Last update July 10, 2022
Very Low Risk
Most anesthetics are excreted in small concentrations in breast milk and/or are very rapidly eliminated, and/or have poor oral bioavailability, which allows breastfeeding as soon as the mother is awake, alert, and fit and able to hold her baby. (Mitchell 2020, Oliveira 2019, Fischer 2019, Reece 2017, Cobb 2015, Dalal 2014, Kranke 2011, Sønderskov 2011, Dahl 2011, Nitsun 2006, Lang 2003, Borgatta 1997, Lee 1993)
The small amount of colostrum obtained by the newborn in the first few feedings makes waiting to breastfeed after a caesarean section even more superfluous. (Rathmell 1997)
Use of narcotics and benzodiazepines should be minimized, instead short-acting anesthetics and regional anesthesia should be used whenever possible for caesarean sections or surgical interventions in nursing mothers. (Dalal 2014)
Regarding epidural anesthesia, general anesthesia in case of caesarean section delays the start of breastfeeding and reduces its frequency and duration. (Kocaöz 2019, Alus 2014, Kutlucan 2014, Sener 2003, Lie 1988).
Early initiation of maternal feeding after awakening from anesthesia improves conditions for breastfeeding. (Al-Takroni 1999)
Increased prolactin levels and decreased levels of oxytocin have been found during general anesthesia. (Lawrence 2016 p65, Kutlucan 2014, Morgan 1976)
Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.
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e-lactancia is a resource recommended by Academy of Breastfeeding Medicine - 2012 of United States of America
Would you like to recommend the use of e-lactancia? Write to us at corporate mail of APILAM