also burns calories, even more than being pregnant.

• Baby k'tan—or any baby carrier you like. Baby carriers are such a good tool for snuggling and calming your baby and also being able to use your arms for other things at the same time.

• Water or hydration drinks—you will be thirsty.

• Breastfeeding supporters—it’s nice to have friends or family, or professionals in your corner. If you have a friend or family member who recently had a baby, ask them how breastfeeding was for them in the beginning—most of the time they will be more than happy to talk about it.

• Help with household chores. This is the last thing you should worry about, you should focus on healing and your baby. Let someone else do the stuff around the house. If you don’t have family near by consider hiring a postpartum doula.

Being sick while breastfeeding

Being sick in the postpartum period is no fun. If you are breastfeeding and get covid, the flu or another illness, in most cases it's best to still keep on breastfeeding. Try to stick to your normal feeding routine as much as possible.

If your baby's appetite is down because they are also sick, pump if possible. If it's not possible to pump enough to replicate your baby's normal intake, do your best so that you can a) avoid mastitis and b) maintain your milk supply. Once you and baby are recovered and back to your normal routine, your milk supply should bounce back.

If your baby is not sick, you can still be around them. Take care to wash your hands and cough and sneeze away from baby.

Keep yourself hydrated, rest and take care of yourself. Your baby needs you to be healthy.

When you and baby are feeling better, do lots of skin to skin, and nurse as much as possible. If you can, take a "nursing vacation" and just focus on nursing and resting with baby.

Try not to get discouraged. It's common for your milk supply to have ups and downs and when your body receives signals to make more milk, it will.

Stress can lead to decreased milk supply so it's really best to stay positive. Reach out for lactation support if needed!

For medication questions, Infant Risk has a helpful page: https://infantrisk.com/content/cough-cold-

medications-while-breastfeeding

As far as your baby goes, they don't need anything extra like pedialyte or other fluids as long as they are nursing. If their appetite is significantly down and/or you see any signs of dehydration (lack of wet diapers, dry lips, orange crystals in diapers, sunken soft spot) -call your pediatrician.

When babies get sick they will need a lot of extra comfort and snuggles. Fortunately just being with you takes care of that

Has your baby had a cold yet this fall? Hang in there mama!

Information on common medications while breastfeeding:

Elderberry: no research available

Sources:

Drugs and Lactation Database (LactMed®)

[Internet]. Bethesda (MD): National Institute of Child Health and Human Development; 2006-.

Elderberry. 2021 Jun 21. PMID: 30000895.

Mother To Baby | Fact Sheets [Internet]. Brentwood (TN): Organization of Teratology Information Specialists (OTIS); 1994-. Seasonal Influenza (The Flu). 2021 Aug. PMID: 35952219.

My incision story

Warning— this post is a little gross! If you are not interested feel free to skip/move on.

As you may know I've had three c-sections. My first pregnancy I had placenta previa, so I knew early on that I may need to have a scheduled c-section, and it became more and more certain that I was going to as the pregnancy went on.

My second and third, I tried for VBACs, but it didn't work out. Neither one ended in a true emergency c-section but they weren't planned like the first. I don't think this is necessarily relevant to what happened after, just thought I would mention it.

My first two recoveries had zero complications and I even remember anytime I was checked I heard

"your incision looks great!"

The third was a different story.

While in the hospital postpartum I had some drainage from the area. Multiple midwives and finally an OB came and checked on me, but none wanted to do any intervention.

I went home on Tuesday and was feeling good with no issues for a few days, then Saturday came and that night I felt some drainage. We went right to Labor and Delivery Triage. They opened it up a little and decided the treatment would be to pack it.

I went home on Tuesday and was feeling good with no issues for a few days, then Saturday came and that night I felt some drainage. We went right to Labor and Delivery Triage. They opened it up a little and decided the treatment would be to pack it.

The open area was only a 2cm or so portion of the incision. Small, but stubborn. As this time it seemed to be something that would resolve within a few days to a week. Ha.

At first I was going to the doctor every few days, but then I was able to get my husband to learn how to change the dressing and I went down to *only* having to go once a week.

My husband was such a good sport, he changed that dressing and repacked me every day for about six weeks. Unfortunately the wound didn't change much at all during that time. Eventually the doctor I was working with decided we needed to change it up. I was referred to general surgery, but they rejected me! I never got a clear story but it was because they didn't do the surgery themselves and/ or they were too busy. Thankfully my doctor made a bunch of calls and such and got me set up with a home visiting nurse program to start on a wound vac.

A wound vac uses negative pressure to encourage new cell growth and the wound to close from the inside up.

I finally got the wound vac from the medical equipment company and the visiting nurse came to set it up. It is a similar process where there is this sponge material stuffed into the wound, and then it's connected to a tube which goes to the pump. It's kind of like a breast pump. In fact the one I had was made by Medela!

The pump is continuously pulling air and drainage through the tube into the collection canister at the pump. the pump and tube stay connected to you 24/7. You can disconnect the pump (but not where the tube is connected to the wound) to shower but that's about it.

Finally after 4 weeks on the wound vac I graduated.

At that time my wound nurse said the wound was the size of a pencil eraser. It was only one more week with a special dressing before it was completely closed. That was right around almost 11 weeks after she was born. So long!

Research:

A UK study found that 14% of c-sections had wound healing complications. 84% of those complications happened after discharge(!) Not surprisingly, the research says that better postpartum care is needed and wound complications are one way this need is highlighted.

Another study found that preeclampsia and premature rupture of membrane are risk factors for wound complications.

Sources:

Lusher J, Djatmika C. Living with a non-healing caesarean section wound: A mini-review. Int Wound J. 2020 Aug;17(4):1094-1096. doi: 10.1111/ iwj.13373. Epub 2020 Apr 15. PMID: 32293102;

PMCID: PMC7948895.

Carbonnel M, Brot D, Benedetti C, Kennel T,

Murtada R, Revaux A, Ayoubi JM. Risks factors FOR wound complications after cesarean section. J Gynecol Obstet Hum Reprod. 2021 Sep;50(7):101987. doi: 10.1016/j.jogoh.2020.101987. Epub 2020 Nov 16. PMID: 33212324.