Cesarean sections (C-sections) are common, with nearly a third of U.S. deliveries occurring this way. Whether your delivery is planned or becomes necessary unexpectedly, there are ways to make the experience more empowering and supportive—especially for bonding, breastfeeding, and postpartum care.

Gentle cesarean births—sometimes called family-centered cesareans—aim to improve outcomes for mothers and newborns, while reducing the stress often associated with major surgery.

What is a Gentle Cesarean?

The operating room is a place of serious work, which can feel tense. If you’re having a planned or unplanned non-emergency c-section with a regional anesthetic, you may have options to make the experience calmer and more family-centered. Some options you can request:

  • Quiet or minimal conversation among staff
  • Ask the doctor or nurse to explain what's happening every step of the way
  • Dimming lights not directly involved in surgery
  • Playing your choice of music in the background
  • Allowing more than one support person in the operating room
  • Placing IV lines, blood pressure cuffs, and monitors on your non-dominant arm to more easier hold your baby after birth
  • Facing monitors away if they cause you stress
  • Using a clear, plastic drape so that you can see your baby as soon as they are born
  • Delaying cord clamping
  • Immediate skin-to-skin and early breastfeeding
  • Postponing all non-urgent medical procedures until after "The Golden Hour"

Many providers already incorporate some or all of these practices into their standard of care. They can help you feel calmer and create a more welcoming environment while your baby is being born.

Skin-to-Skin and Breastfeeding After a C-Section

Immediate skin-to-skin contact is possible after most cesarean deliveries if you and your baby are medically stable. Benefits include:

  • Quicker bonding
  • Regulated baby skin temperature, breathing, and heart rate
  • Reduced stress for both mother and baby
  • Support for breastfeeding and breast milk supply

Snuggling your baby right after birth—and continuing often in the early days and weeks—helps release the hormone oxytocin. This natural boost can ease discomfort, lessen the need for pain relief, and gently support your breastfeeding journey from the very beginning. Minimizing separation after birth can reduce the impact of caesarean section on breastfeeding success and early mother-infant bonding.

Start Breastfeeding During the “Golden Hour”

The first hour of life, or the Golden Hour, is the ideal time to initiate breastfeeding. Babies are usually more alert and eager to nurse.

  • In traditional cesareans, babies may be separated, which can affect milk production and exclusive breastfeeding.
  • In gentle C-sections, your baby can be placed on your chest immediately, even while the surgical team finishes closing your incision.
  • Using a comfortable breastfeeding position like the cradle hold or football hold can protect your incision and help your baby latch comfortably.

If you have concerns about latching, your baby’s weight loss, or your breast milk supply, reach out to your hospital nurses or lactation consultant. Getting support in the early days can build your confidence and make a big difference in your breastfeeding success.

What if Your Baby Needs More Support?

Many babies breastfeed well following a c-section, but others may need more support to ensure they are getting enough milk. If you are concerned that your baby needs more milk:

  • Make sure your baby is breastfeeding at least 8-12 times per day.
  • Track the number of feedings and wet and dirty diapers per day, especially during the first week or until they are back to birth weight.
  • Unswaddle and stimulate your baby during feedings to try to keep them more alert and help them transfer more milk.
  • Wake your baby for feedings if they sleep longer than 3 hours during the day, going no longer than one 4-5 hour stretch at night.
  • Initiate hand expression after feedings and spoon or cup feed your baby extra colostrum for "dessert."
  • Follow up with your baby's pediatrician for a weight check between days 3-5 after birth—typically within a day or two after leaving the hospital.
  • Know how and where to seek in-person or virtual lactation support if needed.

Planning Ahead

  • Discuss preferences and “what if…” scenarios with your healthcare provider, partner, and doula.
  • Create a birth plan, share it with your doctor, and bring a copy (or two) with you to the hospital.
  • Ask specific questions about hospital policies during prenatal visits.
  • Ensure your care team understands your priorities for pain medication, bonding, and breastfeeding support.

Even after a cesarean, you can have a connected and empowering birth experience. With the right support, you can nurture early bonding, find comfortable breastfeeding positions, and feel confident that your baby is getting what they need.

Disclaimer: Our classes and accompanying materials are intended for general education purposes and should not replace medical advice. For personalized recommendations, please consult your healthcare and/or lactation provider.