A C-section requires sutures in both your uterus and your outer abdomen. Your doctor will use special dissolvable sutures to close the incision in your womb. For the outer incision, they can use either dissolvable sutures or staples, or ones that are removed about five days to a week after giving birth. Either way, here’s what you need to know about caring for your scar once you are home.
What should I do with the bandage?
Different hospitals use different bandages to cover the wound left by a Cesarean section. Resist the temptation of pulling off the bandages and allow them to detach on their own, as they are meant to protect the wound from contamination and accelerate healing. According to some studies, silicone patches can contribute to a softer and less noticeable scar [1]. If a cloth dressing is used, it must be changed daily, and your doctor may give you medication to put on the scar [2]. In any case, closely follow your doctor’s post-surgical wound care instructions.
Is it okay if my scar gets wet?
It’s perfectly okay for you to take a shower, just avoid baths for the time being. If the bandages don’t detach on their own after 10 to 11 days, ask your doctor if you can remove them.
If your wound was dressed with a cloth bandage, remove it before stepping into the shower and allow the area to dry before replacing it.
What should I pay attention to?
A small amount of clear discharge is considered normal for the first 7 to 10 days, but if you notice that the discharge does not stop, has a foul smell or if the area is painful, consult your doctor.
The scar can remain red for quite some time, up to several months, but as long as there is no pain, you have nothing to worry about. Soreness is normal for the first couple of weeks after surgery and your doctor will likely recommend an over-the-counter painkiller. If you are breastfeeding, ibuprofen is better than aspirin [3].
What types of physical activities are safe?
One thing to avoid after a Cesarean is heavy lifting. Do not attempt to lift anything heavier than your baby [2, 3]. You will also have to forgo sex for about six weeks [2]. However, some data suggests that gentle walking can help accelerate healing and reduce pain [4]. Start with a maximum of 1,500 steps per day.
When should I see a doctor?
You should contact a doctor immediately if:
there is pain when urinating;
the scar is swollen;
the wound produces an opaque discharge;
one of your legs is swollen (especially if it's only one).
These symptoms can indicate inflammation or thrombosis, two dangerous conditions that will not go away on their own and require medical attention [3].
This article was created in association with UNFPA, the United Nations sexual and reproductive health agency.
