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A Midwife’s Guide to C-Section Incision Care

Every expectant parent wants the very best for their baby, and sometimes the very best way for a baby to be born is by cesarean section. When your baby’s birth is a cesarean delivery, the postpartum period and healing process can be even more challenging, primarily because you’re recovering from a major surgery, but also because you may need to take time to grieve the loss of what you’d hoped your birth would be like. I hope that when you look at your c-section scar, it will be a reminder of your miracle baby, who grew inside you and was birthed by your body.

Before You Leave the Hospital

Before you leave the hospital, make sure you ask your health care provider what they used to close your incision: staples, sutures (dissolvable stitches), or glue. Most doctors have a personal preference on which they use, but it’s good information for you to know both now and in the future, especially if you hope to have a VBAC or vaginal delivery someday. Regardless of the type of closing, whether you had a horizontal incision or vertical incision, most c-section wounds heal in about 6 to 8 weeks.

For the first few weeks, your incision will be red and tender, but eventually the scar tissue will flatten out and turn white. Your doctor or nurse should give you instructions on how to best care for your c-section incision, so make sure your write down their directions and ask any questions that come to mind.

C-Section Incision Care Tips

In general, this is how you can best care for your incision:

  • You will be the most sore and your incision will be the most tender in the first couple of days after birth. Your incision will likely stay sore for 2 to 3 weeks, but it should feel better every day. Some people take pain medications for the first couple of weeks to help them stay comfortable.
  • Don’t scrub your incision site. Let warm water run over it in the shower and clean the area around it with mild soap and water.
  • If steri-strips were used on your incision, don’t take them off. Pat dry after a shower. They will fall off on their own in about a week.
  • Change your bandage if it gets wet or dirty, or at least once a day.
  • Don’t take a bath, sit in a hot tub, or go swimming until your provider say its ok.
  • Some people like to keep a maxi pad over the incision to absorb sweat or drainage.

C-Section Scar Care

About 6 to 8 weeks after your baby was born, your incision should be healed and you’ll want to start massaging your c-section scar. You can use aloe vera gel or Vitamin E oil and massage the incision site as well as the area around it. Massaging the area will help the scar tissue form in the right direction and keep it from adhering to surrounding fascia and tissue.

To massage, you’ll want to start by gently pressing on the area around your incision and moving your fingers in a circular pattern. Only press as much as is comfortable. Follow this with horizontal and vertical massaging movements. As the skin and fascia of your abdomen become more mobile and less tender, you can also start massaging directly on your c-section scar.

When you first start massaging, you may find that some areas around your incision are numb and while this is normal after a cesarean birth, many people find they regain feeling around their scar with regular massage.

There’s no getting around it, a cesarean birth is major surgery. As you are recovering, make sure you watch for any signs of infection, which include increasing pain, redness or swelling around the incision, smelly discharge or pus, or having a fever over 100.4F. Always keep your follow-up appointments with your healthcare provider and get in touch with them if you have any questions or concerns.

All content published on the Motif Medical site is credited for information purposes only. This information should not substitute as medical advice, diagnosis, or treatment. Always consult your doctor or qualified health professional with any questions regarding the health of you or your baby.

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