Caesarian Section After a
Transcription
Caesarian Section After a
After a Caesarian Section A Caesarian Section (C-section) is a surgical procedure which involves the delivery of a baby through an incision (cut) in the abdomen. How you might feel afterwards: After a C-section it is normal to feel quite sore in your lower abdomen. The pain will lessen as time passes. The usual healing process for a C-section is 4-6 weeks. You may find it difficult to sit up, stand up and do other * activities which involve using your abdominal muscles. You may have some bruising, minor swelling and redness. You may have itchiness or a feeling of numbness along the incision line. You may note a small amount of clear discharge from the incision (it should not be blood or pus). If staples have been used to close your incision, you will need to return to the doctor to have these removed a few days after you leave the hospital. If stitches have been used to close your incision these will dissolve. You will have vaginal discharge/ bleeding which will be bright red for the first 3-4 days, a brownish to pinkish color day 4-10, and yellowish-white color day 10-6 weeks. You may have gas pains after a C-section. You may experience feelings of disappointment or frustration (especially after an unplanned C-section). It is important to discuss these feelings with your partner, family or health care provider. DURHAM REGION HEALTH DEPARTMENT For more information, contact Durham Health Connection Line 905-666-6241 or 1-800-841-2729 www.durham.ca May 2009 Call your doctor if: Your abdominal pain has not been relieved at all despite taking pain medication as directed by your doctor (e.g. excessive pain). You have a fever (temperature > 37.8° C or 100°F), chills or a rapid pulse. There is redness, heat or extreme swelling (lumps) along the incision line. There is yellow, green or foul-smelling discharge oozing from the incision. There is blood oozing from the incision. There is any separation (opening up) along the incision line. You have not had a bowel movement for several days after your C-section or you are not passing gas. You are experiencing nausea and vomiting. You have pains in your legs, particularly if your leg is swollen and red. You have pain in your chest, or shortness of breath. You feel dizzy or faint. You have bright red bleeding from your vagina that completely soaks one or more pads in 2 hours, and does not stop or slow with rest. You are passing blood clots larger than the size of a loonie. You have foul-smelling vaginal discharge. You are experiencing pain/ burning when urinating, or having difficulty passing urine. General Care After a C-section: It is important to keep the incision clean and dry, and to leave it open to the air as much as possible. Discuss your need for pain medication with your doctor. For the first 6 weeks after delivery, you should avoid lifting anything heavier than your baby. You should avoid activities that involve pushing or pulling (e.g. vacuuming). It is fine to have a shower, but ensure that you dry the incision well afterwards, and if possible leave it open to the air for a little while. What May Help: Hold a pillow over your abdomen when moving, coughing or sneezing. Use comfort measures or relaxation techniques during your recovery period (e.g. deep breathing, music, dim lights). Roll onto your side first and push up with your arms when getting up from a lying position, rather than using your abdominal muscles. If you are breastfeeding your baby, you may find it more comfortable to use the football position or side lying position (so that the baby is not lying across your abdomen). Move slowly if you need to climb stairs (avoid them if possible). Walking and rocking in a rocking chair may relieve gas pains. Lying on your left side may also help relieve gas. (Do not use a straw to drink fluids as this may increase gas). If you are having difficulty passing a bowel movement, ensure that you drink plenty of fluids, try to eat fruits, vegetables and foods high in fibre. Discuss the need for a stool softener with your doctor.