If you're planning a Caesarean delivery or you want to be prepared in case you need to have one, you might have questions about the recovery process. How much pain you should expect, what breast-feeding positions might work best. Here is some information to help you understand how to take care of yourself and your baby during your Caesarean recovery.
Treat your incision with care
During the recovery process, discomfort and fatigue is common. To promote good healing the following is recommended:
• Take it easy. Rest when possible. Try to keep everything that you and your baby might need within reach. For the first couple of weeks, avoid lifting anything heavier than your baby. This also means, when you are leaving the house, someone else is carrying your baby in their car seat. You should only be carrying your baby.
• Support your abdomen. As best as you can try to use good posture when you stand and walk. Hold your abdomen near the incision during sudden movements, such as coughing, sneezing or laughing.
• Seek pain relief. Your health care provider might recommend a heating pad, ibuprofen (Advil, Motrin IB, others), acetaminophen (Tylenol, others) or other medications to relieve pain. Most pain relief medications are safe for breast-feeding women. If this is something you are concerned about, make sure you talk to your health care provider about all pain relief options.
• Drink plenty of fluids. Drinking lots of fluids can replace those lost during delivery and breast-feeding, as well as help prevent constipation. If your choosing to breastfeed it is very important to drink plenty of water. “Drink more water, make more milk!”
Look for signs of infection
Check your incision for signs of infection. Contact your health care provider if:
• The incision is red, swollen or leaking discharge
• You have a fever higher than 100.4 F (38 C)
• You experience increasing pain around your incision
Experiment with breast-feeding positions
You can begin breast-feeding almost immediately after the Caesarean. To make it as comfortable as possible, place a pillow over your incision while holding your baby. Other moms who have had Caesareans found that these breast-feeding positions that work well for them:
• Football hold. Hold your baby at your side, with your elbow bent. With your open hand, support your baby's head and face him or her toward your breast. Your baby's back will rest on your forearm. It might help to support your breast in a C-shaped hold with your other hand. For comfort, put a pillow on your lap and use a chair with broad, low arms. Here is a link to help you find visual videos to do the football hold.
•Side-lying hold. Lie on your side and face your baby toward
your breast, supporting him or her with one hand. With the other
hand, grasp your breast and touch your nipple to your baby's lips.
Once your baby latches on, use one arm to support your own
head and the other to help support the baby.
If you're having trouble breast-feeding during your Caesarean recovery or afterward, contact your Midwife or OB, they may suggest that visiting a lactation consultant can help.
Manage other postpartum signs and symptoms
While you're recovering from your Caesarean birth, remember that you're also recovering from pregnancy. Here's what to expect:
• Vaginal discharge (lochia). Expect a bright red, heavy flow of blood for the first few days after the Caesarean. It might contain a few small clots. The discharge will gradually taper off during the first month postpartum, becoming watery and changing from pink or brown to yellow or white. Contact your health care provider if you have heavy vaginal bleeding, discharge with a foul odour, or you have a fever of 100.4 F (38 C) or higher.
• Contractions. You might feel contractions, sometimes called afterpains, during the first few days after your Caesarean. These contractions — which often resemble menstrual cramps — help prevent excessive bleeding by compressing the blood vessels in the uterus. This sometimes happens while your breastfeeding your baby. Your health care provider might recommend an over-the-counter pain reliever If you are finding these afterpains too uncomfortable. Contact your health care provider if you have a fever or if your abdomen is tender to the touch. This could indicate a uterine infection. In most cases these afterpains subside on their own without the need for medication.
• Sore breasts. Several days after the C-section, your breasts might become firm, swollen and tender (engorgement). To ease discomfort, nurse, use a breast pump, apply warm washcloths or take a warm shower to express milk. Between feedings, place cold washcloths or ice packs on your breasts.
If you're not breast-feeding, wear a firm, supportive bra, such as a sports bra, to help stop milk production. Don't pump or rub your breasts, which will cause your breasts to produce more milk.
• Leaking milk. If your breasts leak between feedings, wear nursing pads inside your bra to help keep your shirt dry. Change pads after each feeding and whenever they get wet.
• Hair loss and skin changes. During pregnancy, elevated hormone levels increase hair growth and put normal hair loss on hold, creating an extra-lush head of hair. After delivery, however, hair growth decreases and your body begins to shed the excess hair all at once. Hair loss typically stops within six months. At the same time, stretch marks typically fade from red to silver.
• Mood changes. Childbirth can trigger mood swings, irritability and anxiety. Many new moms experience mild depression, sometimes called the baby blues, which typically subsides within a week or two. In the meantime, take care of yourself. Ask for help and support. If your depression deepens or you feel hopeless and sad most of the time, contact your health care provider.
• Postpartum depression. If you experience severe mood swings, loss of appetite, overwhelming fatigue and lack of joy in life shortly after childbirth, you might have postpartum depression. Contact your health care provider if you think you might be depressed, especially if your signs and symptoms don't fade on their own, you have trouble caring for your baby or completing daily tasks, or you have thoughts of harming yourself or your baby.
• Weight loss. After your C-section, you'll probably feel out of shape. You might even look like you're still pregnant. This is normal. Most women lose more than 10 pounds during birth, including the weight of the baby, placenta and amniotic fluid. During your recovery, you'll drop more weight as your body gets rid of excess fluids. After that, a healthy diet and regular exercise can help you return to your pre-pregnancy weight.
The postpartum checkup
About six weeks after delivery, your health care provider will check your abdomen, vagina, cervix and uterus to make sure you're healing well. In some cases, you might have the checkup earlier so that your health care provider can check your incision. Use this checkup as an opportunity to talk about resuming sexual activity, birth control, breast-feeding and how you're adjusting to life with a new baby.
Also, be sure to discuss any questions or concerns you might have about your physical or emotional health. Your health care provider will likely be able to provide advice and assurance as you adjust to life with your newborn.