Our Summary

This research paper looks at the relationship between a baby’s method of birth and their weight loss and weight gain in the first few days of life. The researchers reviewed several studies and found that babies born via caesarean section generally lost more weight in the early days of life compared to those born through vaginal delivery. However, the results about weight gain after one month were inconsistent. One study showed that by day 25, babies born by caesarean section had gained more weight than those born vaginally. Another study found that by day 28, babies born vaginally gained weight faster than those born via caesarean section. The researchers concluded that more studies are needed to understand this difference. They also suggested that the difference in weight between the two groups might even out over time, but this would need to be confirmed with larger studies and longer follow-up times.

FAQs

  1. Do babies born via caesarean section lose more weight in the early days of life compared to those born through vaginal delivery?
  2. Is there a consistent pattern of weight gain in the first month of life between babies born via caesarean section and those born vaginally?
  3. Do the researchers believe the difference in weight between babies born vaginally and via caesarean section evens out over time?

Doctor’s Tip

A doctor might tell a patient that babies born via cesarean section may experience more weight loss in the first few days of life compared to babies born through vaginal delivery. It is important to monitor your baby’s weight closely and follow any feeding recommendations provided by your healthcare provider to ensure they are gaining weight appropriately. If you have any concerns about your baby’s weight or feeding habits, don’t hesitate to reach out to your healthcare provider for guidance and support.

Suitable For

Patients who are typically recommended for a cesarean section include:

  • Women who have had previous cesarean sections: Women who have had a previous cesarean section may be recommended to have a repeat cesarean section for subsequent deliveries, especially if they have had multiple previous cesarean sections or if there are other risk factors present.

  • Women with certain medical conditions: Women with certain medical conditions, such as placenta previa (where the placenta covers the cervix), certain infections, or certain heart conditions, may be recommended to have a cesarean section to reduce the risk of complications during childbirth.

  • Multiple pregnancies: Women carrying twins, triplets, or other multiples may be recommended to have a cesarean section due to the increased risk of complications during vaginal delivery.

  • Fetal distress: If there are signs that the baby is in distress during labor, such as abnormal heart rate patterns or meconium staining (when the baby passes stool in the womb), a cesarean section may be recommended to deliver the baby quickly and safely.

  • Malpresentation: If the baby is in a breech (bottom or feet-first) or transverse (sideways) position, a cesarean section may be recommended to ensure a safe delivery.

  • Maternal preference: Some women may choose to have a cesarean section for personal or cultural reasons, even if there are no medical indications for the procedure. In these cases, a cesarean section may be recommended if the risks and benefits are carefully considered and discussed with the patient.

Timeline

Before Cesarean Section:

  • Patient may have a scheduled or emergency cesarean section
  • Patient may be given instructions on fasting before the procedure
  • Patient may be given anesthesia or epidural for pain management
  • Surgical team prepares the operating room and equipment
  • Patient is prepped for surgery with IV fluids and monitoring devices

During Cesarean Section:

  • Surgeon makes an incision in the abdomen and uterus to deliver the baby
  • Baby is delivered and handed off to pediatric team for evaluation
  • Surgeon closes incisions and patient is moved to recovery room
  • Patient may receive pain medication and be monitored for any complications
  • Baby may be taken to the nursery for further evaluation and care

After Cesarean Section:

  • Patient is monitored for any post-operative complications
  • Patient may be encouraged to start walking and moving around to aid in recovery
  • Patient may be given instructions on wound care and pain management
  • Patient may be discharged from the hospital after a few days or stay longer depending on recovery
  • Patient may have follow-up appointments with healthcare provider to monitor recovery and healing process
  • Baby is monitored for any complications related to the cesarean section and breastfeeding is encouraged to promote bonding and nutrition.

What to Ask Your Doctor

  1. What are the reasons for recommending a cesarean section in my case?
  2. What are the potential risks and complications associated with a cesarean section?
  3. How will the cesarean section be performed and what can I expect during the procedure?
  4. What is the recovery process like after a cesarean section and how long will it take for me to fully recover?
  5. How will a cesarean section affect my ability to breastfeed and care for my baby in the early days postpartum?
  6. Are there any long-term implications for me or my baby from having a cesarean section?
  7. Will I be able to have a vaginal birth after cesarean (VBAC) in future pregnancies?
  8. What are the potential effects of a cesarean section on my baby’s weight loss and weight gain in the early days of life?
  9. Are there any specific steps I can take to support my baby’s weight gain if they are born via cesarean section?
  10. Will there be any additional monitoring or support for my baby’s growth and development following a cesarean section?

Reference

Authors: Kelly NM, Keane JV, Gallimore RB, Bick D, Tribe RM. Journal: Matern Child Nutr. 2020 Apr;16(2):e12914. doi: 10.1111/mcn.12914. Epub 2019 Nov 27. PMID: 31777183