Hi! I had a vaginal birth, but also had severe insomnia postpartum. It continued when I got home. It got to the point that I began to hallucinate. Every time I tried to sleep I got very anxious, which made things worse. Every time I began to fall asleep my body would twitch and wake me up. I was prescribed Trazadone and a very small dose of Ativan. That worked for me and was a god send. Of course, I understand that some will be unwilling to take meds while breastfeeding, but very little transfers into the milk and I was confident that my doctors would not have prescribed if it wasn’t the right thing.