What happens to a woman after a cesarean. Recovery after caesarean section. Is it possible to breastfeed after a caesarean section?

For whatever reason, a woman has to give birth to a baby by caesarean section, the happiness of motherhood cannot be overshadowed by almost anything. Upon discharge, a young mother will receive recommendations for caring for a child that are almost identical to those given to women who have given birth naturally. Some differences will relate to how to recover from surgery.

Normal operation and complications

During a caesarean section, performed under general anesthesia or epidural anesthesia, the anterior abdominal wall is opened in layers and an incision is made on the uterus, through which the child is carefully removed into the light, and then the placenta.

After the wound is sutured, an absorbable or non-absorbable thread is applied to the skin of the abdomen, sometimes metal staples, depending on the situation and the choice of the doctor.

Complications may appear during and after the operation: increased blood loss, the appearance of adhesions in the intestines and other internal organs of a woman, inflammation of the uterus (endomyometritis), impaired uterine contraction after delivery. In the event of these or other complications, recovery after caesarean section will be longer, will require drug treatment prescribed by the doctor individually.

Postoperative recovery

If we talk about the general case, when there are no serious complications, during the first days the woman in labor is in the intensive care unit under the strict supervision of nurses and an anesthesiologist.

From the very first days, a woman is helped to recover by special care: blood loss is corrected, antibiotic therapy is started to prevent infectious complications, and digestion is started due to the stimulation of the intestines.

The first day mom can not eat, only water with lemon juice is allowed.

On the second day, you can pamper the woman in labor with caution and in small quantities:

• chicken broth;
• boiled meat, twisted through a blender or meat grinder;
• low-fat cottage cheese;
• fruit drink without sugar;
• yogurt without fruit additives.

As a rule, already on the 4-5th day after the first independent stool has occurred, you can return to your normal diet, without forgetting, however, about the diet for nursing mothers.

Both for mothers who have given birth naturally, and for women in labor after a caesarean section, there are nutritional restrictions necessary to ensure that the baby does not have tummy problems and allergies.

Maternal activity on postoperative days

Already on the second day happy mom, as a rule, can be transferred to the postpartum unit. Here she begins to lead a very active lifestyle.

It is important to get up regularly, walk, and most importantly, feed your newborn. It will be possible to sit down on the 2-4th day after the birth of the baby.

The condition of the abdomen after surgery is constantly monitored by nurses and doctors.

The first time after a cesarean section, the suture is treated with antiseptic agents (brilliant green, for example), the bandage is replaced.

If an absorbable suture material was used during the operation, then its removal will not be necessary. The threads will disappear after 2-2.5 months from the moment of birth.

A scar on the skin is formed approximately on the seventh day after the caesarean section. After 7 days, you can safely take a shower.

Just do not rub the skin in the abdomen with a washcloth, it is better to wait another week or two, when the recovery after a caesarean section is almost completed. The doctor will allow you to leave the maternity hospital on the 7-10th day after the operative delivery, if there were no serious complications that require longer treatment.

Establishment of lactation after a cesarean section

During natural childbirth, milk in the mother's body arrives on the 3rd–4th day, and after surgical intervention - on the 4th–6th day. If a woman goes into labor herself, she produces certain hormones that are responsible, among other things, for the production of mother's milk.

After a planned operation, when labor activity has not yet begun on its own, the hormone responsible for lactation enters the bloodstream somewhat delayed, after childbirth. As a rule, this situation does not affect the condition and weight of the baby, since the child is supplemented with adapted mixtures that replace mother's milk.

Gentle regimen at home

Many women who have given birth by caesarean section are worried about when they can actively take up the restoration of the figure, do exercises for the abdomen, and finally return to normal life.

Often, young mothers wonder if it is possible to play sports after surgery, lift bags, and lead an active sex life. The answer is ambiguous.

There are general recommendations for restoring weight and figure, normalizing general physical activity, but each time a woman should approach the issue individually, taking care of her body and refusing to do heroic deeds.

Usually, doctors forbid their patients after complex operations to lift more than two kilograms for 2 months. But in practice, the mother has to take care of the newborn, so such recommendations would be simply ridiculous.

Therefore, surgeons advise mothers not to lift anything heavier than their baby for about 2-3 months after birth.

After natural childbirth, women, as a rule, can carefully adjust their figure almost from the first days after the birth of a child. For patients who have undergone a caesarean section, the picture is somewhat different - they will be able to start working on the abdominal press only a month after the baby's birthday.

Activity in terms sexual life can be resumed 1.5–2 months after the operation. In this case, the recommendation is the same for all mothers. The fact is that the uterus after childbirth at the site of attachment of the membranes and placenta is a fairly significant wound surface.

In order for the infection not to get into the wound, the mucous membrane must completely heal, and the discharge and lochia must stop. This usually happens 6-8 weeks after surgery. After that, you can resume sexual activity, without forgetting about contraception.

The abdominal muscles must get used to the wound, learn to work on their own again, so it is not recommended to abuse the supporting bandage.

Subsequent pregnancy and childbirth

As a result of a caesarean section, a scar remains on the uterus for life.

Immediately after the operation, you will be transferred to a special unit where you will be cared for by experienced nurses. If the operation goes smoothly and you feel well, then after a few hours your child will be brought to you. You can try to breastfeed him: breastfeeding in the first hours after birth is useful if you plan to establish breast-feeding. Many new mothers find that side-lying breastfeeding is most comfortable after a caesarean section. Ask the staff to help you with this and feel free to ask for advice.

Bleeding from the vagina can be strong enough that you will need special pads for new mothers. More or less pronounced spotting can be observed in the first few weeks after childbirth - no matter if they were natural or by caesarean section.

Experts recommend get out of bed already on the first day after the operation. At first, it will be sufficient to slowly walk to the toilet and back. Walking speeds up the recovery process after surgery, and also prevents the formation of blood clots and stimulates the bowels.

The day after surgery, doctors usually allow take a shower. You don't have to touch the seams, but you don't have to worry if they get wet. After a shower, the seams can be blotted with a soft towel or even dried with a hair dryer on cold air. You will be able to take a bath not earlier than 7-10 days after the operation, when the wound has healed.

Pain after surgery a cesarean section can be quite severe, and in order for a young mother to devote herself to a newborn, she should take pain medication. Be sure to discuss this with your doctor, bearing in mind that not all medications are compatible with breastfeeding.

seams applied to the skin may need to be removed on the eve of discharge from the hospital. If you have had self-absorbable sutures, they do not need to be removed.

Many mothers are interested in what day after cesarean being discharged from the hospital. The answer to this question depends on the reasons for which the caesarean section was performed, as well as on how the operation went, and how the young mother and newborn feel. After a planned caesarean section, which passed without any features and complications, they are usually discharged on the 6th-7th day (in some countries on the 3rd-4th day).

What happens after discharge from the hospital: answers to frequently asked questions

Can I carry a baby in my arms after a caesarean section?

You can carry your baby in your arms for as long as you need. Fortunately, newborns weigh no more than 3-4 kg, and such a load is safe for a young mother who has undergone surgery. At the same time, for at least 2 weeks after the operation, refrain from carrying any weight that exceeds the weight of your baby.

Can I breastfeed after a caesarean section?

Yes, caesarean section is not a contraindication or an obstacle to breastfeeding. There is nothing better for your baby breast milk, so do not deny him this.

Do I need to wear a bandage after a caesarean section?

Although some gynecologists recommend purchasing a bandage and wearing it in the first weeks after a caesarean section, this is not necessary. It is believed that the bandage helps to recover faster after surgery and reduce the size of the abdomen, however, not all women are comfortable walking in a bandage for a long time.

How long will the discharge go after a caesarean section?

Lochia (discharge after childbirth) can last up to 6 weeks. Abundant discharge normally lasts no more than 2 weeks, and then bleeding after cesarean gradually decreases. For all the time goofy use , but in any case do not .

How long does the stitch hurt after a caesarean section?

As a rule, a woman experiences the most severe pain in the suture area in the first 2-3 days after the operation, and then the pain gradually subsides. Slight pain when touched in the suture area usually persists for 4-6 weeks. Within a few months (up to six months), the skin in the area of ​​the postoperative scar may be numb.

How to care for a suture after a caesarean section?

In the first days after discharge, the bandage in the suture area should be changed once a day or more often if the bandage gets wet or dirty. Your doctor will explain in detail how to do dressings at home.

Can I take a bath after a caesarean section?

Refuse baths until the seam heals. Usually, it takes 7-10 days. These days you can shower without fear of getting your skin wet.

When can I exercise after a caesarean section?

You can return to your normal activities no earlier than 6 weeks after the operation. Before moving on to more intense exercise, consult your doctor.

Swimming is one of best practices quick recovery after caesarean section. You can sign up for the pool when the lochia runs out and the scar on the skin heals.

When can I have sex after a caesarean section?

Can a woman get pregnant after a caesarean section?

Pregnancy can occur in the first months after a cesarean section, even if the woman is breastfeeding, so be sure to take care of.

Is it possible to put intrauterine device after a caesarean section?

The intrauterine device is an excellent method of contraception in the postpartum period, which is not contraindicated during breastfeeding. can be installed no earlier than 6 weeks after childbirth, when the uterus is reduced to its original size.

Consequences of a caesarean section

In the vast majority of cases, the caesarean section is successful and does not cause serious consequences. However, do not forget that a caesarean section is a surgical operation, and, like any other operation, it can be associated with certain risks: infectious complications, bleeding, blood clots, damage internal organs, the need to stay in the intensive care unit and a longer stay in the hospital.

As a rule, a birth by caesarean section has no consequences for the child. However, there is a small risk of injury during the removal of the baby from the womb, which V rare cases leads to the development of motor disorders (cerebral palsy).

Pregnancy and childbirth after caesarean section

Many young mothers who have undergone a caesarean section are interested in how long they can try to conceive a child again. Most gynecologists are of the opinion that the optimal interval between pregnancies is 18 to 23 months, and it is best to wait at least 2 years. This time is necessary for a young mother in order to properly recover after pregnancy and subsequent major surgery, and also in order for the scar on the uterus to finally form.

What to do if pregnancy occurs earlier than 2 years after cesarean?

Early pregnancy after caesarean does carry an increased risk of complications such as uterine rupture, preterm labor and low birth weight. However, many cases of successful outcomes are known. early pregnancy after caesarean section. Obviously, for a good result, you should work closely with your doctor and listen carefully to his advice.

Not always a woman can give birth to a child in a natural way. In some cases, doctors have no other choice but to help the baby be born through surgery. A caesarean section is a full-fledged abdominal operation, so a young mother needs more time to recover from delivery than women who have given birth to children in a natural way. Obstetrician-gynecologists warn that various complications may develop after CS, so a young mother needs to carefully monitor her condition and follow all the doctor's recommendations in order to reduce the risk negative consequences after surgical delivery.

The first days after a cesarean section: how to behave as a young mother

Caesarean section in modern obstetrics is the most common operation. If the expectant mother has direct indications for delivery by surgical intervention or there is a threat to the health and life of the woman and child, doctors urgently perform a CS. Before helping the baby to be born, doctors administer to the woman in labor a special drug that affects the body and future mom does not feel pain. Today, CS is performed under general anesthesia (the woman falls asleep and wakes up after delivery is completed) and epidural anesthesia (the anesthetist injects an anesthetic into the spinal canal in the lumbar region, the expectant mother remains conscious, but does not feel her body below the waist).

Today, a pregnant woman who is scheduled for a planned CS can independently choose the type of anesthesia. Many mothers-to-be choose to have an epidural in order to be awake and see their baby being born.

Doctors always warn a young mother about the possibility of complications after the operation, so they give recommendations and monitor the woman's condition for several days from the moment of birth. To reduce the risk of negative consequences, you must follow all the advice of a gynecologist and do not rush to take care of the baby yourself. The process of her recovery largely depends on how a woman behaves after a cesarean section. It is necessary to give the body a rest and gather strength.
After a caesarean section, a young mother will spend at least five to seven days in the hospital

If the operation took place under general anesthesia, then the young mother will come to her senses thirty to sixty minutes after the end of the CS. With spinal anesthesia, the restoration of full body sensation depends on the individual characteristics of the body: some women can control the lower body almost immediately after childbirth, others take a little longer.

Based on the experience of women and doctors, after epidural anesthesia, a young mother feels much better than after general anesthesia.

Immediately after the CS, the woman is transferred to the intensive care unit. The medical staff constantly monitors the condition of the mother: monitors the pressure and body temperature, checks whether the uterus is contracting, whether bleeding has opened. Doctors also inject drugs into the body that help the reproductive organ contract, antibiotics to prevent infection after surgical delivery, painkillers and other medicines needed to maintain the body after surgery.

Motor activity after operative delivery

Much attention is paid to physical activity, which is mandatory for women who have given birth to babies by caesarean section:

• two to four hours after the operation, the young mother should begin to move her arms and legs. Of course, it all depends on the woman's well-being, but careful movements are required: it is allowed to work with your toes (pull them on yourself), tighten and relax the gluteal muscles, rotate the feet and hands in one direction and the other;
  

  If the operation went without complications and nothing threatens the mother’s life, she recovered from anesthesia easily, then a little motor activity of her arms and legs will only benefit her.

• it is recommended to perform Kegel exercises: compress and relax the muscles of the vagina. This is an excellent prevention of urinary problems, and exercises help strengthen the muscles of the pelvic floor;
  
• on the first day, doctors advise women to roll over from one side to the other. Movements should not be abrupt, everything should be done gradually, not in a hurry, so as not to provoke severe pain in the suture area;
• in most cases, doctors are not allowed to get up during the first day after the operation. This is especially true for young mothers who have undergone epidural anesthesia: in this case, bed rest should be at least twelve hours from the moment of delivery. After general anesthesia, many women also spend twelve to twenty-four hours in bed;
  

  However, some new mothers are allowed by gynecologists to get up as early as eight to ten hours after CS. It all depends on the condition of the woman and the complexity of delivery. Early physical activity is an excellent prevention of the formation of adhesions.

• getting out of bed for the first time should be supervised and assisted by a nurse. A young mother needs to turn on her side, gently lower both legs from the bed. Then, leaning on the back of the bed or on the hand of the medical staff, you need to slowly rise to your feet, take a few steps with support;
• it is allowed to sit down only on the third day after the operation;
  

  If there are complications after the operation or the young mother is having a hard time recovering from anesthesia, she may be allowed to sit down only on the fourth day after the birth. The decision is made by the doctor depending on the condition of the woman.

• you should know that bending over and squatting after the CS is prohibited so that the seams do not come apart. Before discharge from the hospital, the doctor will definitely tell you when it will be possible to perform these actions. It all depends on the process of tissue regeneration: the faster the seam heals, the faster the young mother will be able to return to an active pace.

Video: obstetrician-gynecologist about physical activity

Features of the condition of a young mother in the first days after CS

In many ways, the condition of the mother after operative delivery depends on the individual characteristics of the body. According to the experience of doctors, some women ask permission to get up and look at the baby after eight to ten hours, while others spend two or three days in bed, are in no hurry to show physical activity and do not feel the desire to return to an active rhythm of life.

Doctors explain: a little physical activity after CS is mandatory. In this case, the body recovers faster and the risk of negative postoperative consequences is reduced. Therefore, young mothers should follow all the recommendations of specialists.

In the first few days, mothers experience a feeling of weakness, as well as severe pain in the seam area. To relieve pain, they must be injected with painkillers. Also, women feel pain while walking - this is normal, because the operation was performed and the body needs time to restore and regenerate tissues. The nurse treats the wound every day, making sure that there is no infection and the stitches do not come apart. Before discharge from the maternity hospital, the doctor will definitely tell you what can be done and what is a contraindication for a young mother for a certain period of time.

Separately, the doctor will inform the woman about postpartum spotting- goofy. Some new mothers think that lochia only appears after vaginal delivery. However, this is a misconception: spotting is a sign of the normal process of uterine recovery after childbirth, regardless of the method of delivery. Normally, lochia lasts about six to eight weeks: the color and intensity of the discharge gradually changes.

If a young mother notices an increase in spotting (one pad is enough for forty to sixty minutes), then you should immediately consult a doctor, perhaps this is a sign of uterine bleeding. Also, a doctor's consultation is necessary in the case when the lochia stops abruptly. This situation is not a variant of the norm and may signal the accumulation of blood clots in the uterine cavity.

Contraindications in the first months

For six to seven days, the woman and the baby are in the maternity hospital. The doctor carefully monitors the condition of the suture, and the nurse processes the incision area once a day. On the fifth day, an ultrasound of the pelvic organs is necessarily performed to see how the uterus contracts, if there are any complications. If everything is in order, then on the fifth or sixth day after the operation, the stitches are removed for the young mother and they begin to prepare her for discharge.

Of course, a young mother strives to get home with the baby faster and start caring for the baby, giving him love and care. However, you should not forget about your health either. Do not overexert yourself, lift weights and do all the household chores on your own. After the CS, it is necessary to give the body time and the opportunity to recover, and care for the newborn and household chores can be shared with the husband or nanny.

What physical activity is prohibited for a young mother

Many women do not imagine that someone will do all the housework and also look after the baby while they are recovering from operative delivery. Doctors explain: motor activity and caring for a newborn are not completely forbidden to a young mother, they are even useful, but you need to know a sense of proportion and give the body a rest. Gynecologists share a list of recommendations that a woman needs to follow after a cesarean section:

• for three months a young mother is forbidden to lift weights weighing more than three to four kilograms;
  

  In most cases, this is the weight of a newborn baby. However, this does not mean that a woman can constantly carry a baby in her arms or in a sling. Doctors allow you to take the baby in your arms and put it in a crib or stroller, feed the baby, but do not carry it in your arms for a long time.

• fulfill homework, especially washing the floor, dusting, washing by hand (those processes where you need to bend over or squat) should be entrusted to the husband or housekeeper, relatives. Within a month or two, the mother should take care of herself and not overstrain. Only after the permission of the doctor can a woman return to doing housework;
• play sports or do physical exercise prohibited for two months;
  

  Of course, all young mothers strive to get in shape as soon as possible, but after the operation it is necessary to wait a while.

Diet and food of a young mother

In order for the recovery process to go faster and without complications, a woman must eat right. Very often, young mothers experience problems with the functioning of the gastrointestinal tract: most have constipation, pain during bowel movements. Therefore, doctors recommend adhering to a special diet, especially in the first week after delivery.

A balanced diet, excluding everything harmful products and meals, a woman needs at least two to three months after surgery. And the ideal solution would be proper nutrition on an ongoing basis.

All dishes should be steamed, fried or baked. It is strictly forbidden to eat fatty, spicy, fried, smoked or pickled dishes and foodstuffs. Also, a young mother is not recommended to eat fatty meats (pork) and fish. It is necessary to exclude sweets, muffins, pastries and confectionery from the diet. Vegetables and fruits should be eaten only those that are not strong allergens. And also after the COP, it is not recommended to include dishes in the menu that contribute to constipation. It is better to diversify the diet with dairy products and fresh vegetables.

Table: what you can eat in the first week after CS

How long can you not have sex

Gynecologists allow sexual contacts to be resumed after the complete cessation of lochia. This usually happens two months after the birth of the baby. However, before having sex, you should consult a doctor. At the appointment, the gynecologist will conduct an examination with the help of mirrors, take tests and do an ultrasound. If, according to the results of the examination, the young mother does not reveal inflammatory processes or infection of the uterus and genital organs, the doctor will allow sexual intercourse.

Some couples I ignore the prohibitions of doctors and resume intimate relationship much earlier. This threatens the development of severe inflammation, as well as infection on the wound surface of the uterus. Therefore, doctors recommend not to risk health and wait two months before having sex.

Full recovery of the body from the moment of surgical intervention takes from three to six months, depending on how the operation went, whether there were complications, also big influence have the individual characteristics of a woman, for example, the rate of tissue regeneration. In most cases, three months after CS, a young mother is allowed to play sports and do exercises to restore her figure. However, gynecologists explain that much more time is needed to restore the muscles of the uterus: by four months, the suture on the wall of the reproductive organ is scarred, but in order for it to become stronger, it takes about two to three years. Therefore, it is recommended to plan another pregnancy no earlier than twenty-four months after a cesarean section.

Even if the baby is breastfed, young parents should think about contraceptive methods in advance and choose the most suitable one for both partners. It is not worth risking the health and life of a woman, because early pregnancy after CS can cause rupture of the wall of the reproductive organ.

General recommendations for recovery in the first six to eight weeks

First of all, a woman must follow all the doctor's recommendations. In this case, many problems will be avoided and the rehabilitation process after surgery will go much faster. Doctors advise to adhere to the following rules:

• take a shower at least twice a day. You can wet the suture only with the permission of the doctor, not earlier, so as not to infect the wound or damage the suture area;
• you can not rub the seam with a washcloth;
• for personal hygiene, use only hypoallergenic cosmetics, which do not contain components harmful and hazardous to health;
• refuse to take a bath for two months after the CS. At this time, only a warm shower is allowed;
• before discharge, the doctor will definitely give recommendations about the treatment of the suture. The prescription indicates the necessary drugs (Miramistin, Levomekol ointment and others). A woman must necessarily treat the wound once or twice a day according to the scheme prescribed by the gynecologist;
• to maintain the strength of the body, doctors advise taking special vitamin and mineral complexes for pregnant and lactating mothers, for example, Elevit Pronatal, Complivit, Pregnacare and others;
• eat small meals five to six times a day;
• be sure to walk fresh air preferably walking. But it is worth remembering that you should not overexert yourself;
• use a bandage to tighten the abdomen. However, after the CS, it must be remembered that it is forbidden to wear this product at all times. You need to take a break every three to four hours. If you do not remove the bandage, this can cause infection of the seam;
• recharge positive emotions: spend more time with the baby, relax and tune in to a speedy recovery. Psychologists have proven that the ability of the body to quickly return to shape largely depends on the mood of the woman herself.

From the experience of young mothers: how was the recovery

Until six months, I only walked briskly with the child, this was my only exercise, and after that I started doing yoga again and pumping the press, though without fanaticism.

Budoshka

Diet, sports, long walks with a stroller - and it became better than it was) The only thing is that I had to wait 1.5 months with exercises for the press, but everything else is possible.

Just a dreamer

https://deti.mail.ru/forum/zdorove/zdorove_krasota_diety/vosstanovlenie_posle_kesareva_sechenija/

Everything went back to normal, within 6 months the weight was gone. Light gymnastics from 6 months. Well, once every 3 months, a massage of the cervical-collar zone for general well-being and positive.

Mother of Friendly Fox and Cool

https://deti.mail.ru/forum/zdorove/zdorove_krasota_diety/vosstanovlenie_posle_kesareva_sechenija/

After the operation, she was raised to her feet after 6 hours, it was hard to lean on her legs and felt very sick, but after a couple of hours she was already walking along the corridor by herself. The child was given 15 minutes after the operation and then all the time he stayed with me. I took a separate room, where either my husband or my mother spent the night with me and helped with the baby. The recovery lasted about a month, and then she didn’t even remember the operation, the seam healed, the stomach was completely gone, and when the baby was 3 months old, she was already running to training.

Karina

After the CS, she wore a bandage, everything healed well. Then I decided that I needed to get rid of the scar somehow and started smearing it with Contractubex. The gel did a great job of smoothing out the seam. Now only a thin light strip remains from the operation. And my son is already 3, we are growing slowly.

Marina

https://www.baby.ru/community/view/44187/forum/post/9763217/?page=3

Physical activity after caesarean section

After pregnancy and the birth of a child, many young mothers are in a hurry to get back in shape, because overweight, Stretch marks on the abdomen are not at all encouraging. However, after a caesarean section, doctors prohibit physical exercise at least two months, and in some cases this period is extended. As soon as the doctor allows sports, a woman can plan her time and set aside an hour or more for exercises aimed at improving her figure.

Obstetrician-gynecologist, highest category, endocrinologist, ultrasound diagnostician, specialist in aesthetic gynecology Appointment

Obstetrician-gynecologist, endocrinologist, candidate of medical sciences Appointment

A caesarean section is a surgical intervention in the body. Therefore, unlike normal natural childbirth, after which a woman does not need medical control, after a cesarean section, monitoring the condition of the puerperal and medical care is necessary for her. In addition, it is clear that after abdominal surgery, the risk of complications and more number restrictions.

The first day after the operation, the young mother spends in the operating unit under the supervision of an anesthesiologist and an obstetrician. They monitor her well-being, how the uterus contracts, the intestines and bladder work.

The first few hours after a caesarean section, the puerperal lies. After six hours she is allowed to sit down, after 12 hours she is allowed to stand up and take a few steps. Of course, the mother herself does not need to get up yet - this can only be done with the help of a nurse or someone from her family.

On the second day, the young mother is transferred to the postpartum department, where she can stay with the baby.

In order for the body of the puerperal to recover faster after a caesarean section, on the first day after the operation, she is allowed to drink mineral water without gas, to which lemon juice can be added. True, it is not worth eating on the first day; instead, a woman is usually prescribed a dropper with vitamins and microelements. Already on the second day after a cesarean section, the diet expands - you can eat cereals, low-fat broth, boiled meat, sweet tea. From the third day, full nutrition is possible - only foods that are not recommended for breastfeeding are excluded from the diet. Usually, a cleansing enema is prescribed to normalize bowel function about a day after the operation.

If we talk about medical support in the first days after a cesarean section, then the puerperal must be prescribed painkillers. Pain relief is usually required for the first 2-3 days, then gradually withdrawn.

In addition to painkillers, drugs that promote uterine contraction and drugs that normalize the function of the gastrointestinal tract are prescribed. In order to avoid infectious complications, after a caesarean section (most often emergency), antibiotics are often prescribed. After a planned caesarean - usually do without them.

The postpartum suture can cause the greatest concern after the operation: it can hurt, especially with even a slight load, it must be bandaged daily, in addition, the stomach and the suture area cannot be wetted during the first week after cesarean. Pain quickly weakens - by the third day, most women who have given birth refuse painkillers. On the seventh day after the operation, the stitches are removed, unless they should resolve themselves. After the seam heals, it will be almost invisible, and in no way will interfere with the young mother. Of course, if she carefully follows all the recommendations of the doctor.

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Another question that torments women before a caesarean section is how the uterus will contract if she “does not know” that the birth has taken place.

First, after a caesarean section, a woman is prescribed drugs that help the uterus contract. Like after normal childbirth, the uterus will be freed from the remnants of the mucous membrane - blood clots. Only in the case of a caesarean section, this process can go slower and drag on for 2-3 weeks.

Secondly, it is very important that after a cesarean section, a young mother should start breastfeeding her baby as soon as possible, and not on schedule, but on demand. Feeding now, when using epidural anesthesia, is possible even immediately after surgery. When the baby suckles the breast, the uterus begins to contract more intensely and gets rid of all that is superfluous faster and better. After the operation, milk can come in the same way as after a natural birth - on the third day, or a little later.

In addition to the fact that the recovery is somewhat slower and the suture area is disturbed, the postpartum period for women who have given birth via caesarean section does not differ from the postpartum period for women who have given birth in a natural way.

You should not lift weights more than the weight of the child, you do not need to overwork. In order to help the abdominal muscles, you can vilify the postpartum bandage - but not for long, otherwise the effect will be the opposite.

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The only point worth paying attention to is that it is possible to become pregnant after a cesarean section no earlier than after three years, so issues with protection should be resolved as soon as possible and as carefully as possible.

After the doctor removes the stitches and does a control ultrasound, if there are no complications from either the mother or the child, they are discharged home. As a rule, this happens 8-10 days after birth. If the operation was accompanied by complications, then the recovery period may be longer.

In the first week after discharge, while the woman may still be disturbed by the seam, and she has not fully recovered, the family should provide her with the most gentle treatment possible and remove her from housework and everything that does not concern child care.

It is better if the first time after returning home, the woman will not be at home alone, but together with one of her relatives or friends. A special diet after discharge from the hospital is no longer needed, the woman switches to the normal diet of a nursing mother. You can take a bath or swim no earlier than one and a half months after a cesarean section, and full-fledged physical activity will have to be postponed for two months. You can resume sexual intercourse 6 weeks after the operation, after visiting the gynecologist and making sure that the recovery period is normal.

A feeling of some discomfort and a feeling of numbness of the skin in the area of ​​​​the scar can persist for several months after a cesarean section. This is fine. However, if severe pain occurs, the scar turns red, or brownish, yellow, or bloody discharge appears from the suture, you should immediately consult a doctor.

As a rule, both after a planned and after an emergency cesarean section, a woman has many chances to give birth to the next child naturally, of course, if there are no indications for a cesarean section during the next pregnancy.

In the medical center "Euromedprestige" you can undergo a complete examination, both during pregnancy and after childbirth. An obstetrician-gynecologist will conduct a control analysis, a doctor's consultation will make sure that all your organs have returned to their original state, that the postpartum period passes without complications.

And at this time, it is important for a woman to know many little things in order to recover faster and avoid mistakes that will entail disastrous consequences. Thanks to the analysis of women's thematic forums, we have identified the main questions about the recovery period after caesarean section.

What can you eat after the operation?

Like every abdominal surgery, caesarean section is performed under general or epidural anesthesia. The speed of recovery after anesthesia depends on many factors. First of all, from the chosen type of medicine, the correctness of the calculation by the anesthesiologist of the dose and the characteristics of the patient's body.

On the first day after this operation, you can drink water without gas, it is allowed to slightly acidify it with lemon juice. All nutrients to a woman so far enter the blood vessels with the help of droppers.

The patient is transferred from the intensive care unit to the postpartum on the second day after cesarean. What can you eat? As after another abdominal operation, broths, unsweetened fruit drinks, tea, ground boiled meat, low-fat cottage cheese, yogurt without fruit fillers, grated vegetable purees are allowed. Solid food is not recommended, as it is still necessary to spare the digestive organs.

After three days and in the future, the usual diet is gradually introduced, taking into account the diet for a mother who is breastfeeding. Pediatricians in the maternity hospital will tell you about what you can eat after a cesarean section for high-quality lactation. Milk porridges, vegetable side dishes and broths, fruit jelly, boiled meat and fish, steamed cutlets are useful. It is necessary to exclude fried, fatty, floury, salty, sweet, carbonated drinks and other foods that are difficult for the body in the postoperative period. It is allowed to fully resume the usual menu after the first independent stool, which, as a rule, should be 3-5 days after the operation.

When can I move actively after a caesarean?

How long you can resume activity after a cesarean depends on the individual characteristics of your body. Listen to the recommendations of doctors. And start moving only with their permission. Already on the second day after the surgical delivery, you will need to get out of bed on your own. Further, slow walking is allowed. You can sit down, starting only from the third day. In the first month after discharge from the hospital, you should not lift weights that exceed the weight of your baby.

Starting sports after surgery

Again, it all depends on your body. But regular sports are usually recommended by doctors not to start earlier than six weeks after surgery. Many women, puzzled by the restoration of their figure, are interested in when it is possible to pump the press after a cesarean section. Loads on the muscles of the peritoneum are recommended no earlier than a month later. Otherwise, you can cause deformations in the area of ​​the scar and even a hernia on it.

Swimming in the pool, for example, after a caesarean section is allowed only after the discharge has stopped.

When is sex allowed after a caesarean?

An unequivocal answer to this intimate question does not exist. Naturally, it is necessary that the discharge from the woman in labor should stop. And it should be understood that the postoperative uterus is an extensive wound surface and an early return to sexual activity can not only lead to pain, but also threatens the risk of infection of the mucosa. Renew sexual relations need not earlier than one month after operative delivery.

As a standard, gynecologists, when asked when it is possible to become pregnant after a cesarean, recommend that at least 18 months should elapse between the operation and subsequent pregnancy. Therefore, even if you are breastfeeding a newborn and menstrual cycle has not yet resumed, do not forget about contraception. After all, pregnancy soon after the operation is dangerous for both the fetus and its mother. And abortion in this case can also adversely affect the condition of an already weakened uterus and may lead to infertility in the future.

When can I give birth after surgery

When can you give birth to the next baby after cesarean is a question that worries many women. As a result of the operation, a scar remains on the uterus, which can disperse during new pregnancy, which poses a huge threat to the life of the mother and fetus. Therefore, ideally, at least 2-3 years should elapse between childbirth by surgery and the next pregnancy, so that the scar tissue has time to fully form.

But too much interval between pregnancies is not desirable, because it will be a weighty argument in favor of repeated operative childbirth. It is important that the pregnancy after the previous caesarean section is planned and proceeds under the careful examination of the doctor. First you need to assess the condition of the scar, for which methods such as hysteroscopy and hysterography are used.

First of all, it depends on the reason for the caesarean section. And if it has not yet been eliminated (for example, vision problems in the mother), then only operative delivery is possible in the future. Is it possible to give birth after a caesarean section in other cases? If during a previous pregnancy the baby simply lay incorrectly in the womb, which is why the operation had to be performed, then subsequent vaginal births are possible. But this takes into account the condition and type of scar (longitudinal or transverse), as well as the course of a new pregnancy. With a longitudinal seam in a woman, natural childbirth is usually excluded.

With a transverse scar after cesarean, you can give birth yourself, if there are no more contraindications for this. But the final verdict on the possibility of vaginal delivery after previous surgeries is made after 35 weeks of pregnancy. This takes into account factors such as the size of the fetus, its presentation and position in the womb, the location of the placenta relative to the internal uterine os and suture, as well as the viability of the scar itself. Only then will the woman be told whether it is possible to give birth herself after a caesarean section.

Regarding how much you can give birth after cesarean, there is also no single answer. All this is individual and depends on the state of health of the woman. Since pregnancy with a scar on the uterus is dangerous for both the mother and the fetus, and each new operation is more difficult than the previous one, surgeons advise the permissible number of caesarean sections to be no more than three.