Attention, mothers! Caesarean section is not so simple

Caesarean section

My friend Xiao Wang recently gave birth to a son. Everyone in her family was so happy. However, Xiao Wang, who is a workaholic, went back to work 42 days after giving birth . I asked her with a puzzled look on her face why she came to work so early. She told me that it didn’t matter that the wound had healed.

This really scared me. As a responsible rehabilitation therapist, I have to tell her and the mothers present that cesarean section is not just a matter of healing the wound! Sometimes the wound heals but the inside may not heal yet, and the postpartum recovery period requires more than natural childbirth.

We all know that compared to caesarean section, natural birth is the more recommended method of delivery. Caesarean section itself may cause serious problems, such as infection, urinary system damage, pelvic inflammatory disease, heavy bleeding and other serious hazards. Today, the editor will tell you about the impact of caesarean section on internal organs, scars, pelvic adhesions, etc. If you are uncomfortable with caesarean section, it is as simple as just letting the incision heal!


1. Effects of Caesarean Section on Abdominal Adhesions and Uterine Scars

There was a study that compared postoperative abdominal adhesions in 115 women who underwent first cesarean sections using different cesarean section methods. The results showed that regardless of whether the incision was transverse or longitudinal, symptoms of abdominal adhesions and postpartum abdominal wall scars occurred, with transverse incisions producing more frequent abdominal adhesions and scars.

This shows that although cesarean section can effectively solve some problems, it is an invasive surgery. After the operation, the mother will often have obvious abdominal wall scars due to local tissue repair, and adhesions of pelvic and abdominal organs are prone to occur, which affects the prognosis .

During cesarean section, in order to prevent the swollen bladder from obstructing the doctor’s field of vision and to avoid damaging the bladder, a urinary catheter needs to be placed in the bladder to empty the bladder before the operation. However, the indwelling urinary catheter can easily cause urinary tract infection and even damage the bladder, increasing the pain of the parturient.

A hospital in Zhejiang Province studied 123 cases and found that only a very small number of women could tolerate urethral catheterization. All of them would have some reaction. The urethra has rich nerve innervation, and this stimulation plus the tension of the women can easily affect the bladder.

2. The impact of cesarean section on abdominal pressure

During childbirth, abdominal pressure increases due to uterine contraction. After the fetus is delivered, the uterus shrinks rapidly, the intra-abdominal pressure drops sharply, blood tends to stagnate in the vascular bed of the internal organs, and the amount of blood returning to the heart drops sharply.

If the abdominal pressure is increased appropriately outside the body immediately after delivery, the abdominal cavity pressure will be slowly reduced, reducing the pressure on the circulatory system. This can significantly reduce the discomfort symptoms of the mother and is also beneficial for postpartum recovery.


We have talked a lot about the effects of caesarean section on the body, but what is more important is whether the mother can undergo timely postpartum rehabilitation. Only by conducting systematic rehabilitation after delivery can the mother avoid greater harm. For mothers who have undergone caesarean section, the golden period of recovery is within half a year when the incision has healed well. Everyone must seize it!

1. Abdominal breathing

The purpose of this exercise is to mobilize the thoracic, abdominal, and pelvic floor muscles, activate these muscles, and increase intra-abdominal pressure. Bend your knees to completely relax your waist and fit it to the bed. When you inhale, press your tongue against the upper jaw, inhale through your nose, and your belly will swell. When you exhale, use your mouth to make your belly concave. Do 15 each time, and do 3 sets a day.

2. Abdominal massage

On the basis of abdominal breathing, push your hands along the sides of the rectus abdominis toward the middle while exhaling. This action is very effective. It can better close the rectus abdominis and is also good for the recovery of skin and scars. Do 20 each time, 3 sets a day.


3. Scar release technique

Place your fingers on the scar, press the abdominal muscles, stroke up and down, and push your muscles in the direction of resistance until the muscles loosen. Each set lasts 5 minutes, 3 sets a day.

Abdominal muscles

4. Visceral fascia release technique

Lift your legs, put your fingers on the scar, let your fingers sink into the scar, move left and right, up and down, and loosen the parts that cannot be moved. Each set takes 5 minutes, 3 sets a day.

Finally, let’s talk about scars. Many mothers may be concerned. This scar on the belly will gradually become less obvious over time. So don’t worry if it doesn’t look good for now. It’s already very hard to be pregnant for ten months! So mothers who choose caesarean section must pay attention to their health!

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