Pregnancy & Baby Index: Experts and Columnists: Ann Douglas: Postpartum: Cesarean recovery: What nobody tells you
Cesarean recovery: What nobody tells you
Ann Douglas
Ann Douglas, author of The Mother of All Pregnancy Books: The Ultimate Guide to Conception, Birth and Everything
in Between and The Mother of All Baby Books: The Ultimate Guide to Your Baby's First Year, is here at
Pregnancy & Baby! Read Ann's advice on everything from keeping romance alive amidst the structure and
stress of baby-making to weathering the storms of morning sickness to preparing for the birth of your
dreams.
What to expect
It's a subject that pregnancy books tend to gloss over and prenatal
instructors choose to ignore: exactly how your body will feel after a
cesarean birth.
It can be impossible to predict ahead of time whether or not you will be
delivering your baby via cesarean section. Therefore it's important to arm
yourself with the facts before you go into labor. That way, if you end up
being one of the approximately 20 percent of Canadian mothers and 20 percent
of American mothers who give birth by cesarean section, you'll have an idea
of what to expect on the recovery front.
Here's what you need to know
It takes longer to bounce back after a cesarean delivery. A cesarean
section is major abdominal surgery. Consequently there's a fair bit of
healing involved. In fact, it takes approximately six months for your
incision to fully heal. You can expect to feel some numbness in the area
until your nerves have a chance to regenerate (something that typically
happens six to nine months after the delivery) and you should be prepared
for some initial itchiness as well.
It's normal to experience pain around the incision site during the early weeks after the birth. You can minimize your discomfort by using a
pillow to support your midsection when you cough, sneeze or laugh; wearing
tight bicycle shorts underneath your regular clothing; avoiding heavy
lifting; and limiting the number of times you trek up and down stairs in a
day until your incision starts to heal. It's also a good idea to line up
some help for when you come home. After all, you don't just have yourself to
take care of while you're recovering: you've also got that new little bundle
of joy.
You may experience painful gas pains. Gas pains tend to occur during
the first three days after the delivery, easing up as soon as your
intestinal tract starts working again. Taking short walks, changing your
position frequently and rocking in a chair will help to get rid of any
trapped gas, thereby helping to reduce the intensity of the gas pains you're
experiencing.
You may have trouble urinating at first. You may experience pressure
and discomfort while urinating within the first week or two of the delivery.
It's a side effect of your surgery and will disappear as your body begins to
heal.
You may have to get a little creative when it comes to breastfeeding
positions. Consult with a lactation consultant or other breastfeeding
expert if you're having trouble finding a comfortable nursing position. As a
rule of thumb, the side-lying position and the football hold positions work
best because they help to keep your baby away from your oh-so-tender
incision site.
You face an increased risk of experiencing postpartum depression.
Giving birth via cesarean section puts you at increased risk of developing postpartum depression -- a condition that affects approximately one in five new mothers. If you find yourself exhibiting any of the classic symptoms of depression, you will want to seek help from your doctor. The prognosis for recovery is excellent, but it's important to seek treatment early.
It's also important to keep in mind that you will also experience the
usual laundry list of postpartum aches and pains -- except, of course, for
perineal pain. (At least you got off lucky in that department!) So make
a point of getting some extra rest during the early weeks postpartum. You
owe it to yourself and your baby.