26 days after cesarean section, the incision still hurts

As we all know, a cesarean section not only requires an opening in the woman's belly, but also an incision in the woman's uterus to take the baby out. Although this process is more painful than a natural birth, the wound afterwards is much more painful than a natural birth. Women still need to remove the stitches from the incision seven days after the cesarean section. It may not be so painful after the stitches are removed, but some women still have pain in the incision 26 days after the cesarean section. What's going on?

The stitches on the cesarean section incision can usually be removed eight days after the operation, which means it has healed, and you can take a shower two days later. After the incision heals, some people will often experience dull pain at the incision for about half a year. This is paroxysmal and a normal phenomenon in the tissue repair process. The incision for cesarean section can be horizontal (used for lower uterine segment cesarean section) or vertical, depending on the condition of the mother. There is no difference.

So based on your description it should be normal. If you are worried, I suggest you go to the hospital for a check-up so that you can calm down and spend the postpartum days well. I hope you get well soon. The following are some precautions and self-care common sense after caesarean section, I hope it can help you

(II) Precautions after cesarean section:

It is not advisable to lie flat: After the operation, the effect of the anesthetic disappears and the mother feels pain in the wound. The lying position is most sensitive to the pain of uterine contraction, so she should lie on her side with the body at an angle of 20-30 degrees to the bed, and put a quilt or blanket behind her to reduce the vibration and pulling pain of the incision when the body moves.

It is not advisable to lie still: After consciousness is restored after the operation, limb activities should be carried out. After 24 hours, you should practice turning over, sitting up, and getting out of bed and moving slowly. This can enhance gastrointestinal motility, expel gas as soon as possible, and prevent intestinal adhesion and thrombosis from causing embolism in other parts of the body.

Do not eat too much: eating too much after cesarean section will cause abdominal distension and increased abdominal pressure, which will hinder recovery. Therefore, you should fast within 6 hours after surgery, and then gradually increase your food intake. Timely bowel movements: After a cesarean section, due to the pain, the mother is afraid to exert force on the abdomen, and urination and defecation cannot be excreted in time, which can easily cause urinary retention and constipation. Therefore, after the operation, the mother should urinate and defecate in time according to her usual habits.

Prevent colds: Colds and coughs can affect wound healing, and severe coughs can even cause wound tears. Pregnant women who have caught a cold should take medication promptly.

In addition, make sure the abdominal incision and perineum are clean. Do not scratch when it itches, and do not scrub with unclean items.

3. Self-care after cesarean section:

1. Strengthening self-care after surgery is very important for a smooth recovery.

2. Intravenous infusion is required within three days after the operation to replenish water and correct dehydration. Six hours after the operation, you can eat some liquid food such as stewed eggs, egg drop soup, lotus root powder, etc. You can eat semi-liquid food such as porridge and crucian carp soup on the second day after the operation.

3. Early mobilization is an important measure to prevent intestinal adhesion, thrombosis and sudden death. After the anesthesia wears off, the muscles of the upper and lower limbs can be contracted and relaxed, and you can get up and move around six hours after the operation.

4. During a caesarean section, uterine bleeding is heavy and you should pay attention to the amount of vaginal bleeding. If you find that it exceeds the amount of menstrual bleeding, notify your doctor immediately.

5. When coughing, feeling nauseous or vomiting, you should apply pressure on both sides of the wound to prevent the stitches from breaking.

6. Generally, the indwelling urinary catheter can be removed after the fluid replacement is completed on the second day after the operation, and urination should be timely 3 to 4 hours after removal. If you cannot urinate in bed, you should get up and go to the toilet. If you still cannot urinate, you should tell your doctor until you can urinate freely.

7. If the body temperature exceeds 37.4℃, it is not advisable to forcibly discharge the patient. Within a week after returning home, it is best to measure your temperature once every afternoon to detect low fever early and deal with it in time.

8. Be careful of late postpartum hemorrhage: If the lochia increases significantly after returning home, like menstruation, you should seek medical attention in time, especially if you live in rural areas with inconvenient transportation. It is best to go directly to the original delivery hospital for diagnosis and treatment.

9. Take contraceptive measures in time: sexual intercourse usually starts 42 days after delivery, when the lochia is completely clean. It is advisable to use condoms in the early stage, and you should go to the original surgery hospital to have the IUD placed 3 months after delivery. Because if you get pregnant and have an abortion, it will be very dangerous.

10. Pay attention to the pain in the wound during menstruation: Endometriosis is sometimes seen at the wound site, which manifests as persistent swelling and pain in the wound during menstruation, and becomes more severe every month, and hard lumps may appear in the later stage. If such symptoms occur, you should go to the hospital as soon as possible.