C-section Recovery: What to Expect

What Are Some Reasons for Having a C-Section?

• If the baby is large, which might make for a difficult vaginal delivery.
• If the baby is in the breech or transverse position and cannot align itself to move down through the birth canal.
• If the mother has a uterine condition or a fibroid obstructing the cervix.
• If the mother has previously given birth via C-section (though, just because you give birth via C-section once doesn't mean that you necessarily have to do it again).
• If the baby has an abnormal heart rate or there are any other signs that the baby is in distress.
• If there's a compressed or pinched umbilical cord that's endangering the life of the baby.
• If there are any issues with the placenta.
• If there are any maternal infections like herpes or human immunodeficiency virus (HIV) that could infect the baby during a vaginal delivery.
• If there are any maternal health problems like high blood pressure or diabetes that might make a vaginal delivery too stressful and, as such, endanger the mother or baby.
• If there are any complications for a woman carrying twins/multiples, such as the babies arriving too early.
• If labor does not progress as it should, such as if the contractions don’t lead to the cervix opening enough.

How Common Are C-Sections?

What Are the Side Effects of Cesarean Delivery?

• As mentioned, sepsis and hemorrhaging are two possible complications that are more likely to occur with C-sections than with vaginal deliveries.
• Other side effects that may occur can put your future pregnancies at risk, such as uterine rupture, placenta previa (when the placenta covers your cervix), and placenta accreta.
• As with all major surgeries, you might react negatively to the anesthesia.
• A C-section might increase your risk of developing a blood clot inside a deep vein, which can be life-threatening if the blood clot travels.
• Some research supports that postpartum depression is more common in women who've had C-sections than women who delivered vaginally. This is because some research suggests that vaginal birth stimulates a more rapid release of the "love hormone" oxytocin. As such, C-section delivery is often linked with higher rates of postpartum depression because of the discrepancies in oxytocin release. Likewise, women who have unplanned emergency C-sections may be more likely to suffer from postpartum depression since they may feel traumatized or be left in physical and mental/emotional pain from the experience. That said, postnatal depression affects more than one in 10 women in the first year after giving birth.
• Research suggests that posttraumatic stress disorder (PTSD) affects more women who've had C-sections than women who've delivered vaginally. That said, it affects up to seven in 100 women after giving birth.
• You might be at risk of developing an infection of the lining of your uterus (endometritis) following a C-section.

How Long Does it Take to Recover From a C-Section?

You might be wondering, how long does it take for a cesarean to heal internally? The answer, in short, is: longer than it usually takes to heal from a vaginal birth, but up to you. Your childbirth is your journey, and every woman is different. There's no right amount of time that it takes to recover from a C-section. That said, you can likely expect to stay in the hospital for at least three to four days after your delivery (and longer if you experience any serious complications). When you return home from the hospital, you'll want to give your body about six weeks to fully heal from your C-section.

With any major surgery, you need to give your body time to heal and recover so that you can get back to your everyday routines and exercise. If you don't, your wound can become infected, and it'll take even more time to heal. This is why you need to keep a keen eye on any signs of infection like pus, a fever or unusually heavy bleeding that may occur following a surgery like a C-section.

So, how much bleeding is normal after C section? You will have some vaginal bleeding, which is called lochia, for two to six weeks after your birth. This bleeding is normal. But if you continue bleeding for much longer after about six weeks, you should absolutely consult your doctor.

Tips for Recovering from a C-Section

Again, your C-section recovery is your journey, and there's no one right way to do it. That said, it's important to take care of yourself during this healing time.

1. Get Rest and Take Care of Yourself

Abstain from any physical activities that are going to put strain on your body. Your body needs to rest, and you need to give it time to heal before you dive back in. Likewise, you'll want to make sure that you're hydrating and getting enough sleep, as well as tending to your wounds and cleaning them.

2. Spend Time Bonding with Your Baby

3. Seek Professional Help When You Need It

Contact your health care provider if you think your recovery is taking too long, you may have an infection or you need someone to talk to because you're worried you may be experiencing any of the aforementioned side effects like postpartum depression or PTSD.

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