I was very careful after my C-section to take care of my incision. I had heard some stories from friends about their incisions becoming infected or re-opening because they tried to do too much too soon. I made sure not to overdo it, and fortunately mine healed well. However, no one warned me about the scar tissue! I am not sure if they just did not encounter this problem, or if it was not severe for them. However, this was something that really affected my recovery.
I had a really slow start to my recovery. I needed a wheelchair leaving the hospital and struggled for weeks with just walking. I think it was a combination of factors that made it difficult to get up and moving. I had a chaotic and rushed emergency C- section; the cold weather made it difficult to go outside for walks; the biggest obstacle was that my baby was critically ill, and I did not want to go out and leave him.
At about two weeks postpartum, I noticed that even though I was healed from the surgery, I was walking hunched over. It was difficult to stand up straight and hold my posture. The few times I tried to stand up and gently stretch, I had this weird sensation of velcro being pulled a part inside my abdomen. I finally talked with a close friend, and she told me about complications from her scar tissue and she encouraged me to get out and moving.
Even though it was freezing outside, I bundled up and forced myself to walk. I could barely walk a block with good posture before it was too hard, and I started hunching over. I have always been someone that enjoyed being active. This part of my recovery really surprised me. It took a little over a month of daily walking before I could walk a mile and not strain to have good posture. Things were improving, but it still felt like I had tight tissue in my abdomen.
About 6 months postpartum, I was meeting with a Physical Therapist (PT) about a pre-existing back issue. She checked out my C-Section scar and told me I had a lot of scar tissue and should really be massaging it to break-up and dissipate the tissue. This would obviously make things more comfortable for me, but also avoid health problems from scar tissue down the road. She explained that scar tissue from C-sections can lead to problems with any future pregnancies. It can also lead to health problems like endometriosis, and it is possible for the scar tissue to adhere to nearby organs.
She explained how I should rub small circles around the incision site, and then to go up and down over the scar to loosen up the scar tissue. She encouraged me to do this especially where my skin felt taut. The lumpy scar tissue definitely grossed me out, but the massaging worked. Later that summer, my son was assessed for Early Intervention and had a PT therapist evaluate him. She talked with me a little bit about my scar tissue and explained that women that have emergency C-sections versus planned C-sections typically have a harder time with scar tissue.
It has been a little over a year now, and I no longer have that weird velcro pulling apart feeling in my abdomen. My posture is back to normal too. I still massage the area about once a week, because I have some tight tissue around the incision site. Hopefully, this will not be a health issue for me later on. Now, I make an effort to encourage my friends to not just take care of their incision site, but also the scar tissue after a C-Section.
pear / 1837 posts
I didn’t realize how important this was after my first (emergency) C-section but have been doing it since about 8 weeks pp since my second C-section. Both times my incision opened up and it was awful- not because I overdid it, but I just don’t heal well. It took 8 weeks for my incision to close the first time and 7 weeks the last time. It feels weird still (16 weeks pp) to massage it, but I try at least every other day. I’m scared I’m going to poke through and blood come gushing out (that happened when my OB was checking it a few days pp).
kiwi / 549 posts
I healed wonderfully after my 1st c-section (emergency) but had issues with an infection and opening this time (planned repeat c-section). It wasn’t so much from overdoing it– the infection can happen to anyone, but it’s especially common in subsequent c-sections. But no one told me so I was shocked when I started showing signs of infection and opening in the incision. Anyhow, I’ve been working with a wound care specialist and she has been so helpful with helping me recover, beyond just getting the opening to heal. She’s recommended heat packs 4-5 times a day to help the healing move along and break up the tight/tough areas along the incision site, among other things just to improve my recovery & prevent reopening now that the incision is healed.
grapefruit / 4056 posts
This is actually one reason that nurses push you to get up and walking ASAP after a c-section! After both mine I made sure to be walking early and frequently and enforced standing straight/good posture (I am a nurse
). No tight scar tissue here and very little issues with my second pregnancy resulting from scar tissue.
blogger / cherry / 174 posts
@LulaBee: I had a friend go through that and I think it made me paranoid about infections in the incision site. Glad you’re doing better!
blogger / cherry / 174 posts
@red_seattle: I’m glad the wound care specialist is helping! There is a lot of discussion about prenatal care but I hope everyone knows how important post partum care is also.
blogger / cherry / 174 posts
@MsMini: That’s great your recovery went well! My poor nurses had me up and I started vomiting everywhere. They were amazing though and helped me at least walk the halls.
blogger / apricot / 431 posts
There are so many things you just learn along the way….I’m glad you letting friends who have had c-sections know how to care for the scar tissue. Good to know!
blogger / nectarine / 2600 posts
As a non c-section mom this was interesting to read and learn about!