The simple answer is yes. However there are steps you can take to minimise any problems.The most common painkiller given by injection today is called Diamorphine. Some units still use Pethidine, which is also given by injection. These are strong drugs that cross the placenta and, as such, can also affect the baby. If they are given early in labour, this will not cause a problem because the effects will have worn off by the time the baby is delivered. However, if they are given towards the end of labour, the baby may indeed be quite sleepy. An antidote can be given, if necessary, but is not common practice in most cases.
Immediately after delivery, even if affected by these drugs, you will find that most babies are wide-awake for the first hour or so. This is why it is so important to introduce the first breastfeed at this time. It will give your baby a well-earned feed after the exertion of labour and delivery, as well as reassuring you that you are capable of latching on and feeding your baby.
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Over the next few hours and days your baby may continue to be sleepy at times. This does not necessarily have to be a problem. The only difference is that demand feeding may need to be prompted slightly, should the baby remain sleepy for long periods. As the drugs wear off, you will find that your baby is more alert and looking for feeds. Once this happens you can become more baby-led.
It is important to express some breast milk after feeds, whilst the baby is affected, so that your milk supply is not interrupted. This milk can be given to your baby on a spoon or from a small cup. This will avoid any confusion over teats, which may hinder the establishment of breastfeeding.
The most important advice is to be patient and by following these simple guidelines, your baby will soon be waking and taking his feeds on demand.
© Sharon Trotter
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