How is the recovery after a caesarean section. How long does it take to recover from a caesarean section?

After a cesarean section, as after any operation, you need to move. It is better to wear a postpartum bandage - it is easier to walk with it, it will help to quickly restore the previous tone of the abdominal muscles, fix the postoperative suture correctly, and relieve the load from the spine. However, it is undesirable to wear it for a long time, since the muscles still have to work on their own.

The mother spends the first hours after a caesarean in the intensive care unit or intensive care unit under the close supervision of doctors. After six hours, with the permission of the doctor, she can already get up, on the second day she can walk and feed the baby.

So that the postoperative suture does not become inflamed, you can lubricate it 1-2 times a day with lavender or tea tree oil, after dissolving them with vegetable oil in a ratio of 1:10. Suitable and pharmacy ointment from calendula.

Exercises you can do the day after surgery

Starting position sitting with support on the back. Perform slowly with repetition up to 10 times.

• Pull the socks towards you, then away from you at an average pace.
• Rotation of the feet inward, then outward.
• Press your knees together, then release.
• Tighten the gluteal muscles, then relax.
• Bend one leg and stretch forward, lower, then the other.

Repeat all exercises up to 10 times, then rest.

Also helpful exercise for the muscles of the perineum and pelvic floor.

Kegel Exercises: Squeeze your perineal muscles as if you were trying to hold back a stream of urine. Hold tight for a few seconds, then relax. Do 10-20 repetitions at a fast pace 3-4 times a day. Increase the voltage time by 1 second each time, gradually reaching 20 seconds or more.

Regular performance of this exercise helps to avoid problems with urinary incontinence.

Once you have been allowed to walk, you should use it to improve your condition. Spend as little time in bed as possible, walking helps you recover from surgery and prevents constipation.

Important! Until the stitches have completely healed, try to get out of bed correctly! You can not raise your head and rise while lying on your back, this strains the abdominal muscles and can cause the seams to diverge.

To get out of bed, you need to turn on your side, lower your legs and slowly sit down, pushing with your hands, without straining your abdominal muscles.

After suture removal with the permission of the doctor, you can start light exercises for the abdominal muscles:

• Retraction of the abdomen. Sitting position with back slightly bent. Inhale, then exhale and as you exhale draw in your stomach. Hold this position for 1 second, then relax your stomach and inhale. Perform 10-15 repetitions several times a day.
• Lifting the pelvis. Lying on your back on a hard surface, legs bent at the knees. Raise the pelvis up, without lifting the lower back, lower it. Perform 15 - 20 repetitions several times a day.

Intense physical activity and swimming should be started no earlier than a month and a half later. The same is with sexual life, but here the recommendations of doctors differ: from 2 weeks to 2 months, depending on individual characteristics.

In this, a cesarean section has one of the few advantages over natural childbirth: the vagina does not stretch, there are no tears and stitches on the perineum, so there are no problems with sexual activity.

Sometimes after childbirth, some women become depressed. In the case of a caesarean section, this can be exacerbated by the disappointment of a missed delivery. It must be understood that all these sensations are normal and characteristic of many women, and in case of a difficult emotional state, they will seek help from a psychologist.

I survived 2 cesareans, and I will say that the first is very different from the second. The first time I didn’t know anything, and there were many mistakes, the result is a strong adhesive process and a long recovery. I won’t write about the first for a long time, I’ll only say that 2 months after the operation, the seam began to get wet, a fistula appeared, I had to go to the maternity hospital for an examination (there the seam was incised and processed). The procedure is unpleasant. The seam after childbirth was ill for a total of almost six months, for 2 months I could not sleep on my stomach and on my side. I couldn't do anything around the house. The second time I was not up to myself or, on the contrary, I had to recover quickly, and with your prayers I recovered very quickly. Here are my recommendations, i.e. These are the recommendations of the hospital and my personal observations.

If you have a planned caesarean, you should not eat or drink for a day.

1. After the operation, get up after 6 hours, immediately go to the toilet a little and wash yourself.
2. Cleaned up - immediately put on a bandage, tight, tight. It helps a lot to get in and out of bed. It hurts a lot without it. In the bandage, I was awake and asleep.
3. Drink a lot, not hunting, but necessary. Drink almost 2-3 liters of liquid and write a lot and often.
4. Being with a child together as quickly as possible is hard, but necessary. You drink a lot of liquid, milk will come right away, the baby will immediately suck, the uterus will contract rapidly. It will hurt, but lactation will quickly improve, and contact with the child, and the uterus will quickly begin to bounce back.

1. Do not eat bread and solid food for the first 3 days, so that it is easier to go to the toilet in a big way. And how to go in a big way to avoid an enema, because this procedure is very painful with a seam? 2 suppositories with glycerin. Insert 1, lie down for 15 minutes, endure (it can be difficult, but necessary), then insert 2 and another 15 minutes and you're done. It happened to me. And with a candle, do not walk, but lie down, it's easier. On the 3rd day the chair improved.
2. Free time, if you can't sleep, walk a lot, a lot. Lying on different sides is very painful, but necessary to avoid adhesions.
3. Apply ice to the seam every 2-3 hours for 20-30 minutes after 1 layer of the diaper. The uterus contracts quickly, and the suture quickly stops hurting. Just don't be lazy. I applied 5-6 times a day.
4. On the 5th day, the bandage is removed from the seam, and the seam must be washed with soap. It sounds scary, at first I was scared, but doctors know better, they operate so much (although after 1 cesarean I was told not to wet the seam for a month, process it at home and seal it with a bandage). And I began to wash, and 3 times a day, before each treatment with potassium permanganate, and it turned out that it was okay. On the 7th day, the suture was completely dry, almost painless, and I was able to lie on my stomach. After 7 days, the seam is no longer processed. 17 days after the operation, I ran with my grief to all sorts of authorities. I ran and only then realized that I was running and nothing hurt.

The second time, they didn’t even give me any droppers for contractions, etc. after operation. Only antibiotics (they are given to everyone after cesarean) and painkillers for only 4 days, on the 5th day there was no severe pain.

The first time the seam was somehow thick in itself and always almost red, and the second time it was a seam with a thin dark thread. I still wear the bandage, not even a month has passed yet, but this is for reinsurance, the eldest son loves to jump and kick.

Yes, and it is not true that with a caesarean, milk comes later than with a natural birth. I have always milk came for 2 days.

Good luck to everyone and easy delivery! I hope my report is useful to someone.

Discussion

Pray dear.
Here is Sorokoust about health [link-1]
When a magpie is read for health, it means not only the physical health of the listed people. Any prayer is aimed, first of all, at the salvation of a person’s soul, therefore, all petitions to the Lord must be commensurate with their spiritual benefit.

They tried to give birth themselves, they suffered for 1.5 days as a result of the cop. After the cop was transferred to the intensive care unit immediately with the child, after 2 hours they put it on the chest, after another 2 they raised him to his feet and said to drink a lot, walk and try to go a little. After another 5 hours, they transferred me to the postpartum ward, the child was with me all this time, no one took him away (they used to take him at night so that mom would leave the operation). There was no question of lying down for a day and not getting up, because the baby needs proper care. Plus injections, endless rounds, ultrasounds, examinations, etc., etc.

I just can not understand the logic in the comments - inside, by levels, starting from the uterus, they combine tissues and sutures; they do spinal anesthesia and, with the most successful option, this is an intervention, and a serious one at that!!! What are you going to restore by getting up 4-6 hours after such an intervention in the body. I have 2 c-sections, the doctors also insist to get up... Everyone has different situations, the ability of tissues, predisposition to the formation of adhesions - But when everyone is told to get up - it sounds extremely strange. For example, I know my body very well - due to various circumstances I survived general anesthesia, 3 spinal anesthesia (2 of them cesarean) - once after spinal anesthesia due to the ardent perseverance of doctors - I fell .. So, taking into account all the factors, the capabilities of the body, the possibility modern medicines that allow solving the tasks facing the medical staff and NEED to solve the situation - and saying everything you need to jump up and walk, frightening and agitating with a quick recovery - this is very doubtful !! Everything is good in moderation and in its time!!

yes, thanks for the article, I completely agree with everything, although it was very difficult for me to recover from anesthesia, I got up after 8 hours, immediately felt like a heroine when I walked along the wall to the toilet. She gave birth to the first one herself, anyway, it’s better to suffer and give birth yourself! The caesarean section was urgent, thanks to Fedoryak Lyudmila Mikhailovna from the Blagoveshchensk Regional Maternity Hospital, everything was done quickly and efficiently! saved my daughter!

It also seems strange to me to get up after 6 o'clock. After the epidural, my legs are rubber, you can’t move. I tried to get up after 20 hours, it didn’t work out: after all, if I fall, I’ll have to lie on the floor - such a maternity hospital (the method of calling a nurse / doctor is oral). The main thing is not to laugh after the COP! One girl made the whole ward laugh with such a story. A newly-made mother came to the nurse and asked where they can hang themselves (in the sense of hanging themselves, of course), and she answers her: "They hang themselves on our 4th floor, and in the morning on an empty stomach, and not after dinner!" But we understood in another way: you need to hang yourself in the morning so as not to ring out during the night. After laughing, sparks flew from my eyes: the seam hurt so badly. I barely got to the nurse's office for an injection. strongly, strongly, sobbing so much, but you are also afraid.To avoid trouble with a chair, eat berries from compote (this was the only edible dish in that maternity hospital)

And I had a cesarean. So on the second day I moved around the hospital faster than those who gave birth themselves. As soon as I recovered from anesthesia, the doctor made me do special exercises so that the seam would grow together better. Exercise 1: stretch the socks. Exercise 2: inflate the stomach (do not be afraid - it does not hurt at all); to control the process, put your hands on your stomach. Exercise 3: inhale raise your arms above your head, exhale lower. Exercises are performed sequentially one after another 15 times each. And so for a day at least 10 times. Helps a lot. The main thing is to start doing. The second time is much easier. I felt a surge of strength.
There were no problems with the chair. On the second day, I didn’t even do an enema.
The only negative, the milk came on the 5th day. True, this does not depend on the method of childbirth, but only on the gestational age. It can be determined by ultrasound.

by the way, advice about candles with glycerin - it really works! I also took it for postpartum. I have EP, but with stitches and heavy. I helped myself to go to the toilet and the girls after the CS. Very good advice too.

I also had a CS (twins). I got up only on the third day, before it was impossible because of spinal anesthesia, severe pain. Colostrum-milk came the next day after birth. My children were brought for feeding from the second day. She did not cover the seam with anything, she took a shower from the third day. The suture was removed on the 7th day, when they were discharged. And the article has a lot of useful information. You just need to apply it appropriately, because it’s suitable for everyone to get up after 6 hours. I really trust my feelings: if not for them, I could not bear twins. So, girls, trust yourself in everything. Nobody knows you better than you.

I read it already scary .... it became.
I don't know if I'm lucky, whether the doctor's miracle or God's grace (I tend to the latter), but I survived an emergency CS. They got me up within a day. The stitches were internal and cosmetic. NOTHING hurt, I refused painkillers injections right away. It was hard to walk so there was no strength because of 2 days of not eating anything. Without any ice and feedings (milk came very late), on the very first day I felt the uterus contracting, by the time of discharge they had almost returned to normal (this is on the 7th day).
Due to my mobility, I did everything at home as usual, it was just scary that the seams might come apart, no more. Everything healed quickly and without consequences. There were no problems with lying on the side or stomach either.
In my opinion, everything was so wonderful that when we went to Laura for an examination at 3 months old (this is because of the COP), she asked in connection with what we were sent to her? I said I don't know. The doctor asked again: maybe a difficult birth or something else? I say no, everything is fine! Then I remember, and I say: oh, I forgot! I have CS. That's it, I totally forgot about it :)
In fact, I wish everyone a natural birth, and if this is not possible due to circumstances, then it would be as easy for everyone as it was for me.

This story has been missing for a long time.

and I got up after the general. anesthesia after 1.5 hours, after the spinal - almost immediately as the legs moved away ... all tttchns

I had general anesthesia. What is six hours? I was still faint.

You did not take into account the likelihood of headaches: (the percentage is not large, but I got into it - and honestly I didn’t care how I recovered - my head hurt terribly to tears.

I also had 2 ks.
You can not get up after 6 hours after spinal anesthesia. A familiar neurologist said: get up no earlier than after 1.5 days, otherwise the risk of post-puncture headaches is high. And drink coffee a couple of times (!!!) to increase the pressure of the cerebrospinal fluid so that the hole heals faster.

The article is generally correct. Only you can’t get up after 6 hours ... They raised me! in a day. She herself could not. And they brought the baby right away. It was very difficult to get up on my own, take him in my arms (3600g.), But nothing can be done ... Milk came on the third day. The seam I have is one that is not removed, self-absorbable. I washed with him on the 5th day, though I sealed it with cellophane. Now, a year later, a thin pink scar. Thanks to the surgeons of the Lukhovitsky Maternity Hospital! Great doctors there!

Comment on the article "How to recover quickly after a cesarean"

After a caesarean 2 years ago, I was left with such a terrible stomach. What I just didn’t try to remove it - and tightening creams, and scrubs, and proper nutrition, and fitness, and body wraps, and massage. But the result doesn't impress me.

Discussion

I have the same problem. For many years. I had a consultation with a good surgeon. It is necessary to cut the adhesions (I have and the muscles are tightened) and tweak the seam a little.
This is the result of the operation, the seam was made poorly.

I have almost the same ... Also 2 caesarean. Now I’m looking in the internet for breathing according to Korpan or Childgir (bodyflex). For now I'm just trying. The crease, I think, will remain, but the muscles will tighten. Look too (on YouTube, for example), maybe. will be interested.

Abdomen after CS. Mother's condition. A child from birth to one year. Care and upbringing of a child up to a year: nutrition, illness, development. When can you buy clothes? I'm still walking in pregnant jeans, they got me - I have no strength. Pre-pregnancy clothes in the stomach, of course, are not...

Discussion

Girls, thank you)) I decided that I would still buy one pair of jeans, and then we'll see how the stomach begins to go away. Hope it goes away soon :)

everything pre-pregnant for me quickly became large - after 3 months. I would buy 1 jeans, and then you'll see along the way. the fold is still there, but it is getting smaller, the straight muscles have converged.

Stomach hurts after orgasm.. Sex. Women Health. Issues of women's health - diagnosis, treatment, contraception, well-being. Why do I think about the intestines - if you go to the toilet for a long time, then it hurts less or even stops for a while ...

pain after brushing? Thank you girls so much for your support yesterday. Now it hurts in the area of ​​​​the cervix and uterus during the tension of the press, especially when I went to the toilet. After cleaning, I had pain, and the discharge went on for a long time - everything turned out to be within the normal range, BUT!

Discussion

I only had this after giving birth (CS), after cleaning, no

I had pain after cleaning, and the discharge went on for a long time - everything turned out to be within the normal range, BUT! Just in case, I then went to the doctor earlier than expected and did an ultrasound, after which I began to sleep peacefully. This can be both a variant of the norm and a bad sign - it happens that something is left during cleaning ... Go to the doctor just in case, I think that everything is in order with you.

The procedure is unpleasant. The seam after childbirth was ill for a total of almost six months, for 2 months I could not sleep on my stomach and on my side. If you have a planned cesarean, do not eat or drink for a day. 1. After the operation, I got up after 6 hours, immediately go to the toilet a little and wash myself.

Discussion

Thanks for the advice. Everything is very well written. So far, I have experienced one caesarean, I didn’t know much of what is written here and therefore it was more difficult to leave. Although, thank God, there were no complications. If I'm going to give birth again, I'll definitely use these tips.

I’ll subscribe to almost everything - I had almost the same thing after 1 cesarean (except for the fistula), and after the second - everything is much better, because. I performed p. 1, 2, 4, 5, 6. (only the enema was never painful, for me it was like manna from heaven!)
about water (item 3) I would not be so categorical, a lot of milk will come from it, and the chest can inflate, you need to drink at the beginning of the arrival of milk NOT VERY MUCH!
Clauses 7, 8 - apparently, it depends on the RD. where I lay, they did not do that. but did shortening injections.
Ira, thanks for the tips!

On the forums, mothers are vigorously discussing the issue of the advisability of a caesarean section. Many are afraid of him, and all because of the long rehabilitation period, as well as the sagging of the abdomen after. Is it really that sad? Let's talk about this in the article "Recovery after a caesarean section."

We are afraid of caesarean section, and this despite the fact that in some countries the percentage of its implementation is close to 90%. Of course, this is a surgical intervention, which is undesirable under normal conditions, but if there is, there is nothing to think about. It is important to save your health, and even your life, and your baby. As times woman, for them, too, in the answer.

By the way, both EP and KS are equally dangerous for women. And there, and there can develop serious complications. The difference is only in the features of the conduct and the recovery period. The latter, by the way, after a caesarean section lasts longer, and there are reasons for that:

But even despite all this, a quick recovery is possible after a CS. Just to feel it for yourself, you need to listen to the advice of a doctor and ensure proper care after surgery.

First days after surgery

The cesarean section operation itself lasts no more than 40-60 minutes. After it, the incision is sutured with threads (absorbable or non-absorbable) or staples are placed on it. Sometimes a drain is placed to drain the fluid, which is removed after a couple of days. Stitches, if necessary, are removed on the 5th - 6th day.

Ice is placed on top of the stomach. By the way, it is precisely because of him that women complain about strong cooling after such a delivery.

After the end of the operation, the woman is transferred to the intensive care unit for two hours, and then to the postpartum. And of course, on the first day, she is carefully watched. What do doctors do?

• measure pressure, pulse;
• monitor body temperature;
• assess the condition of the uterus and its contractility;
• process the seam.

Without fail, she is given nutrient solutions, intravenously, antibiotic therapy is prescribed. And do not be afraid of it, modern antibacterial drugs are quite compatible with breastfeeding.

• Get up or turn around in bed gently. If you need to get up, they advise you to first get up, then lower your legs, sit a little and only then get up. It’s good if there are relatives or a nurse nearby who will support you in difficult times. Sharp movements are prohibited. They can cause dizziness, pressure drops, fainting.
• There is nothing. It is important to go without food for up to 20 hours. Then you can gradually start with broths, light food (fat-free cottage cheese, pure yogurt). True, from the very beginning they are allowed to drink water with lemon.
• Monitor urine output. If there were no complications, the urinary catheter will most likely be removed after 20 to 24 hours. Now you need attention to your body, because the first time after the operation, a woman may not feel the urge to urinate. That is why she is recommended to empty her bladder on her own. The main thing is that they are not afraid of anything, soon everything will pass, and sensitivity will be restored.

The child, as a rule, is brought on the second or third day. Anesthetize also up to 2 - 3 days. By the way, women feel best after CS with spinal anesthesia, and not general anesthesia.

Uterus reconstruction and suture care

Both after a planned CS and after a CS due to a complicated delivery, the care of the uterus falls on the hospital staff. They prescribe drugs to the woman in labor to reduce it (oxytocin), non-narcotic painkillers. To control the process, they monitor the secretions, because in the event of a violation of contractility, bleeding may develop.

Along the way, medical stimulation of the intestine is carried out. This is necessary to remove gases that can not only bring pain, but also provoke the development of adhesions - adhesions between intestinal loops and other organs. Moreover, if the adhesions are strongly pronounced, a second operation may be required.

The seam is washed, treated with antiseptics, for example, brilliant green. If it is not inflamed, for speedy healing, it is recommended to lubricate it with calendula ointment after a couple of days.

Restoring a cycle after a caesarean section is a separate conversation. Firstly, because each organism is individual, and secondly, the interference in the process of delivery itself is to blame. To minimize possible harm, doctors recommend feeding the baby more often (with breastfeeding, oxytocin is released, which stimulates uterine contractions). Every day it changes its size, returning to its usual pre-pregnancy and drops by 1 cm. The most interesting thing is that subsequently the uterus can become even smaller than it was before pregnancy.

In the first days, specific discharges appear - lochia. This is the result of bleeding on the surface of the uterus, due to which it heals faster. Duration lochia - 6 - 8 weeks. Moreover, during this period they can change color, smell, intensity of release.

Thanks to them, you can control the recovery time: if they are over, then the body is restored. Sometimes, after such a birth, an anovulatory cycle is possible - this is when ovulation does not occur, but here it is necessary to normalize sleep, establish proper nutrition, exclude diseases, and then everything will pass.

As with EP, recovery of periods depends on lactation. The less mother feeds the baby, the faster they will come.

Restoration of the abdomen and exercises for the figure

Rehabilitation after a caesarean section is also an individual matter. In general, it lasts up to six months. The woman in labor is discharged on the 6th - 7th day, after which it is recommended to refrain from physical activity for at least 2 or even 4 weeks. It is also impossible to raise the baby, the seam on the stomach may disperse. But this does not mean that it is forbidden to take care of yourself.

The very next day after surgery, if there were no complications, simple exercises are allowed:

• sitting at the back, slowly pull the socks towards you;
• rotate your feet in a circle;
• press your knees to each other and let go;
• strain and relax the gluteal muscles;
• bend both legs in turn.

This is necessary not so much for the figure, but for the normalization of digestion and speedy recovery. Remedial gymnastics is also indicated, if there are no contraindications:

• stroking the abdomen clockwise;
• chest from bottom to top;
• lower back from bottom to top;
• slipping feet on the sheet.

To restore harmony after a cesarean section, you need. Physical activity is possible only after the seam has healed. Reviews of some mothers indicate that they started exercising as early as 1.5 months after the CS, but you should not blindly follow them. First you need to go to the doctor and make sure that everything is in order.

Running, swimming, moderate (!) loads on the abdominal area are shown, but it is better to perform them with a professional trainer who will select the best ones for you! Classes begin no earlier than 2 months later.

Cesarean section in the modern world is perceived as something simple, not requiring special attention - like tooth extraction or light surgical procedures. In fact, a caesarean section is nothing more than a real abdominal operation that requires anesthesia (or other anesthesia), can give its complications, and does not go unnoticed by any organism. And recovery from a caesarean section is similar to recovery from an appendectomy or any other abdominal surgery. The only difference is the presence of a baby who also needs care and attention and who cannot be explained that the mother herself is not feeling very well, and she herself needs help. And now we will talk about how to combine recovery after a caesarean section with the presence of a small child.

Possible complications after caesarean section

Due to the fact that a caesarean section is an operation that involves cutting the tissues of the peritoneum, it can be accompanied by various complications associated with the abdominal cavity and with the woman's body as a whole.

First, any operation involves a certain degree of blood loss. For comparison: if during normal, physiological childbirth, you lose about a glass of blood (200-250 ml), then during a cesarean section, blood loss is much more - from half a liter to a liter of blood. Naturally, this gives certain complications associated with emergency blood transfusion or other medical procedures aimed at restoring normal hematopoiesis. In natural childbirth, if there were no complications, no such measures are provided - the lost glass of blood is easily restored in the body for some time.

Secondly, a possible complication of caesarean section may be the occurrence of adhesions in the intestines of a woman. If the adhesions are small, this will not cause you any particular discomfort. But if the spikes are very pronounced, you may have problems with stool, digestion, start. In this case, doctors prescribe special physiotherapy, and in especially severe cases, adhesions are treated even with surgical methods.

Thirdly, a caesarean section, if performed with even the slightest imperfections in hygiene, can lead to endometritis - inflammation of the uterus. The thing is that during a caesarean section, the uterine cavity is in direct contact with the surrounding air - and if even the slightest pathogenic bacterium enters the uterus, inflammation will begin. Of course, during natural childbirth, endometritis also sometimes occurs - but the frequency of such cases is incommensurable with the frequency of similar cases with caesarean section.

And, finally, fourthly, caesarean section is fraught with violations of uterine contraction. If during natural childbirth there are no mechanical effects on the uterus, then during a cesarean section, the uterine muscle is crossed, which can disrupt the contractility of the uterus. To correct the situation, after a caesarean section in the maternity hospital, additional therapy is carried out aimed at improving the contractility of the uterus.

The well-being of a woman after a caesarean section

The well-being of a woman after childbirth, regardless of how the child was born, is noticeably different from her usual well-being. Let's take a look at the main characteristics of a woman's well-being after a cesarean section.

If you had a caesarean section under general anesthesia, then symptoms such as vomiting, hallucinations, nausea, etc. are quite possible. Therefore, agree in advance that during the recovery period after a caesarean section (at least during the first 2 days), someone close to you is next to you.

If the operation was carried out with the use, then on the first day after it, the woman often feels numbness in the lower body from the legs to the abdomen. In addition, for about 12 hours after anesthesia, it is necessary to lie only on your back without changing your position. Of course, all this causes certain inconveniences and slows down recovery after a caesarean section.

General condition of the body after caesarean section. As a result of the operation, the general condition of the body may worsen - the temperature rises, pressure jumps, the seam hurts, nausea is felt, etc. Since the postoperative period is fraught with various kinds of inflammation or infection penetration into the wound (due to which all of the above signs appear), recovery after a cesarean section is always accompanied by antibiotic therapy with antibiotics. As for nausea, this is normal after a caesarean section, but if it lasts more than 3 days, be sure to tell your doctor about it so that he finds out the causes of nausea and takes the necessary measures.

The seam is a very vulnerable place on your body after the operation, so you need to take special care of it. Within 7 days after caesarean section with antiseptics and not exert any mechanical influences on it (including a washcloth during washing). After the anesthesia wears off, the suture may begin to hurt a lot. In order not to suffer from pain, doctors usually offer young mothers painkillers that can be injected directly into the suture area. If you are breastfeeding, do not worry - these drugs do not pass into breast milk.

Defecation after caesarean section. After childbirth (including caesarean section) you may experience problems with urination and suffer from constipation and gas. To solve the problem of urination, you will have a catheter placed for 1-2 days. The only disadvantage of the catheter is that it can cause inflammation of the bladder or urethra, so it must be removed at the slightest indisposition.

As for constipation and gas, which can occur due to abdominal surgery and pain in the suture area, this problem can be solved by using foods that improve intestinal motility, laxatives, or, in rare cases, even enemas. If the question is only about gases, you can use special preparations against gases or use a special gas outlet tube (as for children).

Features of breathing after caesarean section. Special breathing exercises greatly facilitate recovery after a caesarean section. In order to remove the remnants of anesthesia from the body and straighten the lungs to avoid postoperative pneumonia, doctors advise women to do breathing exercises and cough.

Very useful for recovery after a caesarean section is this exercise: firmly press your hands, a pillow, or bandage the seam with a towel (to reduce pain during exercise), and then draw more air into your lungs and exhale sharply, but gently, drawing in your stomach. This exercise is especially useful for those who feel gurgling and sobbing in the lungs. By the way, this exercise can be done before the operation if you have a planned caesarean section. This way you are less likely to have fluid build up in your lungs.

Excess fluid in the area of ​​the diaphragm can be manifested by pain in the shoulder. To avoid this, it is also worth doing physical exercises and, if necessary, using painkillers.

Initiation of physical activity after caesarean section. Once the anesthesia wears off, you will be able to get out of bed with someone else's help. For some, this time may come a few hours after the operation, for someone - only a few days. But whenever you decide to get up, in the first minutes of your physical activity you may be accompanied by dizziness, weakness, numbness of the limbs, blackouts in the eyes and other signs that portend an imminent fainting. In order not to fall immediately, as soon as you get to your feet, roll over onto your side and hang your legs off the bed as far as possible. Then slowly sit up, sit for a while on the bed, rotate your limbs to improve blood circulation. When you feel that the dizziness has subsided, put your feet on the floor and stand on them with the help of someone. If you can stand, try walking (with support, of course). Gradually increase the duration of your physical activity each time - and very soon you will fully recover from a caesarean section.

Condition of the uterus after caesarean section. In the same way as in the situation with natural childbirth, the uterus returns to normal for some time after delivery. This is manifested in involuntary uterine contractions - the only "but" may be that uterine contractions after cesarean section give an additional load on the suture.

Edema and sweating. After a caesarean section, as well as after a natural birth, there may be increased sweating and swelling of the legs. The situation in the case of a caesarean section is aggravated by the fact that physical activity after the operation is quite limited - therefore, edema must be dealt with especially intensively. To prevent swelling from leading to varicose veins and thrombophlebitis, be sure to wear elastic stockings.

To combat sweating, wipe yourself with a damp cloth as needed (because you can’t wash for a week after a cesarean section).

Removal of stitches. If you haven't received self-absorbable sutures, they will need to be removed about a week after surgery. In the first days after the stitches are removed, the scar site may itch, and small discharges may come out of the wound. With proper hygiene, these secretions will soon stop.

Nutrition after caesarean section

The first day after the operation is quite modest in terms of nutrition. During this period, it is only allowed to drink - water with lemon juice.

After a day, if you feel normal, you can use chicken broth, boiled meat minced in a meat grinder, cottage cheese and natural yogurt (all low in fat), cottage cheese or meat puree or soufflé, fruit drink or compote without sugar.

If, in the process of recovery after a cesarean section, you yourself went to the toilet “in a big way” for 4-5 days after a cesarean section, you can rejoice! You can start eating the way you are used to (of course, taking into account breastfeeding and your own well-being).

Breastfeeding after caesarean section

Problems with breastfeeding after a caesarean section are very far-fetched. after natural childbirth and caesarean section differs only in terms of onset. If after natural childbirth milk comes for 3-4 days, after cesarean it can be expected only for 4-5. The reason for this delay is that during natural childbirth, the hormone responsible for lactation is released into the blood immediately after childbirth, and during caesarean section this phenomenon occurs later.

But the late arrival of milk after a cesarean section does not affect the condition of the newborn, especially, in case of urgent need, he can always be supplemented with infant formula.

Recovery after caesarean section in everyday life

Well, the initial recovery is over - and you returned home with the baby. How will your life change now, and what restrictions in everyday life will be present for you for some time after a cesarean section?

With regard to lifting weights, it is contraindicated for 2-3 months after a caesarean section to lift more weight than your child (ie, about 3-4 kg).

Even if you want to quickly put your figure in order after childbirth - and decided, first of all, to start pumping the press - wait at least a month until the seam heals. Otherwise, the consequences can be the most unpleasant.

The resumption of sexual relations after a caesarean section occurs after at least 8 weeks - since the uterus after any kind of childbirth is a big wound. And if an infection gets into it during intercourse, inflammation cannot be avoided!

And, finally, with regard to the postpartum bandage, then you should not abuse it while recovering from a cesarean section. Much more useful will be the situation when the muscles will work independently.

Recovery after a caesarean section is a rather difficult period, and your loved ones should understand this. To make life a little easier for yourself after a C-section, do not neglect asking for help with child care and household chores. Remember that care and concern in your situation is needed not only for the child, but also for you!

The postoperative period after caesarean section depends on the characteristics of the operation performed. It should be understood that surgery is accompanied by significant damage to several tissues. There are also negative effects of anesthesia. All these changes require a woman to comply with a number of special rules aimed at the rapid restoration of health.

A caesarean section is accompanied by consequences for the general well-being of a woman. It is necessary to consider such phenomena as:

• the presence and processing of the seam;
• the appearance of discharge from the uterus;
• withdrawal of anesthesia;
• treatment of the genital organs;
• appearance of lactation.

All these processes must be carefully controlled. If a woman does not know what to do after a cesarean, she needs the help of a doctor. The attending physician will explain what to do and how to behave after surgery.

Departure after surgery

Surgical intervention is carried out under the influence of anesthesia. Modern doctors use two types of anesthesia. Many patients undergo surgery under general anesthesia. This allows you to eliminate the psychological trauma of the woman in labor. But this method has a negative impact on the patient's condition in the postpartum period.

In the first days, care after caesarean is carried out by medical personnel. A woman in labor is forbidden to get up and walk for several days. This is due to the residual effect of anesthesia. Under the influence of the drug, various pathologies of the nervous system can occur. Most patients report dizziness and severe nausea. If in the first days a woman in labor tries to sit down or stand up, these phenomena are intensified.

Narcosis also affects the well-being of the child. A small amount of the drug enters the fetus during surgery. The substance causes a decrease in the motor activity of the baby. He becomes lethargic. The child sleeps for a long time. The sucking reflex may also be impaired. Such children may refuse to breastfeed. For this reason, a large number of children born through surgery are fed with artificial mixtures.

The drug used for anesthesia is completely washed out of the body on the fifth day. After that, the body begins to recover. The first sign of removal of the substance is severe pain in the area of ​​​​the sutures. To reduce pain, you need to use analgesic drugs. A large number of analgesics preclude breastfeeding. The remedy should be selected only by a doctor. Self-administration of analgesics can lead to the development of problems in the mother or child.

The second sign of elimination of a substance from the body is a decrease in dizziness. The woman begins to feel better. Her condition is returning to normal.

Seam processing

The postpartum period after a caesarean section requires a woman to properly care for the sutures. The incision during this intervention can have a different shape. Often, to remove the fetus, doctors dissect the abdominal region along the physiological fold. In this area, the scar that forms at the site of the wound will not be noticeable. Also, such an incision minimizes the risk of injury to the child.

If the woman was subjected to emergency exposure, then the wound can be located longitudinally. This intervention allows the doctor to quickly give the child access to oxygen. But the wound will heal for a long time. The scar after a longitudinal emergency section is rough.

The edges of the incision are fastened in various ways. Most doctors use silk and absorbable thread for this purpose. Silk fiber does not leave marks on the scar. This thread is superimposed only on the outer edges of the wound. Muscle tissue is held together with a self-dissolving thread. The complete disappearance of the nodes occurs after a few weeks. The uterus is sutured with the same material. For an emergency caesarean section, staples are sometimes used. They are made of medical metal, which does not undergo chemical reactions in the patient's body.

After the operation, the sutures should be properly processed. In the hospital, the treatment of stitches is carried out by a procedural nurse. The surface of the wound is washed with an antiseptic solution and liberally lubricated with a drying agent. To do this, the hospital uses brilliant green. Less commonly used fukortsin. After thorough cleaning, the sutures are closed with a postoperative napkin. The bandage is made of natural materials and has a special pad. It does not stick to the wound and is removed painlessly. The first week the seam is processed 2 times a day. In the second week, processing can be reduced to one time.

A woman should understand that improper and untimely cleaning of the sutures can lead to the development of complications that are difficult to treat. If the patient takes proper care of the wound, then the sutures are removed on the 10th day after the surgical intervention.

The first days you should learn to get up correctly. This will help prevent seams from coming apart. To do this, the patient lies on her side and lowers her legs from the bed. After that, a sitting position with a straight back is taken. Only then can you get up. All movements should be smooth and slow.

Complications

Not all women in childbirth have stitches that heal without complications. The first days after a caesarean section, the doctor monitors the condition of the wound. Improper care and contamination of the wound can lead to problems such as dehiscence. This problem occurs due to high physical activity. To understand what can be done in the presence of stitches, you should consult your doctor.

If the treatment of the wound is carried out with violations, there is a risk of developing inflammation. It appears due to severe contamination of the wound. Pathogenic microorganisms settle on the wound surface, which change the tissue. Strong pollution is also fraught with suppuration. Pus in the incision may appear due to the accumulation of white blood cells, dead cells and microorganisms. To eliminate the cause of suppuration, the treatment process should be reviewed.

After a caesarean section, a woman should monitor the discharge from the wound. The first week, an ichor should appear on its surface. This fluid is formed in damaged tissues and contains a large number of leukocytes. If it does not appear, you must inform the doctor about it. The likely cause is the formation of a cavity between the tissues. You can reduce the risk of complications with the help of drainage, which is installed in the suture after surgery.

Also, a lot of ichor can stand out. If the suture bleeds for a long time, intracavitary bleeding is considered a possible cause. The patient undergoes an urgent ultrasound examination, which allows you to determine the cause of the disease. In order for healing to occur correctly, the prescribed treatment should be followed.

Rarely, a fistulous canal appears on the seam. It is formed due to the partial preservation of the threads after the operation. The tissues surrounding the thread become inflamed. Purulent fluid is formed. Gradually, tissue cells die. Cell atrophy contributes to the formation of the channel. A tumor filled with pus forms on the surface of the seam. She can open herself. The healing of the fistulous canal is long. If during palpation the patient notices a painful induration, she must inform the doctor about it.

Discharge after surgery

A woman after a caesarean section should carefully monitor the discharge. Recommendations concern the first 4 weeks of the postoperative period.

A woman's pregnancy begins with the attachment of the embryo to the wall of the uterus. For this, the endometrium is formed in it. This tissue by the beginning of ovulation consists of several layers and has a thickness of 12 mm. During pregnancy, the endometrium continues to exfoliate. Flakes form. After surgery, the flakes mix with blood and fluid. Doctors call this mixture lochia. They must be removed from the uterine cavity on their own. Lochia profuse for several days. Due to this feature, it is recommended to use special postpartum pads that are able to absorb a large amount of liquid. For some time, the discharge has a dark color. From the second week there is a change in the quality of lochia. The discharge becomes light, the volume decreases. By the end of the first month of the postoperative period, the discharge stops.

Lochia is not always a sign of uterine cleansing. If there is an accumulation of blood in the discharge, the advice of a doctor is needed. Prolonged bleeding can lead to a deterioration in a woman's well-being. There is a risk of bleeding. It is urgent to look for its cause. From a large loss of blood, a woman can die.

Do not confuse lochia with regular menstruation. Menstruation after caesarean may begin after six months or more. If the discharge appears earlier, the help of a specialist is needed. Examination by a gynecologist will eliminate the divergence of the internal seams.

Beginning of lactation

Restrictions after caesarean section also arise due to the onset of lactation. The ability to breastfeed occurs under the influence of prolactin. This hormone is formed in the female body under the influence of natural labor.

Before contractions begin, the pituitary gland releases oxytocin. It helps the uterus to contract. Also, its activity helps to increase the level of prolactin. The hormone allows the mammary glands to produce fluid. In the first days, colostrum appears from the breast. This liquid contains a large amount of nutrients for the baby. Gradually, colostrum is replaced by milk.

Surgery is prescribed by the doctor at the end of the last trimester. Often a caesarean is performed at 37 weeks. At this time, the body does not begin prenatal preparation. Oxytocin and prolactin are not formed.

An increase in prolactin may occur at the end of the first week of the postoperative period. To speed up the production of milk, you can use the following methods:

• frequent application of the child to the breast;
• taking stimulants;
• taking mixtures to enhance lactation;
• diet for nursing.

Many women ask what can be done to increase lactation in a hospital setting. Doctors advise to put the baby to the breast more often. The sucking reflex causes the baby to take an empty gland. Under the influence of massaging movements, milk begins to be more actively produced. If it is not possible to attach a child, you can use a special apparatus.

A breast pump can be purchased at any pharmacy store. There are two types of breast pumps: manual and electric. The handheld device is applied to the breast and with the help of a special lever the woman can express herself. The electric appliance is more convenient to use. It doesn't need to be kept. When in contact with the breast, a vacuum is formed. Such a device allows you to increase blood circulation in the chest and increase the flow of milk.

With a caesarean section, the postoperative period takes place in the hospital. To increase the volume of milk, you can consult with other women in labor. Many women know that you can take a special mixture that increases lactation. You can also use a special diet. You should increase the consumption of hard cheese and sour cream. Milk can help too. It comes in the form of tablets and is sold in pharmacies. Before using the advice, you need to consult your doctor. He will say that you can not use to increase lactation.

But lactation after surgery is not always possible. Many women do not produce milk. A doctor can also give a ban on breastfeeding. The reasons for the ban are the use of antibiotic drugs, the negative effects of anesthesia, antibiotic therapy.

intimate problems

All patients are interested in when sexual activity is possible after cesarean. Permission to start sexual activity depends on the length of the postoperative period. The doctor is interested in the condition of the suture on the uterine wall. Before the onset of sexual activity, the following phenomena should be established:

• completion of the cleansing of the uterus;
• cessation of contractile activity;
• the formation of a dense scar;
• no genital infection.

In the second month after the operation, the doctor conducts a control examination of the uterus. It is carried out using an ultrasonic device. On the screen, the doctor examines the presence of residual fluid in the cavity. If a collection of blood is found, there is a risk of occult bleeding. The presence of fluid does not allow a woman to have sexual contact.

An important point of the study is the study of the thickness of the scar and the cessation of the contractile activity of the smooth muscles of the uterus. The normal thickness of scar tissue should be 2 mm. If it is less, there is a risk of rupture of the uterine wall during intercourse. Permission is given only when the fabric reaches the required thickness.

It is necessary to study the state of the microflora of the vagina. A caesarean section after surgery increases the chances of replacing a healthy microflora with a pathogenic one. The risk arises from damage to the inner layer of the uterus. The body of every woman contains conditionally pathogenic microorganisms. Under the influence of surgical intervention, the flora may change. In this case, the doctor examines the smear for the composition of the microflora. If it does not contain pathogenic microorganisms, the doctor allows sexual activity.

The first contact after surgery can be unpleasant for the woman in labor. The muscles of the uterus are fully restored only by the end of the fifth month. The scar also hurts. Gradually, the uterus takes on normal size. Sexual life is normalized.

Decreased libido

Not always the sexual activity of a woman in the postoperative period is restored immediately. Sometimes there are problems. A decrease in libido can occur for the following reasons:

• psychological condition;
• excessive worries about the child;
• fatigue;
• bad feeling.

During the first month at home, a woman can be stressed. It occurs due to hormonal changes. To prevent the patient from falling into depression, relatives should support and help. Gradually, the woman will get used to the new status. Sexual activity will return to normal.

Libido also decreases due to the activity of prolactin. Against the background of lactation, a woman experiences constant anxiety for the child. Only a psychologist can help reduce anxiety.

There is also fatigue. Staying in a hospital for a long time tires a woman in labor. She needs to rest after the operation. Not everyone can relax at home. Cleaning, cooking, feeding and bathing the child does not allow you to rest. In this case, a change of scenery can help.

The problem with intimate life also arises due to a deterioration in appearance. Women in labor are embarrassed to be naked. It is impossible to reduce weight in the postoperative period with the usual methods. Diets are prohibited due to lactation. Active physical activity is banned due to surgical intervention. It will take some time for the figure to return. To support his mother, a man must explain all the positive qualities of her new status.

A caesarean section avoids many of the problems that natural childbirth can cause. Recovery after surgery should be carried out according to the rules voiced by the doctor. The correct actions of the patient will shorten the postoperative period.