What is the seam after caesarean. Incessant pain in the area of ​​the stitches. Painful swelling of wounds

Suture debridement after caesarean section is an important aspect of restorative therapy. The rules for cleaning the wound are explained in the hospital. All points must be clearly followed. This will help minimize the development of infection and coarse scar tissue. After the formation of a neat scar, you can resort to various methods to reduce the external signs of the surgical intervention.

Modern doctors perform a caesarean section in three ways. The most accurate incision is made using the Pfannenstiel technique. This incision is made over the area of ​​pubic hair growth.

After healing, such a scar remains invisible to others. The length of the incision by this technique is no more than 12–15 cm. The small dimensions are easily explained by the characteristics of the tissue. In this area, the epidermis, muscles and uterus are tightly adjacent to each other. Due to this, the incision is made in one movement. The doctor immediately gets access to the fetus. The healing of such a seam is fast. In order for the fabric to form correctly, a woman must follow certain rules. They will help the fabric to form properly. After restoration, traces of surgical intervention are easily eliminated with cosmetics.

Another common caesarean section technique is the Joel-Kohin laparotomy. This method is carried out by an incision under the umbilical zone. The distance to the navel is 5-7 cm. This method allows you to cut the upper part of the uterine cavity. The average length of the incision does not exceed 20 cm. It is used in many clinics. The healing of this wound form is less painful than the previous type of suture. Painlessness is explained by the presence of a fatty layer under the upper layer of the epidermis. But the postoperative scar will be noticeable to others. To minimize its manifestation, you should visit a beauty parlor.

The most unpleasant for women is the vertical scar that remains after an emergency operation. It is rare in modern surgery, but has a lot of unpleasant consequences for the patient. The incision by this technique is carried out from the upper zone of the pubic bone to the lower part of the diaphragm. The dissection allows you to separate the diaphragmatic muscle fibers and open access to the abdominal cavity. Operation using a vertical incision is used in emergency cases. This technique allows you to save the life of the fetus, which is experiencing various negative influences. The healing of such a seam is very unpleasant. A long longitudinal scar is formed on the postoperative zone. Restoration of damaged tissues takes place in several stages. The postoperative hospital period can last a month or more. Such a scar can be made less noticeable to others only by using modern hardware technologies.

Bonding the wound

Sutures are applied with various medical materials. The rate of formation of scar tissue depends on them. Often there are seams imposed with the use of silk thread. Silk leaves minimal marks on the skin and allows you to tightly tighten the edges of the epidermis. The suture material has a strong structure and is not exposed to the negative influence of the external environment. It should be borne in mind that three types of fabric are sutured.

The uterine cavity also undergoes surgical damage during a caesarean section. It is fastened with a self-absorbable thread or special staples. The threads allow the uterus to recover on its own. The stitches disappear after two months. Staples, on the other hand, give a tighter fit of the tissues, but do not allow a woman to continue planning a pregnancy without additional intervention from a surgeon. Surgical thread is rarely used.

The recovery process consists in monitoring the healing of the uterine cavity and skin. Muscle tissue can only be tracked using hardware diagnostics. Its edges are also fastened with self-absorbable sutures.

Postoperative care

Suture care after caesarean section is carried out in two stages. The first stage takes place in a hospital setting. After the operation, the woman remains for observation in the recovery room. The doctor makes sure that there are no complications. The following negative processes that occur after surgical intervention are distinguished:

Bleeding can be detected by the presence of fluid on the postoperative dressing. Bleeding may be due to improper wound healing or intracavitary damage. To determine the cause of the bleeding, the woman is sent for an ultrasound examination. Ignoring pathology is not recommended. Large blood loss leads to the death of a person.

There is a slight risk of bacterial infection. The risk arises from improper wound care or personal hygiene. Bacteria settle on the surface of the wound and begin to multiply actively. Pathogenic microorganisms have a negative impact on the characteristics of tissue cells. The site of infection becomes inflamed. The strong development of the pathology is accompanied by additional surgical intervention. In most cases, antibiotic drugs are effective in fighting the infection.

Inflammation is also observed with untimely replacement of a sterile dressing and the absence of antibiotic therapy. Pathology causes partial tissue necrosis. Mixing of dead cells and leukocyte fluid leads to the appearance of pus. In this situation, additional treatment and strengthening of medical supervision is necessary.

Another problem often occurs after a caesarean section. In many patients, the sutures are torn apart. This phenomenon is associated with increased physical activity. Many mothers want to carry their baby in their arms. This entails untying the suture thread. For this reason, doctors do not recommend increasing the load during the first week.

The healing process is monitored by a doctor. Processing is carried out by nurses. The edges of the wound are treated with an antiseptic solution. Most clinics use an aqueous solution of chlorhexidine for this purpose. The cleaned surface is dried with a brilliant green solution. The seam is sealed with special sterile dressings. Dressings come in various sizes and are made from cellulose fibres. Removing the bandage does not cause pain. Its replacement is carried out twice a day.

In parallel with the care of the external seam, it is necessary to properly treat the genitals. After childbirth, you can use special liquids for washing the genitals. To reduce infection of the uterine cavity allows douching with an aqueous solution of chlorhexidine or miramistin. Washing with soap is not recommended. It changes the acidity of the vagina. The risk of developing thrush increases.

After a week, the woman is examined and discharged. Before discharge, the specialist explains the rules of how to care for the suture after a caesarean section at home.

Self Care Rules

The rules for caring for a suture at home are not difficult for the patient. They include the following items:

• antiseptic treatment;
• washing the skin with water;
• decreased physical activity;
• tracking the formation of scar tissue;
• care of gynecological organs.

Antiseptic treatment at home should not differ from hospital cleansing. Patients ask how to treat a suture after a cesarean section at home. It is necessary to purchase chlorhexidine or a sterile solution of furacilin. Both solutions can be applied to the wound with a cotton pad or with a special nozzle. You can also use a hydrogen peroxide solution. After cleaning, the edges of the seams are abundantly smeared with brilliant green. A bandage is glued to the seams or a sterile napkin is attached. It is necessary to process the seam after a cesarean section daily.

Washing the skin is carried out in the process of washing the body. The postoperative field should not be rubbed with a washcloth or subjected to other physical influences. The surface can be covered with foam and washed off with running water. After a shower, it is necessary to dry the seams thoroughly and perform the usual processing.

Also, a woman at home should not make sudden movements and carry heavy objects. High physical activity causes spasm of muscle tissue. Spasm can affect the state of the internal seams after a caesarean section. Divergence of muscle tissue may occur. Also, such a load is accompanied by a change in the position of internal organs. In such patients, the appearance of a hernial ring is often observed. Pathology is accompanied by prolapse of the intestine into the free cavity of the peritoneum. The only way to fix the problem is through surgery. To this end, the operated woman should ask for help from the household.

It is necessary to monitor the formation of scar tissue. It appears gradually. A thin film of young epidermal cells forms on the surface of the wound. Gradually, the layer increases in thickness. The first 4-5 months the scar has a red color. Vessels are distinguished through the tissue. After 3 months, the tissue becomes dense. Color brightens. At this time, cosmetic treatment can be applied to reduce the external signs of the scar.

Sometimes the scar appears unevenly. In some areas of the wound, a fistula is formed. Through it, necrotic fluid is brought to the surface. The surface of the fistula is an ideal environment for bacterial infection. If a woman notices the appearance of a small rounded wound in the suture area, she should contact the doctors. The fistula does not heal on its own. It requires additional tissue suturing.

At home, you should also monitor the state of the gynecological system. The uterus also has stitches. They require careful treatment, as a bacterial infection of the wound by the woman's own microflora may occur. How to process the suture after the operation on the uterus? To do this, use special antiseptic solutions. Washing the organs should be done with intimate hygiene gels. They have the acidity necessary to maintain the microflora of the vagina. Washing is carried out twice a day. The patient should report the appearance of unpleasant discharge or odor to the attending physician.

Self douching is also recommended. For processing, you can use chlorhexidine or miramistin. You can also purchase Bepanthen foam. It contains dexpanthenol, which helps to enhance metabolic processes in tissues. A scar under its influence will form faster.

Restoring the appearance of tissue

After the formation of a dense light scar, you can resort to restoring the appearance of the skin. There are two ways to remove rough tissue:

• sand grinding;
• laser microdermoplasia.

Grinding with sand is carried out in a beauty parlor and allows you to gradually align the scar tissue. It may take several treatments to see noticeable results. If this method is not suitable for a woman because of the price features, you can use home scrubs. Scrubbing should be carried out with coarse large particles. For this purpose, sea salt is used. It should be mixed with a spoonful of honey. The resulting mixture is rubbed into the scar for at least 10 minutes. To get a good result, you need to carry out the procedure 3 times a week for a month.

There is also a more effective method for removing a scar after a cesarean section - laser microdermoplasia. This method allows you to completely eliminate scar tissue. The laser causes pinpoint burns. The inner layers of the scar begin to fade. Their place is occupied by cells characteristic of the skin of the abdominal region. Additional treatment is also required after the procedure. The surface of the burn is treated with panthenol. Removing the crust manually is not recommended. This can lead to the formation of new, coarser scar tissue.

Recovery after caesarean section is long. Of particular concern to young mothers is a scar on the lower abdomen. Proper care of the seam will minimize the pathological manifestation of the scar. The doctor will tell you how to process the seam. Failure to comply with the rules leads to various complications, the treatment of which is carried out only in a hospital setting.

A caesarean section is a major abdominal operation. With it, not only the skin, subcutaneous tissue and the muscle layer underlying them are dissected, but also a large muscular organ - the uterus. These incisions are quite large, because obstetricians need to comfortably remove the baby from the uterine cavity, and do it very quickly.

How long does a cesarean section stitch heal, will it be noticeable, how to care for it, and what to do if the incision becomes inflamed or parted? All cut tissue heals differently. It depends not only on the individual characteristics of the organism, but also on the state of health at the time after childbirth, on the age, on the physique of the woman, and on which incision was performed: longitudinal or transverse.

A longitudinal incision is more convenient for obstetricians in the sense that through it it is faster to get to the uterine cavity and get the baby. It is used in cases where there is a threat to the life of the mother or child: fetal hypoxia, bleeding in the mother, eclampsia in the mother. Doctors did it, got the baby out, handed it over to neonatologists or resuscitators, and then they stop the bleeding, remove the placenta, calmly and carefully sew up the cut tissues.

The seam after a longitudinal incision heals for about 2 months, but is felt and can periodically disturb during the year, sometimes longer. Such sutures tend to become thick and cosmetically unsightly.

A transverse incision in the lower abdomen is made in a larger percentage of cases, mainly after a planned caesarean section. The skin is often sutured using atraumatic suture material, and the thread passes intradermally, that is, there will be no traces of the needle on both sides - it will look like a neat thin line (in case you do not have an increased tendency to form keloid scars).

The seam after the transverse incision heals a little faster. As a rule, it is about 6 weeks. But it also tends to flare up for a year after a caesarean delivery. If the seam is inflamed after a cesarean section, do not tighten it.

Sutures on the skin are mainly superimposed with non-absorbable material - silk or nylon. These sutures are removed one week after the caesarean section. Of course, suturing with absorbable threads also takes place. Such threads dissolve themselves within a month or two (depending on the material).

After the operation, in the first three days, the seam hurts a lot. In the maternity hospital, a woman is given painkillers, so it is impossible to breastfeed during this period. If you want to establish then breastfeeding, then it is worth pumping to stimulate the production of milk in the mammary glands.

The seam is processed after a caesarean section with a 70% solution of ethyl alcohol with 0.05% chlorhexidine, 5% alcohol solution of iodine or brilliant green by the medical staff of the maternity hospital. A sterile bandage is applied to it. Before discharge, you should be told that upon returning home, you will need to carry out the same manipulations on your own: soak (while it still sticks to the skin) the old bandage, water it with peroxide, remove and treat with alcohol, and then brilliant green.

The treatment is usually carried out up to 7-10 days, then the seam can be smeared with sea buckthorn oil or Solcoseryl so that it heals faster and is less disturbed by pain pulling in it.

The suture on the uterus is completely scarred two years after the operation. It is after 2 years, not earlier, that a woman can plan her next pregnancy in order to be calm about the fact that the seam on the growing uterus will not open.

If you were discharged home, and the suture suddenly began to hurt more, if yellowish or bloody discharge appeared from it, if a seal appeared under the suture or the temperature rose - urgently contact the maternity hospital where you were delivered in this way - the obstetrician on duty will look at you at the emergency room and tells what happened and how to deal with it.

During childbirth by caesarean section, a transverse or, if necessary, a longitudinal incision is made on the tissues of the abdominal wall and uterus. After scarring of the tissues, a scar is formed at the incision site, in some cases acquiring a rather unaesthetic appearance.

In addition, scars with improper postoperative care can be a source of various complications for a long time, including infections of the reproductive system.

Various synthetic or natural materials are used for suturing. Some types of materials are bioresorbable, others have to be removed 5-6 days after surgery. The amount of suture material, its quality, the technique of the operation, the prevention of complications - all these factors affect the speed and quality of healing and determine how neat the suture will look in the end.

Cosmetic suture for caesarean section

As a rule, during a planned surgical delivery, a transverse incision (Pfannenstiel laparotomy) is made along the suprapubic fold. Such a caesarean suture subsequently becomes almost invisible, as it is located inside the natural skin fold and does not affect the abdominal cavity. It is in this case that a cosmetic suture is usually applied during caesarean section.

If there are complications during childbirth, the doctor may decide on the need for a corporal caesarean section, in which the incision is made vertically. In the case of a longitudinal incision, the caesarean suture usually looks sloppy and becomes even more noticeable over time. After such an operation, increased strength is required when connecting tissues, so cosmetic sutures are replaced with nodal ones.

Inner seam for caesarean section

During caesarean section, internal sutures are applied to the wall of the uterus. In this case, the suture requires strength and better conditions for subsequent healing, as a result of which there are many different techniques for applying and mainly bioresorbable materials are used.

Stitch care after caesarean section

As a rule, the sensations in the suture area are quite painful, so the woman in labor is prescribed painkillers in the first few days. Antibiotics are also used to prevent infectious complications, which can not only lead to the need for a second operation, but also cause serious inflammatory diseases of the reproductive organs, up to removal of the uterus or infertility. After a caesarean section, the suture is treated daily with antiseptics. After healing, a doctor may prescribe a silicone-based gel to smooth out scar tissue and prevent pigmentation.

Possible complications in the postoperative period

Before removing the stitches, the formation of hematomas, bleeding is possible. Early complications can be noticed even in the hospital. In this case, the medical staff will make sure that suppuration does not occur. With suppuration, antibiotic therapy is carried out, dressings are made and, if necessary, antibiotics are prescribed. After removing the ligatures, the seam may diverge. If the seam diverges on the 7-10th day after cesarean, you should immediately seek medical help.

Some time after healing, rejection of the suture material may occur, causing the appearance of ligature fistulas. Self-healing in this case is unlikely. This process can be easily stopped by a qualified doctor by removing the remnants of the ligature.

Scar correction methods

Usually, during a surgical operation of any type, the doctor tries to make the external suture as invisible as possible, but, depending on the characteristics of the organism, the same suture made by one surgeon will look different on different people a few months after the operation. This is easy to verify by viewing photos and videos on the Internet. The cesarean scar in the photo can be either pale, neat and inconspicuous, or dark, dense and conspicuous. Silicone gels in the second case will not save the situation.

In the presence of such an aesthetic problem as a sloppy suture from a caesarean, laser skin resurfacing is a fairly effective solution. Of course, such a correction should be carried out after a preliminary consultation with the surgeon, who, based on the condition of the sutures, will tell you when the procedure will be most successful.

After the operation to extract the fetus in the lower abdomen of a woman, an unattractive scar remains. Most often, it has the form of a longitudinal fold above the pubis, heals quickly and loses its original bright color. Its length can be about 12-15 centimeters. At the same time, there is another incision, on the uterus. Correct processing of the seam after cesarean section is a very important stage of the postoperative period. This procedure requires responsibility and a competent approach.

During and after a caesarean section, there is always the possibility of developing a bacterial infection. In the postoperative period, this is often caused by improper wound care or neglect of personal hygiene.

Once on the surface of the wound, bacteria immediately begin to multiply. The site of their concentration quickly becomes inflamed. As a result of inflammation of the postoperative suture, the following can be observed:

• the appearance of small painful seals, hot to the touch;
• purulent discharge from the wound, fistulas;
• purulent abscess;
• elevated body temperature

The infection can be fought with antibiotics. In addition, acute inflammation can lead to additional surgical intervention. The use of such methods of treatment is undesirable during breastfeeding, may adversely affect the newborn baby.

There is a possibility of developing another complication. After a caesarean section, the seams may diverge. The reason for this is increased physical activity, improperly selected underwear or premature onset of sexual activity.

The scar on the uterus heals a week after the operation, and a skin scar is formed at the same time. To keep the seam in a healthy state, regular caring care is required.

Postoperative suture care occurs in two stages. At first, experienced nurses help women. Inspection and processing of the seam after cesarean should be carried out daily in the morning. For these purposes, use brilliant green or other antiseptic agents. In addition to disinfecting the wound, the medical staff applies a new sterile dressing daily. Such procedures are carried out until discharge.

Since at first the seam hurts quite noticeably for mothers who gave birth by caesarean section, for some time they have to endure discomfort that intensifies during the treatment of the wound. In order to reduce pain, women are often prescribed painkillers.

As a rule, after a week, the nurse removes the stitches and the bandage. Most often, women are given recommendations, sections at home.

After that, the treatment of the scar must necessarily continue for some more period of time. After discharge, women will have to take care of him in their usual home conditions.

How to process a seam after a cesarean at home

The procedure for caring for a postoperative suture at home is quite simple. It includes:

• regular hygiene procedures;
• treatment with antiseptics;
• wearing postpartum appliances;
• moderate physical activity;
• performing special exercises

Compliance with simple rules will help speed up the healing process of the postoperative wound and restore the previous physical form.

Hygiene procedures

If the healing process proceeds satisfactorily, then immediately after the removal of the stitches, women are allowed to take a shower (not a bath!). In this case, you can not rub the scar intensively or use hard washcloths. It is better to wash it with ordinary laundry soap, known for its antiseptic properties.

We must not forget about the careful care of women's intimate places. It is necessary to wash the genitals at least 2 times a day to prevent bacteria from getting inside. It is recommended to carry out independent douching. Miramistin or chlorhexidine are suitable for this purpose.

Treatment with antiseptics

Processing is carried out after taking a shower. First, the scar must be wiped dry with a soft towel. It is important to know how to process the seam after a caesarean section. Zelenka is a traditionally inexpensive and effective antiseptic. It is great for treating wounds and scars. The downside may be the traces she leaves on her underwear. To avoid this, as well as to protect the scar from unwanted contacts, you can attach a sterile disposable napkin to it.

In some cases, instead of brilliant green, chlorhexidine, hydrogen peroxide, a sterile solution of manganese or furacilin are recommended. For the procedure, you can use cotton swabs. Having moistened them in an antiseptic, it is necessary to carefully process the entire seam. Also in the pharmacy you can buy a special nozzle for treating wounds. The procedure is performed daily, the best time for it will be in the morning.

Usually, at discharge, the doctor informs the patient about how much to process the suture after cesarean. Traditionally, manipulations are required within two weeks after suture removal.

In addition, you need to know how to process the seam after cesarean for effective resorption and healing of the scar. Treatment of the suture skin with vitamin E contributes to its greater elasticity and the formation of an inconspicuous scar. A qualified specialist will help you choose an effective drug for resorption of the scar.

Wearing special postpartum appliances

In order to protect the postoperative incision from friction and reduce discomfort, it is recommended to use a special postoperative bandage or slimming postpartum panties. In addition to protection, they will provide a faster recovery of the previous shape of the abdomen.

The bandage does not need to be worn 24 hours a day, you should remember the benefits of regular air baths for the seam.

moderate exercise

The inner seam requires no less care. Its healing occurs quite quickly, within a month. At first, a woman should not lift more than 4 kg and make sudden movements, and in case of discomfort, you should definitely consult a doctor.

Performing special exercises

Six months after the operation, physical exercises pose a threat to the body of the woman who has given birth. In addition, they can affect the production of breast milk. However, in the future, sports will become a great way to restore and improve physical fitness.

At first, it will be useful to sleep in a prone position. This will not only help speed up postpartum uterine contractions, but also strengthen the abdominal muscles.

After cesarean, the following lightweight gymnastic exercises are allowed:

• alternating tension and relaxation of the pelvic muscles;
• retractions of the abdomen and elevations of the pelvis;
• flexion, extension, rotational movements of the arms and feet of the lower extremities;
• body twists and shallow squats

The main attention should be paid to exercises for which you do not need to affect the abdominal muscles. Even the lightest physical exercises are recommended only for those women who have no undesirable complications during the postoperative period.

If during exercise pain or pulling sensations appear, their implementation must be stopped immediately.

During the recovery period, it is necessary to carefully monitor the correct formation of the scar. The healing of the suture after caesarean section proceeds gradually. At first, the surface of the wound is covered with a thin film of newly formed skin cells. Over time, this layer becomes thicker. The pronounced crimson shade of the scar after a few months begins to change its color.

With a change in the color of the scar, the use of cosmetics that help reduce external signs of scarring and heal the suture after cesarean becomes acceptable. For a visual demonstration of the correctness of the procedures for caring for seams, we suggest that you familiarize yourself with a useful video.

Postoperative suture treatment (caesarean section) - video

Suture after caesarean section - a longitudinal or transverse scar on the abdomen from 11 to 12 cm long, which occurs after stitching incisions on the uterus, on the soft tissues of the peritoneum and skin. It is done mainly in the lower segment of the uterus.

Types of seams

According to the depth of the overlay, the seams are distinguished:

• internal - on the uterus;
• external - on the skin. In the direction of the cut of the outer seam, there are:

• vertical seam from the navel to the bosom;
• arcuate transverse suture along the skin fold near the pubis (Pfannenstiel laparotomy);
• transverse suture 3 cm below the middle of the distance from the navel to the womb (laparotomy according to Joel-Cohen).

Modern obstetricians often do Pfannenstiel laparotomy. It is after it that a cosmetic suture is usually applied. Merging with the fold of skin above the pubis, such a seam very soon becomes indistinguishable. Unlike the classic longitudinal suture, such an incision on the uterus heals better, the scar after it is almost invisible, and surgical blood loss is minimal. In emergency cases, when the fate of the woman in labor and the child is decided by minutes, a traditional longitudinal section is performed on the uterus and skin. With such an incision, strong interrupted sutures are applied that prevent a cosmetic suture. In addition to aesthetic disadvantages, such a vertical incision has its advantages - convenience and speed.

How many days does the seam heal

Patients after caesarean section are concerned about the natural question - how many days does a scar heal?

The suture after caesarean section on the uterus heals on the 7th day after the operation. By this time, a skin scar has formed. Silk sutures are removed 5-7 days after the operation. If the wound is sutured with self-absorbable threads (in the case of a cosmetic suture), they do not need to be removed, they dissolve on the 65-80th day after cesarean.

Does the seam hurt after a caesarean section?

The seam after a caesarean section hurts quite a lot. The pain is caused by the presence of a healing wound on the uterus and skin. Therefore, immediately after the operation, the woman in labor should take painkillers. It can be narcotic and non-narcotic analgesics that are injected intramuscularly. In addition to analgesics, antibiotics are also prescribed to avoid infectious complications.

A woman in the first and second month can lift no more than 2 kg. To reduce pain and stress on the suture area after caesarean section, it is recommended to use a postpartum bandage. It is advisable to wear it before getting out of bed. With the use of a postpartum bandage, the suture hurts less because the bandage prevents soft tissues and the uterus from moving.

Suture care in the hospital

After a caesarean section, the suture must be looked after and constantly inspected. The seam from the caesarean section is carefully observed in the maternity hospital. Until the moment the staples or threads are removed, the nurse comes every day to treat the seam with an antiseptic (brilliant green) and change the sterile bandage.

For 5-7 days, a doctor or nurse should treat and examine the wound. If the seam becomes wet after a caesarean section, the bandage is changed regularly. Observation in the maternity hospital allows you to provide timely assistance if the suture after the operation constantly and severely hurts or the temperature rises and other complications appear.

Home care

At home, the seam requires no less care than in the hospital. After discharge, you should continue to treat the seam with brilliant green, and most importantly, regularly wash the seam with water using soap without a washcloth. The treatment of absorbable sutures after cesarean is no different from the care of conventional sutures.

To speed up recovery, you can do special light exercises lying down. This will speed up the recovery. You can take a shower only one day after removing the stitches, and rubbing the stitch with a soft washcloth is allowed at least a week later, if it does not get wet or ooze. To heal the seam at home, the doctor may recommend appropriate ointments.

It happens that a month after discharge, the seam still hurts. Pain can also be felt in the uterus. If the pain is accompanied by suppuration, redness, or hardening of the seam, contact the hospital immediately.

What are the complications after suturing?

According to the time of occurrence, complications are divided into early (appear even in the hospital) and late (occur in a month or later).

The early ones include: hematomas, inflammation, minor bleeding, suppuration, divergence of the seam.

Inflammation makes itself felt 3-5 days after the operation.

If pus oozes from the seam after cesarean, an antibiotic is prescribed, bandaging is performed using antibacterial ointments. The ligatures may need to be removed prematurely. All this will significantly slow down the healing process and leave an ugly scar. If the inflammation of the suture is accompanied by an increase in temperature and a deterioration in general well-being, the woman is prolonging the treatment.

If the dressing on the seam oozes blood, inform the medical staff, otherwise the wound will fester or a hematoma will form.

After 1-2 days after removing the ligatures, the seam may disperse. To avoid discrepancy, avoid physical activity. Do not attempt to repair a seam split on your own.

Late complications may appear, for example, after a month. In many women in labor, these are ligature fistulas. Fistulas appear due to the rejection of suture threads by the woman's body. Treating yourself is useless and dangerous (fraught with an abscess).

How long does a cosmetic suture correction take?

Depending on the professionalism of the operation performed and the characteristics of an individual female body, a scar after a cesarean section may heal longer or more slowly. When a scar is formed, you can lubricate it with special creams that promote rapid tissue repair and prevent the formation of scars.

Among the methods of seam correction, laser resurfacing is the most effective. It can be done at any aesthetic surgery clinic after consultation with your doctor. In just a few painless procedures, you will get rid of the defect. Laser resurfacing is performed only after the complete formation of the scar. Don't expect the seam to fully form in a month or two. This will happen no earlier than in 8-12 months. Microdermabrasion is no less effective - a directed effect on the seam with aluminum particles. Plastic surgery will also help, but only if the seam is small and narrow. Different types of peels are less effective.

The question is how to process a seam after a caesarean worries almost every new mother. Any woman wants the seam to heal as soon as possible, and the scar does not stand out too much.

What you need to know about the imposition of a postoperative suture?

First of all, you need to understand that during the operation "caesarean section" there is an intersection, and then a layer-by-layer restoration of the uterus and all layers of the abdominal wall. The doctor will deal with the processing and restoration of all these layers, but we are more interested in processing the suture after a cesarean section, namely the outer layer.

There are many methods for making surgical incisions during caesarean section and suturing, each method is good in its own way and is superior to others in some ways, for example, it allows you to reduce the time of the operation, affect how long the suture heals after cesarean and the period of complete rehabilitation. But usually each doctor uses the method that has already been worked out more than once in his practice.

While you are in the hospital, apply a sterile bandage and carry out all the necessary procedures for processing the seam, this is the work of the medical staff. As practice shows, after a week, that is, at the time of discharge, the need for special care for the suture disappears, and upon arrival home, there is no need for special procedures. However, in order for you not to have problems with caring for the seam, you need to follow the doctor's recommendations:

• processing the seam with brilliant green, you will speed up the healing process;
• You can wash in the shower a week after the operation, but rubbing or pressing on the seam is undesirable;
• to prevent divergence of the seam, wear a postoperative bandage;
• be sure to arrange air baths for the seam.

By the way, a postpartum bandage will not only protect the seam from external irritants, but will also help to significantly reduce pain in the incision area, as well as quickly return a neat shape and tone to the abdominal muscles. Be sure to check with your doctor how much to process the suture after cesarean. Usually an indicator for the termination of any procedures is its complete healing. Regarding the red-blue color of the scar, do not panic, in another month, it will not only decrease in size (after all, the tummy will also decrease), but will also acquire a natural skin color.

Please note that if non-absorbable sutures were used during suturing and they were not removed before discharge, you will have to come to the hospital again to remove the sutures. Asking friends about how they removed the scar, and you should not be guided by their advice. For the use of any ointments, creams and other medicines, it is best to have a face-to-face consultation with your doctor so as not to lead to complications, which we will talk about now.

If the treatment of the seam after caesarean section does not help - what should I do?

The resorption of surgical threads on the seam can take a month, two, or even six months, it all depends on the synthetic material of the threads. During the healing process, the scar area may ache, bleed, or simply "ooze", sometimes this is considered a variant of the norm. But if the seam area is reddened or swollen, while the temperature rises, we go to the doctor. The likelihood of inflammation or suppuration is quite high, so it is important to take action in time.

There is always a risk of suture divergence, so until the suture is completely healed, try not to lift heavy things. Eliminate physical activity, try to eat right to ensure regular normal stools, do not forget about daily hygiene procedures.

Be that as it may, time goes by, and believe me, very soon you will simply not pay attention to the place of the seam. You gave the world a beautiful baby and now you need to think about the care and upbringing of this little and such a dear little man. Take care of yourself and aim only for a good mood.

Proper antiseptic treatment of postoperative sutures is an important step in the rehabilitation of a woman who has undergone a caesarean section. Key aspects of this hygienic event are discussed within the walls of the maternity hospital.

Those recommendations that will be received by a young mother must be implemented in a clear manner and in compliance with all standards. The use of auxiliary techniques that can reduce the manifestation of surgical intervention is permissible only after the formation of a strong scar.

What are the scars

In modern medical practice, obstetrician-gynecologists use the most sparing methods of surgical incisions, which avoid the formation of rough keloid scars. To achieve the maximum aesthetic effect after surgery, the Pfannenstiel technique is used, the essence of which is to make an incision above the pubic hair growth zone.

In the postoperative period, such scars are not conspicuous and do not affect the self-esteem of a young mother. In addition, scarring of such sutures occurs in a short period of time. Despite this, the speed and quality of the formation of postoperative sutures directly depends on the observance of measures to care for the wound surface.

If there are appropriate indications, women in labor undergo a vertical dissection of the anterior abdominal wall, as a result of which a rough vertical keloid scar is formed. The main indication for performing this kind of intervention is an urgent situation when the life of the mother or fetus is in danger. During the rehabilitation period after performing a vertical incision, women feel daily pain and discomfort. The duration of such a recovery period can be more than 1 month.

Suture options

When performing a caesarean section, various types of suture material are used. The speed and quality of formation of connective (scar) tissue depends on their structure and origin. For this purpose, catgut and silk threads are often used.

If the sutures were applied using silk, then this allows you to bring the edges of the wound as close as possible to each other and prevent the divergence of the postoperative suture. During this period, while the suture material dissolves on its own, the young mother is under the supervision of a medical specialist.

Care after surgery

Hygiene measures in the period after caesarean section are two-stage. The first stage of processing is carried out within the walls of the maternity hospital. After performing a surgical intervention, the woman is under the daily supervision of a medical specialist to monitor the condition of the stitches.

If the restrictive regime is not observed in the postoperative period and if the suturing is incorrect, the young mother may experience the following complications:

• The entry of pathogens into the wound surface and suppuration of the wound;
• Divergence of seams;
• Bleeding from a wound;
• Formation of the inflammatory process, which involves different layers of soft tissues.

You can recognize bleeding from the suture by the presence of liquid contents on a special bandage. This complication can be provoked by damage inside the cavity, as well as the lack of proper contact between the edges of the wound. In order to exclude intracavitary bleeding, an ultrasound examination is performed on a young mother.

The lack of proper antiseptic treatment entails the penetration of pathogenic microorganisms of a bacterial nature. Against the background of this process, suppuration and an inflammatory reaction develop. If measures to eliminate the infection are not followed in time, the purulent-inflammatory process will cause partial tissue necrosis.

An equally common problem is the divergence of postoperative sutures. This condition occurs when a young mother does not comply with the restrictive regime. The ban includes carrying a child in her arms, lifting weights, sudden movements and squats.

When a young mother is in the maternity hospital, paid nurses are responsible for the antiseptic treatment of the postoperative suture. Both edges of the wound surface are lubricated with a broad-spectrum antiseptic solution. Most maternity hospitals use an aqueous solution of Chlorhexidine, which has a pronounced antimicrobial and bactericidal effect.

After that, a solution of brilliant green is applied to a clean wound surface, which avoids wetting of the wound. The final stage of treatment is the application of a sterile bandage or a special plaster.

In addition to caring for a postoperative wound, attention should be paid to the antiseptic treatment of the external genital organs. This procedure is carried out by washing the area with antiseptic liquids (Miramistin, Chlorhexidine). You should not use ordinary soap to cleanse the external genitalia, as it affects the pH of the vagina, opening up access to pathogenic microorganisms.

Self Care

The basic rules for hygienic treatment of the postoperative suture at home do not cause difficulties for young mothers. Care of the wound surface in a home environment includes the following activities:

• Compliance with the regime of limited physical activity;
• Wound treatment with antiseptics;
• Care of the external genital organs;
• Cleansing the skin around the wound with water;
• Control over the quality and speed of formation of a keloid scar.

Important! It is necessary to start cleaning the wound surface after the main washing of the body. While taking a shower, it is strictly forbidden to use a washcloth or brush to wash the body in the area of ​​​​the postoperative suture. Any physical impact on this area will lead to a divergence of the edges of the wound and bleeding.

Until the wound is completely healed, it is strictly forbidden for a young mother to perform any work that is associated with bending over, squats and lifting weights.

After taking a shower, a woman needs to dry the seam area with a soft cotton cloth with gentle blotting movements. The previously mentioned brilliant green is used as an antiseptic solution. In order to avoid traces of brilliant green on clothes, after processing, the seam is covered with a piece of sterile bandage and fixed with a plaster.

Alternative means include a weak solution of potassium permanganate (manganese), Chlorhexidine, a solution of furacilin and 3% hydrogen peroxide. For processing, cotton swabs or pieces of a sterile bandage soaked in an antiseptic solution are used. This hygienic measure is performed daily until the final overgrowth of the wound.

Important! For antiseptic treatment of the wound surface, it is strictly forbidden to use such products as a soap solution, baking soda and salt diluted in water, pharmaceutical iodine, vodka, 96% alcohol. The listed chemical components have an aggressive effect on soft tissues, thereby leading to irritation and chemical burns.

In order to protect the wound surface as much as possible from injury and the ingress of pathogens, it is important for every young mother who has undergone a caesarean section to wear a postpartum bandage. This medical device speeds up and facilitates postpartum recovery and gives a sense of security. In order for the postpartum bandage to help achieve the desired result, it is worn around the clock, periodically removing it for 10-15 minutes in order to get air on the skin.

In order to prevent the divergence of internal and external seams, a young mother should not lift weights of more than 3 kg. Despite following all the recommendations described, the rehabilitation period does not always go smoothly.

Reasons for seeking medical advice are the following symptoms:

• Soreness and discomfort in the area of ​​the postoperative suture;
• The appearance of purulent or bloody discharge from the wound;
• Noticeable divergence of the suture material;
• Redness and swelling of the skin around the scar;
• An increase in body temperature to 37.5-38 degrees.

Women who have experienced infection of the suture are shown a surgical revision of the wound area, additional antiseptic treatment, re-apposition of suture material and excision of the wound edges involved in the necrosis process. In order to avoid such severe consequences, women after cesarean section are advised not to neglect the key recommendations for the care of the postoperative suture.

A caesarean section is a planned or urgent (urgent) abdominal operation that is performed on women for several reasons. These are mainly medical indications (narrow pelvis, complete and incomplete placenta previa, which is accompanied by bleeding, tumors in the pelvic area, scars on the uterus after surgery, and so on). In some cases, the operation is performed at the request of the woman.

1. How to process a seam after a caesarean
2. How to smear the seam after cesarean

Types of sutures for caesarean section

For such an operation, two methods of dissection are used, vertical and horizontal, the choice of technique depends on the indications. In the case of a median laparotomy (vertical suture), interrupted sutures are applied for strength and rapid skin regeneration. This method is rarely used in modern medicine.

Today, the more common method is the horizontal section. With a cut according to the Pfannenstiel method (horizontal section), the suture is applied by an intradermal cosmetic method. With a horizontal section, a special absorbable suture material is used, the threads of which dissolve on their own within a few months, the sutures in such cases are not removed. Immediately after the operation, a sterile dressing is applied, which must be changed frequently.

What to do if the seam hurts after cesarean

As with any abdominal surgery, the suture after a caesarean section may hurt for some time, usually for several days, in some cases up to a week. Usually, the doctor prescribes an anesthetic, which should be taken strictly according to the instructions. Sometimes treatment is prescribed in combination with antibacterial drugs to exclude infection, which can lead to an inflammatory process in the body and slow down the healing process of sutures. If the suture after cesarean section hurts for a longer time, it is necessary to inform the doctor who performed the operation, he will advise how to care for the suture after cesarean section in such cases.

How to process a seam after a caesarean

The nurse processes the seam after cesarean and changes the dressings. The procedure is carried out in the manipulation room of the maternity hospital several times a day, the time of the procedure is appointed by the nurse. To process the seam, various antiseptic agents are used (water peroxide, iodine, brilliant green). In the first days after the operation, women are recommended to wear a special bandage, it will reduce the load on the abdominal muscles.

The suture after caesarean section is removed before the woman is discharged from the maternity hospital, 5-6 days after the operation. It is important to know how to care for a suture after a caesarean section at home. The attending physician and health visitor should advise the woman on how to handle a suture after a cesarean section. Most women are advised to refrain from showering on the first day after stitches are removed. Later, you can rinse the seam after cesarean with water and antibacterial gel for intimate hygiene. This procedure must be repeated several times a day. In the first days after discharge, it is better not to use a washcloth, it is enough to wash the seam with your hand well enough. After washing, the seam must be well blotted with a dry sterile cloth to avoid suppuration. A few days after discharge, you can apply a sterile bandage, it will prevent infection.

How to smear the seam after cesarean

In some cases, women are advised to use special ointments that promote rapid skin regeneration. You can treat the seam after a cesarean section with vitamin E, it nourishes the skin well and will significantly speed up healing. In modern medicine, there are several drugs that help accelerate the process of resorption of postoperative scars. The attending physician will help you choose the right medicine.

With improper care of the suture after a cesarean section, some complications are possible. They are mainly associated with infection. Sometimes at the same time the temperature rises and the seam oozes after cesarean. This is an important symptom that should be reported to your doctor immediately. In such cases, local treatment with antibacterial ointments is prescribed, which is recommended to treat the suture site several times a day. After 2-3 days, recovery occurs.

In some cases, there is a divergence of the sutures, usually it is observed in the first days after the removal of the sutures. If the seam hurts for a long time after a cesarean section, you should consult with your doctor who performed the operation or with your gynecologist. To avoid this type of complication, a woman should exclude physical activity.

Many women are concerned about the question of how long the suture heals after a cesarean. Usually, if there were no complications, after 1-2 months the cosmetic suture becomes less noticeable. In this case, the suture material dissolves on its own, without causing additional problems. If necessary, modern plastic surgery offers methods that allow you to completely get rid of the seam after a caesarean section. But it is not necessary to do plastic surgery, the incision is made in the bikini area and will not be visible even on the beach. After a few years, the seam becomes almost invisible.

How long does the seam heal after cesarean

A caesarean section is a major abdominal operation. With it, not only the skin, subcutaneous tissue and the muscle layer underlying them are dissected, but also a large muscular organ - the uterus. These incisions are quite large, because obstetricians need to comfortably remove the baby from the uterine cavity, and do it very quickly.

All cut tissue heals differently. It depends not only on the individual characteristics of the organism, but also on the state of health at the time after childbirth, on the age, on the physique of the woman, and on which incision was performed: longitudinal or transverse.

A longitudinal incision is more convenient for obstetricians in the sense that through it it is faster to get to the uterine cavity and get the baby. It is used in cases where there is a threat to the life of the mother or child: fetal hypoxia, bleeding in the mother, eclampsia in the mother. Doctors did it, got the baby out, handed it over to neonatologists or resuscitators, and then they stop the bleeding, remove the placenta, calmly and carefully sew up the cut tissues.

The seam after a longitudinal incision heals for about 2 months, but is felt and can periodically disturb during the year, sometimes longer. Such sutures tend to become thick and cosmetically unsightly.

A transverse incision in the lower abdomen is made in a larger percentage of cases, mainly after a planned caesarean section. The skin is often sutured using atraumatic suture material, and the thread passes intradermally, that is, there will be no traces of the needle on both sides - it will look like a neat thin line (in case you do not have an increased tendency to form keloid scars).

The seam after the transverse incision heals a little faster. As a rule, it is about 6 weeks. But it also tends to flare up for a year after a caesarean delivery. If the seam is inflamed after a cesarean section, do not tighten it.

Sutures on the skin are mainly superimposed with non-absorbable material - silk or nylon. These sutures are removed one week after the caesarean section. Of course, suturing with absorbable threads also takes place. Such threads dissolve themselves within a month or two (depending on the material).

After the operation, in the first three days, the seam hurts a lot. In the maternity hospital, a woman is given painkillers, so it is impossible to breastfeed during this period. If you want to establish then breastfeeding, then it is worth pumping to stimulate the production of milk in the mammary glands.

The seam is processed after a cesarean section with the help of alcohol, iodine or brilliant green by the medical staff of the maternity hospital. A sterile bandage is applied to it. Before discharge, you should be told that upon returning home, you will need to carry out the same manipulations on your own: soak (while it still sticks to the skin) the old bandage, water it with peroxide, remove and treat with alcohol, and then brilliant green.

The treatment is usually carried out up to 7-10 days, then the seam can be smeared with sea buckthorn oil or Solcoseryl so that it heals faster and is less disturbed by pain pulling in it.

The suture on the uterus is completely scarred two years after the operation. It is after 2 years, not earlier, that a woman can plan her next pregnancy in order to be calm about the fact that the seam on the growing uterus will not open.

If you were discharged home, and the suture suddenly began to hurt more, if yellowish or bloody discharge appeared from it, if a seal appeared under the suture or the temperature rose - urgently contact the maternity hospital where you were delivered in this way - the obstetrician on duty will look at you at the emergency room and tells what happened and how to deal with it.

Postoperative suture

In general, wound healing depends on the overall resistance of the body and on the skin itself. In the treatment of wounds, it is not always possible to achieve healing according to the type of primary intention, which is associated with complications - suppuration of the secondary suture and microbial lysis of the skin flap.

How to remove stitches

Surgical sutures are the most common, today, method of connecting biological tissues: the walls of organs or the edges of a wound of various localization, which is used to stop bleeding or during surgery. For suturing, a variety of medical suture material is used: non-absorbable or absorbable threads of synthetic or biological origin, as well as metal wire.

Broken seam after caesarean

A caesarean section is an operation in which all layers of the abdominal wall of the woman in labor, as well as the wall of the uterus, are cut and the baby is removed. This operation is performed if, during natural delivery, there is a threat to the life and health of the mother or baby.

How long do stitches heal after childbirth

During childbirth, there are situations when a woman in labor is stitched with ruptures of the cervix and perineum, as well as after a perineal incision, and this is currently quite common.

After caesarean section

After the birth of the baby, the mother feels good, she is happy. But if a woman wanted to give birth herself, but had to do an emergency caesarean section, then she may be disappointed. After such an operation, it is necessary to talk with a midwife or doctor so that they explain why it was necessary to resort to this method.