How to care for c-section stitches?
When you opt for a caesarean section, whether it is for personal reasons or due to a medical emergency, it is still considered a major surgery as you will be going under the knife to have your abdomen surgically cut open in order to deliver your baby from your uterus.
So special care is required post-surgery to ensure your healing process is on the right track and that you will be able to make a full recovery from your C-section procedure.
Read on for all the things you need to know about caring for your battle scar, aka your c-section stitches.
C-Section Wound: Types of Incisions and Closures
4 Types of C-Section Incisions
C-sections, or cesarean deliveries, are common surgical procedures performed to deliver babies. Different types of incisions may be used depending on factors like the mother’s health, previous surgeries, and the baby’s position. Here are four types of C-section incisions commonly used today.
1. Transverse Incision: The Classic Choice
A transverse incision is made horizontally across the lower abdomen, usually just above the pubic hairline. It allows for a wide opening and is the most common type of C-section incision. A transverse incision typically requires around two layers of stitches, totalling 2 to 3 layers in total.
2. Vertical Incision: For Specific Situations
A vertical incision runs from the belly button down to the pubic bone, creating a longer opening. It may be used in emergencies or if there are concerns about previous scarring or excessive bleeding. Similar to a transverse incision, a vertical incision usually involves 2 to 3 layers of stitches.
3. T-Incision: Rare but Necessary
A T-incision combines a transverse incision with a vertical incision, forming a shape resembling the letter “T.” It is rarely used and reserved for complex situations, such as accessing hard-to-reach areas or managing certain complications. Due to its combination of incisions, a T-incision may require additional layers of stitches, depending on the specific case.
4. Low Transverse Incision: Minimising Scarring
Also known as the “bikini cut,” a low transverse incision is similar to a regular transverse incision, but it is positioned lower on the abdomen, closer to the pubic bone. It is favoured for its potential to reduce scarring and enable future vaginal births after a cesarean (VBAC). The number of stitches required for a low transverse incision is comparable to that of a regular transverse incision.
After having a caesarean section, you will need to take good care of your stitches and wound
C-Section Closures
After the surgery, the incision made in the abdomen needs to be closed properly to promote healing. In this listicle, we’ll explore four types of C-section closures, shedding light on the number of stitches used in cesarean delivery.
The number of staples used can vary depending on the length of the incision and the surgeon’s preference.
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Sutures: Sutures, also known as stitches, are another common method of closing C-section incisions. They involve using thread-like materials to sew up the layers of tissue. Absorbable sutures are often used in the deeper layers, while non-absorbable sutures are used on the skin.
The number of stitches required can vary, but it typically ranges from around 10 to 20 stitches.
Steri-strips are often used in conjunction with sutures or staples, especially for smaller incisions. They are easy to apply and remove, and their use can reduce scarring.
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Surgical Glue: In some cases, surgical glue or adhesive may be used to close a C-section incision. This method involves applying a special medical-grade glue along the wound edges, which holds them together until they heal.
Glue is often used in combination with other closure methods, such as sutures or Steri-strips. It provides a barrier against infection and eliminates the need for suture or staple removal.
Remember, the choice of incision and closure is based on individual circumstances and should be determined by your healthcare provider.
Caring for Your Caesarean Section Stitches
Your newborn is probably your number one priority right now, but it is important that you remember to take care of yourself too.
Your C-section wounds need special care and attention to make sure that it heals properly and there is no risk of caesarean wound infection.
So what should you do during your recovery period?
If you have a dressing (or bandage), you will have to change it every day, or as soon as it gets soiled or wet.
You should always keep your C-section incision clean by washing it with warm water and mild soap daily.
Do not scrub the incision area, but instead, lather up a washcloth or sponge with mild soap then squeeze it over the area and give it a rinse with warm water.
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Always keep the area completely dry
After bath time, always gently pat the incision area dry with a clean towel completely before getting dressed.
Avoid using any cosmetic oils, creams and lotions on the stitches or around the area as they may contain ingredients which can irritate the incision — get a specific scar gel like Hiruscar Kids instead to help treat the area.
Singapore’s hot and humid weather will probably make you sweat, so it’s a good idea to occasionally keep the incision uncovered and wear loose clothing so as to help the area breathe.
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Experiment with different breastfeeding positions
There is no reason why you can’t almost immediately start breastfeeding your little one after undergoing a caesarean section, but to minimise any pain or discomfort, you should try different positions that work well for you and bub, such as:
- Football/ clutch/ rugby hold
- Side-lying hold
- Australian/ koala hold
- Laid-back hold
You can also place a small pillow on your abdomen before cradling your baby, so as to provide some extra cushioning over the area.
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Support and protect the incisions
Your caesarean section procedure was an internal as well as an external incision. You need to protect both incisions from tearing open during the healing process.
Remember to always support your incision when laughing, coughing, sneezing and when getting in and out of bed or standing up from a sitting position.
You can use the Lunavie Premium Postpartum Abdominal Binder, a comfortable abdominal binder that can support your caesarean section stitches, compresses the abdominal tissues to minimise pain, reduce swelling and even help you get your pre-baby body back!
An abdominal binder doesn’t just help you get back into shape. It also supports your abdominal and back muscles, which might have weakened from the C-section. Wearing the abdominal binder reduces the risk of injury.
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Use cold or warm treatments
Swelling after your surgery should be gone after a day or two, but if there is some swelling around your caesarean section stitches, you can try applying an ice bag to the covered incision.
Applying a heating pad or a warm compress to your covered incision will also stimulate blood circulation which promotes healing.
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Wear loose-fitting clothes
Opt for loose-fitting clothes, such as a flowy dress, sweat pants or an oversized t-shirt, because tight clothing can rub on the sensitive area which can cause irritation.
Once your incision starts to heal, you can start wearing your regular clothes again. But it’s still better to have abdominal support and scar protection until you make a full recovery.
You may also wear C-section postpartum underwear to help with your recovery. Choose one with a medical-grade compression to help reduce swelling.
How to Speed Up the Healing Process
If you’re looking to speed up the healing of your c-section wound, there are a few things you can do to support the process.
First and foremost, follow your healthcare provider’s instructions and take any prescribed medications as directed. Rest is crucial, so try to avoid strenuous activities and give your body time to heal. However, gentle movement and walking can promote blood flow and aid in the healing process, as long as you don’t overexert yourself.
Keeping the incision site clean and dry is essential, so follow proper hygiene practices and change your dressings as instructed. Eating a balanced diet with plenty of nutrients, such as fruits, vegetables, and protein, can provide your body with the necessary building blocks for healing. Stay hydrated and get enough sleep to support your overall recovery.
Remember to communicate any concerns or questions with your healthcare provider for personalized advice throughout your healing journey.
Why Is My C-Section Wound Itchy
If you’ve had a c-section and your incision site starts to itch, don’t worry, it’s actually quite common! Itching around the c-section incision can occur as part of the normal healing process. As the incision heals, the nerve endings in the surrounding area begin to regenerate, which can cause itching sensations.
Additionally, as the incision heals, the skin may become dry, leading to further itching. However, it’s important to avoid scratching or picking at the incision site to prevent any potential complications.
If the itching becomes severe or is accompanied by redness, swelling, or discharge, it’s advisable to contact your healthcare provider for further evaluation. Remember, itchy C-section incisions are usually a sign that your body is healing, so hang in there!
Signs of Cesarean Wound Infection
Your caesarean section incision will be slightly puffy and lighter or pinker than the rest of your skin at first and the pain should decrease after two or three days, but may still feel a bit tender for up to three weeks or possibly longer.
But there are some important signs for you to look out for. These signs indicate an infection and will require medical attention, including:
- A feeling of warmth, redness, swelling, or any oozing from the incision
- The pain is actually getting worse or you suddenly feel pain
- You have a fever
- There is foul-smelling or abnormal vaginal discharge
- Any pain in one area of your leg, or one leg is more swollen than the other (which could be signs of a blood clot)
You may also experience flu-like symptoms such as:
- sweating
- temperature over 100.4°F (38°C)
- headache
- chills
- loss of appetite
- dehydration
- fatigue
- muscle aches
- difficulty concentrating
Infection symptoms may not become apparent immediately following surgery, as it can take up to 30 days for them to manifest. If any symptoms do arise, it is crucial to promptly seek medical attention to receive proper guidance on the most effective treatment.
5 Common Causes of C-Section Wound Infection
After a cesarean section (C-section) surgery, it’s important to be aware of the potential risk of developing an infection in the surgical wound. Below are the most common causes of infection of your cesarean wound:
1. Bacterial Contamination
One of the primary causes of C-section wound infection is the introduction of bacteria into the surgical site. During the procedure, bacteria from the skin, surrounding tissues, or surgical instruments can contaminate the incision site, leading to infection if not properly addressed.
2. Prolonged Labour
When labour extends for an extended period before a C-section becomes necessary, the risk of infection can increase. Prolonged labour can result in prolonged exposure of the baby and the mother’s internal tissues to bacteria, potentially leading to infection in the surgical wound.
3. Improper Surgical Technique
In rare cases, improper surgical techniques during the C-section procedure can contribute to wound infections. Poor wound closure, inadequate sterilisation, or failure to maintain a sterile surgical field can create an environment favourable for bacterial growth and infection.
4. Compromised Immune System
Having a compromised immune system due to pre-existing conditions, such as diabetes, obesity, or immunodeficiency disorders, can increase the likelihood of developing an infection after a C-section. A weakened immune system may struggle to effectively fight off the bacterial invasion, making wound infection more likely.
5. Poor Postoperative Care
Insufficient postoperative wound care can also contribute to the development of C-section wound infections. Inadequate cleaning, failure to keep the incision area dry, or improper dressing changes can create an environment conducive to bacterial growth and infection.
It’s important to note that not every C-section will result in an infection, and healthcare professionals take numerous precautions to minimise the risk. However, being aware of these common causes can help you understand potential risk factors and take appropriate measures to prevent infection.
Image Source: iStock
What to Avoid After Caesarean Delivery
During your recovery process, there are a few things you should avoid doing. This is to promote the healing process.
Stay away from the following:
- Sexual intercourse. It may take up to eight weeks before you can go back to your normal routine. Get your doctor’s go signal before you have sex again with your partner.
- Using tampons or vaginal douches. Wait for your doctor’s approval before using the Mesh Disposable Maternity Post Partum Panty or any other products.
- Swimming, soaking in a hot tub or bathtub or Jacuzzi. Avoid these places to stay away from bacteria, which can get into your incision.
- Lifting or carrying anything that’s heavier than your baby. Ask for help.
- Taking the stairs. Keep newborn necessities like diapers and wet wipes within reach.
- Vigorous exercise. Movement is encouraged to avoid blood clots and constipation. But stay away from anything strenuous and limit your exercise to slow walks.
Pain and bleeding
It is normal to feel discomfort and pain after a C-section. Ask your doctor about painkillers such as paracetamol or ibuprofen to relieve your pain.
You may also have vaginal bleeding after caesarean delivery.
During this time, use sanitary pads and not tampons. This is to lower the risk of an infection spreading into your vagina. If you experience heavy bleeding after caesarean delivery, consult your doctor.
Postpartum Check-up After a C-Section
Don’t forget to come back to your doctor, especially if you had a Caesarean section.
You are still going through the fourth trimester, or the first 12 weeks after your baby is born.
Your doctor still needs to assess you and check your incision. This is to ensure there are no infections, and that it is healing accordingly.
Your first check-up should be before your third week postpartum. You may have another visit before your 12 weeks postpartum.
5 Tips to Minimise C-Section Scars
Cesarean sections can leave behind scars as part of the healing process. If you’re looking to minimise the appearance of your C-section scar, there are steps you can take to promote healing and improve aesthetics:
1. Follow Proper Wound Care
Taking care of your incision site is crucial for minimising scars. Clean the area gently with mild soap and water, pat dry with a clean towel, and avoid scrubbing or using harsh chemicals. Keep the incision site clean and dry to reduce the risk of infection, which can impact the healing process and scar formation.
2. Use Scar-Reducing Creams or Oils
Look for products containing ingredients like vitamin E, aloe vera, or silicone gel, which are known for their skin-healing properties. Follow the instructions provided with the product for optimal results.
3. Massage the Scar Tissue
Gently massaging the scar tissue can improve blood circulation and break down scar tissue, leading to a smoother and less noticeable scar. Use your fingertips to apply light pressure in circular motions over the scar, gradually increasing the pressure over time. Consult your healthcare provider for guidance on when to start scar massage and proper techniques.
4. Protect from Sun Exposure
Sun exposure can darken scars and make them more visible. Protect your C-section scar from harmful UV rays by keeping it covered with clothing or applying sunscreen with a high SPF. Shielding your scar from excessive sun exposure will aid in minimising its appearance over time.
5. Give It Time
Patience is key when it comes to minimising C-section scars. Remember that scars gradually fade and flatten with time. Be consistent with your scar care routine and allow your body ample time to heal. As the months go by, you’ll likely notice an improvement in the appearance of your C-section scar.
Take It Easy, CS Mums
After a Caesarean delivery, you may stay in the hospital for two to four days, barring any complications. Use this time to rest and recuperate. If possible, inform your friends not to visit yet. You can limit your visitors to your immediate family.
Different women will heal at different rates. It can be frustrating to be so limited by all the dos and don’ts during caesarean section recovery. But you should also remember to take care of yourself.
It is normal to feel discomfort and fatigued. So you should just take it easy and get as much rest as possible.
Ask your doctor for some medication to help relieve pain which is safe for breastfeeding mums.
Don’t feel shy to ask your partner or family for help with the baby or around the house. Remember, you definitely deserve some TLC too!
Image Source: Stock
Updates by Romy Pena Cruz
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