On a daily basis mothers are being told that they have to stop breastfeeding if they have a general anaesthetic. No consideration seems to be given to the risks of not breastfeeding it feels, nor that women breastfeed as normal after a caesarian section (although I admit this is less common than under a spinal block). There is no evidence in any of the papers I have found that says anything other than that a lactating woman can resume feeding as soon as she is awake and alert following the operation. If she is drowsy she needs to consider the risks of co sleeping.
I have drawn up a table from the recommendations in the 2 expert sources Lactmed and Hale in the safety of the commonly used drugs for anaesthesia and post operative pain relief. I hope this helps mothers and professionals to work together to protect, promote and support breastfeeding as long as mother and baby wish.
Hoping this helps some of the difficulties experienced by mothers who are already stressed at the idea of needing surgery.