- Hailey Ward
- Summer 2026
Faculty instructor: Kelsey Pascoe, PhD, RN
Abstract
Breastfeeding following cesarean birth presents unique challenges that may delay skin-to-skin contact, reduce breastfeeding initiation, and negatively affect breastfeeding duration. Research published in recent years shows that early skin-to-skin contact, timely breastfeeding support, interdisciplinary collaboration, and consistent nursing care can improve outcomes for both mothers and newborns. The purpose of this practicum project was to develop an evidence-based educational infographic for nurses and providers that promotes best practices for supporting breastfeeding after cesarean birth. A comprehensive review of current peer-reviewed literature published between 2021 and 2025 was conducted using nursing and healthcare databases. Evidence from systematic reviews, qualitative studies, quasi-experimental studies, and clinical research was synthesized to identify interventions associated with improved breastfeeding outcomes. The literature identified immediate skin-to-skin contact, breastfeeding initiation within the first hour after birth, prenatal education, optimization of the recovery environment, and interdisciplinary collaboration as key strategies for improving breastfeeding success. Common barriers identified in the literature included perceived safety concerns, operating room workflow, time constraints, and inconsistent staff knowledge. This evidence was used to develop a concise educational infographic designed to provide nurses and providers with practical, evidence-based recommendations for clinical practice. Continued implementation of evidence-based breastfeeding support protocols and ongoing staff education may improve breastfeeding outcomes, strengthen maternal-infant bonding, and promote family-centered care following cesarean birth.
Keywords: breastfeeding, cesarean birth, skin-to-skin contact, nurse education, maternal-newborn care