What are the common symptoms of adhesions after a c-section. How long does it take for c-section scar tissue to heal. Can c-section scar tissue cause problems years later. How can you prevent adhesions after a c-section.

The Impact of C-Section Scar Adhesions on Postpartum Recovery

Cesarean sections, commonly known as c-sections, account for approximately 32% of all births in the United States. While this surgical procedure is often necessary to ensure the safety of both mother and child, it’s crucial to understand the potential long-term effects, particularly regarding scar tissue and adhesions.

Adhesions are bands of scar tissue that form between tissues and organs, causing them to stick together. These can develop as the body heals from the c-section incision, which involves cutting through seven layers of tissue. While the formation of scar tissue is a natural part of the healing process, excessive adhesions can lead to various complications.

Common Symptoms of C-Section Adhesions

• Persistent abdominal pain or discomfort
• Difficulty with certain movements or exercises
• Bladder issues, including urgency or incontinence
• Lower back pain
• Pain during sexual intercourse
• Visible “shelf” or “pooch” in the lower abdomen
• Altered posture
• Reduced core muscle function

It’s important to note that adhesions can form without immediate noticeable symptoms. Some women may not experience issues until months or even years after their c-section.

The Healing Process: Skin vs. Deeper Tissues

When healthcare providers declare a c-section incision “well-healed” at the 6-8 week postpartum check-up, they are primarily referring to the skin’s healing. This assessment focuses on whether the incision is closed, dry, and free from signs of infection. However, this surface-level healing does not necessarily reflect the condition of the deeper tissues affected by the surgery.

The remodeling phase of healing, during which collagen is deposited to strengthen the tissue, continues for up to two years after the surgery. While this process is essential for recovery, it can also contribute to the formation of adhesions.

Layers Affected by C-Section Adhesions

1. Skin to fascia/fat
2. Fascia to abdominal muscles
3. Between the four layers of abdominal muscles
4. Abdominal muscles to deep abdominal fascia
5. Abdominal wall to the uterus
6. Uterus to bladder

The Long-Term Effects of C-Section Adhesions

Adhesions can have far-reaching effects on a woman’s body, impacting various aspects of her health and daily life. Understanding these potential issues is crucial for proper postpartum care and recovery.

Impaired Core Function

When adhesions form between the layers of abdominal muscles, it can significantly impact core function. The muscles may not be able to contract and relax independently, leading to reduced strength and coordination. This can affect posture, breathing, and overall physical performance.

Pelvic Floor Dysfunction

Adhesions can indirectly affect the pelvic floor muscles by altering the mechanics of the abdominal and pelvic region. This may contribute to issues such as urinary incontinence, pelvic organ prolapse, or pain during intercourse.

Chronic Pain

Some women experience persistent pain or discomfort due to adhesions. This can range from a constant dull ache to sharp pains during certain movements or activities.

Scar Mobilization: A Key to Adhesion Management

Scar mobilization techniques can be an effective way to address adhesions and improve tissue function. These techniques involve gentle manipulation of the scar tissue to increase its flexibility and reduce restrictions in the surrounding tissues.

When to Start Scar Mobilization

Scar mobilization can typically be initiated around 3 weeks post-surgery, focusing initially on the skin surrounding the scar. As healing progresses, deeper techniques can be introduced. It’s crucial to consult with a healthcare provider or a physical therapist specializing in postpartum care before beginning any scar mobilization regimen.

Benefits of Scar Mobilization

• Improved tissue flexibility
• Enhanced blood flow to the area
• Reduced pain and discomfort
• Better core muscle function
• Improved overall mobility

It’s worth noting that scar mobilization can be beneficial even years after a c-section. The tissue can continue to respond to treatment, potentially alleviating long-standing issues related to adhesions.

Preventing and Managing C-Section Adhesions

While it’s not always possible to prevent adhesions entirely, there are steps that can be taken to minimize their formation and impact.

Early Mobilization

Gentle movement and walking as soon as it’s safe after surgery can help prevent adhesions from forming. This promotes blood flow and helps maintain tissue mobility.

Proper Nutrition

A balanced diet rich in vitamins and minerals can support optimal healing. Adequate protein intake is particularly important for tissue repair.

Hydration

Staying well-hydrated can help maintain tissue elasticity and support overall healing.

Professional Support

Working with a physical therapist or other healthcare provider experienced in postpartum care can provide personalized strategies for adhesion prevention and management.

The Role of Physical Therapy in C-Section Recovery

Physical therapy can play a crucial role in managing c-section adhesions and promoting optimal recovery. A specialized postpartum physical therapist can provide a range of interventions to address adhesions and their effects.

Physical Therapy Interventions for C-Section Recovery

• Manual therapy techniques for scar mobilization
• Exercises to improve core and pelvic floor function
• Postural education and correction
• Breathing exercises to optimize diaphragm function
• Strategies for safe return to exercise and daily activities

Physical therapy can be beneficial at any stage post-c-section, whether it’s a few weeks after surgery or several years later. The goal is to address any lingering issues and optimize overall function.

Long-Term Considerations for C-Section Scar Health

Maintaining the health of your c-section scar is an ongoing process that extends well beyond the initial healing period. Understanding the long-term considerations can help ensure optimal recovery and prevent future complications.

Ongoing Scar Care

Even after the initial healing period, it’s important to continue caring for your scar. This may include gentle massage, keeping the area moisturized, and protecting it from excessive sun exposure.

Monitoring for Changes

Be aware of any changes in your scar or surrounding area. This could include new pain, changes in sensation, or visible alterations in the scar’s appearance. Any significant changes should be discussed with a healthcare provider.

Future Pregnancies

If you’re planning future pregnancies, it’s important to discuss your c-section history with your healthcare provider. While many women successfully have vaginal births after cesarean (VBAC), the presence of adhesions may be a factor to consider in birth planning.

Empowering C-Section Mothers Through Education and Support

Understanding the potential long-term effects of c-section adhesions is crucial for empowering mothers in their postpartum recovery journey. By being aware of the signs and symptoms of adhesions, women can seek appropriate care and support to address any issues that arise.

The Importance of Self-Advocacy

Many women experience a sense that something isn’t quite right with their body after a c-section, even if they can’t pinpoint the exact issue. It’s important for mothers to trust their instincts and advocate for themselves if they feel that their concerns aren’t being adequately addressed.

Building a Support Network

Connecting with other c-section mothers, whether through support groups or online communities, can provide valuable emotional support and shared experiences. These connections can also be a source of information about resources and treatment options.

Ongoing Education

As research in postpartum care continues to evolve, staying informed about the latest findings and recommendations can help mothers make informed decisions about their health and recovery. Attending workshops, webinars, or consulting with specialists can provide up-to-date information on managing c-section adhesions and optimizing overall postpartum health.

In conclusion, while c-section adhesions can present challenges in postpartum recovery, understanding their potential impact and available management strategies can significantly improve outcomes. By prioritizing ongoing scar care, seeking appropriate professional support, and staying informed, c-section mothers can take proactive steps towards optimal healing and long-term well-being. Remember, it’s never too late to address c-section adhesions and their effects – with the right approach, improvements in function and quality of life are achievable at any stage of the postpartum journey.

C-Section Scar Adhesions and Function

MamasteFit

The infamous 6-8 week “all clear” appointment is in the books so what now? If you were given clearance, your incision was likely labeled as well-healed. This feels like an indicator that we no longer need to treat the incision but unfortunately, that isn’t optimal. C-sections account for ~32% of all births in the US and a bit less internationally. It is important that moms are aware of healing strategies after this major surgical procedure.
This blog will break down the importance of scar mobilization for optimizing function and healing post cesarean birth.

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My scar is “healed” so everything is fine, right?

The infamous 6-8 week “all clear” appointment is in the books so what now? If you were given clearance, your incision was likely labeled as well-healed. This feels like an indicator that we no longer need to treat the incision but unfortunately, that isn’t optimal. C-sections account for ~32% of all births in the US and a bit less internationally. It is important that moms are aware of healing strategies after this major surgical procedure.

Skin Healing versus Tissue Healing

When the provider labels an incision as well-healed, they are primarily addressing skin healing. The skin is clean, dry, intact, without any open areas, pus, blood, or drainage. This is an indicator that the incision is fully closed and not at risk of infection. All of these things are critically important to your health but they do not indicate how well your tissues are functioning during exercise, functional movement, or in life in general.

Part of the body’s skin healing mechanism is the laying down of a protein (known as collagen) in the incision to improve tissue strength. This phase, known as the remodeling phase, occurs from about week 3 post-cesarean until about 2 years. Collagen depositing strengthens the tissue but can also be responsible for the formation of adhesions. An adhesion is a band of scar tissue that joins two internal body surfaces that are usually not connected. Organs or tissues within the body adhere (stick) to other internal surfaces such as skin to fascia, muscle to skin, or uterus to the bladder. Adhesions develop as the body attempts to repair itself and cesarean birth requires the incision of 7 layers of tissue.

Could I have adhesions and not know it?

The answer is yes. Adhesions can impact function in a number of ways including affecting posture, core muscle activation, bladder urgency or incontinence, low back pain, pain with penetrative sex, the aesthetic appearance of a shelf or “pooch.” Recognizing and addressing adhesions with scar mobilization techniques can be paramount in return to the symptom-free living.

Adhesions can occur between the skin and fascia/fat, between the fascia and abdominal muscles, between the 4 layers of abdominal muscles, abdominal muscles and deep abdominal fascia, abdominal wall and the uterus, and between the uterus and bladder. It is not surprising that many people complain post-cesarean that their stomach just feels “weird.” If the tissues are stuck together, they are not able to move freely and function independently of one another.

For example, when the 4 layers of abdominal muscles are adhered together by scar tissue, they cannot contract or tighten in an optimal way. Lack of core activation can contribute to less than optional diaphragm function for breathing, low back pain, and pelvic floor dysfunction. Scar tissue mobilization can be an effective tool for addressing adhesions. It can be initiated as early as 3 weeks on the skin around the scar and patients can benefit from it even decades after cesarean birth. It’s never too late to mobilize these tissues.

I’d love to connect with you in our upcoming C-section Scar Mobilization webinar and discuss the specific techniques/parameters for mobilization as well as the signs that a scar may have adhesions. It is never too late to mobilize scar tissue and any amount of mobilization can create improvement. As a C-section mama x 2 and physical therapist, I am passionate about sharing these resources with any moms in need!

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Possible C Section Complications Years Later

Since 1970, the United States Cesarean rate has steadily climbed from 5% of births to over 30%, where it has remained since 2005. Unfortunately, C-section complications years later are rarely considered or discussed.

Even though Cesareans have become more common, when considering risks, doctors and parents often only look at the immediate risks. 

Recovering from a Cesarean birth doesn’t happen in days or weeks. For many moms, a surgical delivery impacts them much longer than the initial physical recovery period. And no one is talking about it. 

It can take years or even a lifetime to process emotional struggles that come with an unplanned C-section. There are also many physical side effects of a C-section related to the pelvic floor, internal scar tissue, uterus, and abdominal muscles that may not manifest until years after surgery. 

The long-term complications after C-section should be discussed and considered when deciding whether to choose a VBAC or repeat Cesarean, because having multiple Cesareans has a higher likelihood of bringing on long-term issues. As always, we recommend discussing the risks and benefits of each delivery method based on your own unique needs with a care provider that you trust.  

This article covers 21 C-section complications that can happen years after the initial surgery, how C-section can impact future pregnancies, long-term effects on your baby’s health, and what signs to watch for if you are suffering from complications. 

If you are currently experiencing complications or would like more in-depth information on your birth and pregnancy history, we recommend that you consult your health care provider immediately.

Side Effects of C-Section

Only 5.2% of Cesareans with first-time moms are planned ahead of time; this means that most parents are often unprepared for even the short-term side effects of having a Cesarean.

Knowing what to expect immediately post birth and in the first few weeks is a necessary first step in becoming familiar with Cesarean complications. 

According to The Mayo Clinic, possible short-term Cesarean side effects include:

• Breathing problems for the baby
• Surgical injury to the baby
• Increased likelihood if NICU admission
• Infection of the incision site
• Postpartum hemorrhage
• Reactions to anesthesia
• Blood clots
• Infection of the uterus
• Surgical injury to the mother, including organ damage and (very rarely) death

These are all important things to be aware of and need medical attention; however, you will likely be in the hospital still if any of the above-listed issues happen. If you are at home, it is crucial to get in touch with a doctor immediately.

Along with the immediate side-effects of a Cesarean, several new studies show that mothers who have Cesareans have a higher chance of long-term health risks later in life. 

In 2018, a systemic review and meta-analysis of long-term risks and benefits of Cesarean for mother, baby, and subsequent pregnancies, including over 30 million parents, was performed. The findings of this analysis are significant and show the undeniable impact that Cesarean births have on both parents and children long-term.

Pregnancy and Fertility Complications After C-Section

Some of the most relevant concerns for new parents delivering by Cesarean are the ability to have more children and what effect Cesarean birth has on their future fertility, pregnancy, and birth options. 

Fertility Issues

The 2018 review showed that mothers who had a C-section have a 17% higher risk for miscarriage and are 27% more likely than those with an unscarred uterus to experience a stillbirth.  

Fertility issues are likely caused by the scarring left on the organs and tissues surrounding the uterus as the wound heals. When scar tissue connects to the bladder, uterus, and other organs, it can make getting pregnant almost impossible or very painful due to less than ideal areas for the fertilized egg to implant in the uterus. 

Basically, there are fewer areas on the uterus for the baby to attach and grow. 

Placenta Issues: Placenta Previa, Placenta Accreta, and Placental Abruption

Having an anterior placenta is not a problem for VBAC, as long as the placenta is not covering the Cesarean scar. However, other placenta issues cause serious complications that need medical attention, usually a repeat Cesarean. These complications increase drastically after just one C-section. 

Placenta Previa happens when the placenta partially or fully covers the cervix. It can cause bleeding during pregnancy, increases the likelihood of placental abruption, and makes vaginal delivery impossible. Parents who have had a cesarean birth are almost twice as likely to have Placenta Previa 0.027% compared to 0.05%.

Placenta Accreta happens when the placenta implants too deeply into the uterus. The risk for Placenta Accreta increases with each Cesarean birth. This is a dangerous condition that threatens both the mother and baby and necessitates an early Cesarean delivery. 

The rate for Accreta has increased drastically since the 1980s, and the increase closely follows the drastic rise in Cesarean rates. The risk for Accreta doubles after just one Cesarean. The risk is still relatively low, going from roughly 0.00029% to 0.0006%. 

Placental Abruption is when the placenta separates from the uterus before birth or during labor. It causes heavy bleeding in the mother and deprives the baby of oxygen and nutrients. Parents with a prior Cesarean are almost twice as likely to have a placental abruption 0.005% to 0.007%.

All three of these issues will require a repeat Cesarean birth. Although these issues are more common for parents who have had a prior Cesarean, doctors can recognize these things quickly and make plans with you to deliver your baby safely in a way that can still leave you feeling supported. 

Image courtesy of Salt City Birth and Newborn

Birth Trauma and Postpartum Depression

No matter how a baby is delivered, there is a flood of emotions surrounding the birth. Some of these emotions can be negative and leave parents feeling lost, alone, and unsupported. 

Birth PTSD affects seven in 100 parents after having a baby, and women who have Cesarean births are at a higher risk for PTSD due to its unexpected nature and drastic change of plans. 

Women who deliver by Cesarean are sometimes told that they should just be grateful that they have a healthy baby. I want to tell you that it is ok to mourn the loss of a birth experience you worked and prepared for and still be happy that you have a beautiful baby in your arms. These two different emotions can exist together in the same space, and it can be complicated.  

While hormone fluctuations and the “baby blues” are normal, signs of postpartum depression include anxiety, extreme sadness, exhaustion, insomnia, and even anger.

Having an emotional outlet is essential for parents after birth, and talk therapy coupled with antidepressants can be especially beneficial when dealing with birth trauma, PTSD, or postpartum depression. 

Fear of Getting Pregnant Again

Recovering from a Cesarean is usually more challenging in physical and emotional ways than recovering from vaginal birth. The recovery process coupled with the trauma they experienced during the birth can cause mothers to fear getting pregnant and having more children.

Due to a traumatic Cesarean experience, some women go from wanting a huge family to deciding that one child is more than enough. According to The New York Times, women with a C-section birth are less likely to want more children when compared to women who had a vaginal birth. 

It is ok to change plans but it can sadden parents who wanted larger families and see the possibility of future C-sections as crushing that dream.

Finding Support in Future Pregnancies

VBAC (Vaginal Birth After Cesarean) is a reasonable option for 90% of parents who have had a C-section. However, if a mother wants to have a VBAC, she might have problems finding a VBAC supportive doctor or VBAC midwife. 

In some parts of the world, providers prefer repeat Cesareans and are not fully supportive of VBAC due to the fear of uterine rupture. 

The emotional struggles that come with that can be overwhelming and make parents feel like they do not have options other than having a repeat Cesarean. 

Repeat C-sections

Most parents who have an initial Cesarean will have Cesareans in subsequent pregnancies due to the lack of VBAC support and simply not knowing that VBAC is possible. 

It is also possible for a TOLAC (Trial of Labor After Cesarean) to end up in a repeat Cesarean for a number of reasons. 

Every C-section a mother has increases her chances of complications in future pregnancies and births and limits the number of children a mother can have. I know of many health care providers who recommend not having more than 4 Cesarean deliveries. 

Complications in Future C-Sections

Providers are more likely to restrict the number of Cesareans you have because with each abdominal surgery, it gets more challenging to perform and increases the chance of severe complications. 

Because women often have more than one baby, we are the only surgeons that routinely cut on the same scar over and over again, and that makes surgery technically harder each time. The internal tissue starts to fuse together and can look like a melted box of crayons. C-sections and hysterectomies are two of the most common surgeries performed on women, and those who require both are at significantly higher risk of complications.

Dr. Neel Shah, OBGYN

Long Term Effects of C-section for Baby

As referenced in the study above, children born via Cesarean are 21% more likely to develop asthma before the age of 12, 59% more likely to become obese by the age of 5, and are linked to other adverse outcomes such as:

• Type 1 Diabetes
• Developing allergies
• Lower academic performance up to the age of 8
• Lower rates of breastfeeding
• Impairment of the initial bonding time between mother and baby
• Decrease immune function up to the age of 7 due to not getting passed through the beneficial gut flora that is in the vaginal canal

Image courtesy of Salt City Birth and Newborn

Other Common Long Term Complications After C-Section

Outside of future pregnancies and births, there are other long-term adverse outcomes related to C-section deliveries that can be directly tied back to the birth. Some of these are seemingly unrelated, so it is important to be aware of their ties to your birth history as it might change how your provider cares for you.

Scarred Tissue After C-section and Dense Adhesions

One of Cesarean deliveries’ most common complications is dense adhesions, which is pretty much a fancy way to refer to thicker than normal scar tissue. 

Scar tissue starts to form within days of surgery. Unfortunately, there is no way to tell whether you will have thicker than usual scar tissue; it is just how the body heals and responds to intense changes. 

Dense adhesions can even appear years after the surgery. Sometimes adhesions can grow onto the surrounding organs and restrict blood flow or create blockages on many organs in the pelvic floor area, including the uterus, bladder, and intestines. 

To reduce the chance of developing excess scar tissue after your Cesarean and even reduce it, you can incorporate Cesarean scar massage into your routine or see a pelvic floor therapist.  

C-section hysterectomy

Women who had at least one Cesarean are 50% more likely to need a hysterectomy later in life than those who only had vaginal births. Cesarean parents are also 16% more likely to have post-operative complications like bleeding and infection. They are also 30% more likely to require reoperation. 

Those who had two or more C-sections are almost twice as likely to need a blood transfusion during the hysterectomy. (Oonagh, et al., 2018).

C-section Scar Infection Years Later

In rare cases, the Cesarean incision doesn’t heal properly, which leaves it weakened and vulnerable. When this happens, it is more likely to develop an infection, even years after the surgery. 

The infection can occur in the layers of the skin at the incision site and lead to abscesses if not addressed quickly; this is extremely rare but, it is something to be aware of if you notice something unusual happening on your Cesarean scar. 

Sepsis

Sepsis is the body’s extreme response to an internal bacterial infection. If not handled quickly, it can spread throughout all the organs in the body. 

Uterine infections can usually be treated with antibiotics before they get to be out of control. Still, it can turn into septic shock if left untreated and is very dangerous and fatal in rare cases. Paying attention to your body as it changes and making sure to be seen by a doctor when you have concerns, especially anywhere in your pelvic area, is important to resolve any issues related to your prior Cesarean before becoming severe. 

Pulled Muscle after C-section and Weaker Abdominal Muscles

Cesarean birth is major abdominal surgery, and the abdominal muscles face a lot of strain and stress during the procedure. For some people, it takes months or even years for their abdominal muscles to regain their full strength.  Some may need physical therapy if the muscles do not heal together properly (diastasis recti). 

…tissues and muscles that have been damaged during a C-section need to be rehabilitated just like any other orthopedic procedure to help regain proper stability and function for women.

Dr. Graham from Finish Line Physical Therapy

Pelvic Floor Issues and Urinary Incontinence

Many people think that delivering a baby by C-section helps you avoid trauma to the pelvic floor that causes urinary incontinence, organ prolapse, and other pelvic floor issues. While the risk of urinary incontinence and pelvic organ prolapse are lower in parents who choose to have a Cesarean, 44% and 71%, respectively, avoiding them altogether is a myth. 

Pregnancy creates a lot of changes in your body and pelvic floor, and it is not unheard of for parents who had a Cesarean, especially those who made significant progress towards a vaginal birth before the surgery, to have pelvic floor issues. 

Having a cesarean creates its own kind of trauma in the pelvic floor. Keep an eye out; a doctor or pelvic floor specialist should address any type of incontinence, bladder cramping, spasms, or other pain in the pelvic floor area. 

Recurrent UTI

Urinary Tract Infections (UTI) can increase because of the weaker pelvic floor caused by pregnancy and Cesarean birth. Weakened pelvic floor muscles can cause the urine to reside in the urinary tract for longer than usual, leading to recurrent infections. 

Watch out for pelvic pain, strong urges to use the bathroom more frequently, fever, and fatigue. These can be signs of a UTI and can lead to a bladder infection if left untreated. 

Caring for the Scar

Having a scar on the abdomen can trigger some parents who don’t want to be reminded of a less than ideal birth experience. It can be challenging for some mothers to see the scar as a beautiful symbol of their child’s birth. Some may struggle to view their Cesarean as giving birth at all. 

After the initial 4-6 weeks of physical care for the incision, your scar shouldn’t need much maintenance. Performing Cesarean scar massage can not only prevent adhesions but can help you become more comfortable with it on an emotional level and begin an emotional healing journey. 

Detachment or Attachment Issues

We all want to feel an instant bond and attachment when we hold our babies for the first time. Cesareans make that initial bonding more complicated, primarily due to the absence of immediate skin-to-skin time, more typical with a vaginal birth. 

Some new moms do not feel a complete connection with their baby for weeks or even months after their birth. Some can even feel they are less of a mother for not birthing their baby vaginally. 

I am here to tell you that each mother and baby bonding experience looks different than the next. Some connections happen immediately, and others take time. 

If you are worried about attachment issues, it might help talk to a professional therapist to work through those feelings and connect on a better level with your child. 

Endometriosis

Endometriosis can become an issue for women who have C-sections, even if they didn’t have it prior to the birth.

According to the US National Library of Medicine, Endometriosis:

…can be a direct consequence of a Cesarean delivery and chances are 5 to 20-fold increased for women who’ve had Cesarean deliveries.

US National Library of Medicine

Luckily, endometriosis can often be treated and resolved quickly, usually with antibiotics. In rare circumstances, it will need surgery or other forms of treatment. 

Uterine Atony

Uterine atony is when the uterus does not return to its average size and remains relaxed. When this happens, bleeding can occur if it is not recognized and treated immediately. 

If bleeding does not improve or resolve with medication and other interventions, a hysterectomy may be necessary; this is extremely rare. Usually, uterine atony is treated quickly and has no long-term consequences. 

Menstrual Complications

After the baby is born, hormones don’t stop pumping through a woman’s body. They continue to make a parent feel emotional and moody and mess with the predictability of the menstrual cycle. A C-section still impacts the reproductive organs; it plays a significant role in how the body reacts to the return of its cycle.

A lot of factors come into play when it comes to the return of a predictable menstrual cycle. Some moms may not have their period for six months or even a year after delivery. 

Though some women see this as a perk to having their baby, it can also be emotionally stressful, leading to difficulty with future pregnancies and regulating those hormones long after the baby has been born.

Fear of Judgement

There are a lot of people with negative views on Cesarean. A new mom who only has family and friends who had vaginal deliveries might feel judged or out of place, even if it was the safest option for her and her baby. 

Other people can make hurtful comments that stick with parents for years afterward and leave them feeling embarrassed or inadequate about the birth.

These emotional stains and feelings linger, especially when tied to such a traumatic event to the body like a Cesarean. It isn’t fair to the mother, her family, or her baby, but, unfortunately, it happens and can impact many of the other complications listed above.  

C-section Complication Symptoms to Be Aware Of

Phew! That was a LOT of stuff to unpack. But don’t worry, most of the time, there are ways to heal from them both physically and emotionally if you know what to look for. 

Here are some signs you might be having Cesarean-related complications and need to be seen by a health care provider. 

C-section Incision Pain Years Later

As nerves regrow around your incision site, you might feel cramps and pain. These c section complications can manifest even years later. However, it might be a sign of internal damage or scar tissue growing too thick. 

Pay attention to any pain around your incision site, and make sure to bring it up with your doctor. 

Period Pain after C-section

If you have blood clots, increased period pain, or irregular flow patterns during your menstrual cycle, it might be your body adjusting to normal after pregnancy. 

In some cases, those are signs of endometriosis at the site of the incision, which can make periods more painful and affect flexibility in your abdominal area. It is a good idea to address any period abnormalities with your provider. 

Cramps after C-section

Cramping after both C-section and vaginal deliveries is expected. It’s how your uterus returns to normal and prevents excessive bleeding. 

If Motrin or ibuprofen doesn’t reduce the pain, you have a fever, or you notice any unusual discharge, check in with a medical professional.

Abdominal Pain Years after C-section

Tissue damage can be internal, and scar tissue develops internally. Sometimes, this can be a sign of disease or infection. 

If your scar tissue becomes painful or you develop low back pain along with other unusual symptoms in your pelvic area, it’s time to give your provider a call. 

Lump Under C-section Scar Years Later

Formations of lumps, an unusual mass, or any type of growth are common symptoms of endometriosis. If you feel a lump or mass around your Cesarean scar, even if it is years later, check in with your medical provider to rule out endometriosis or dense adhesions.  

When to Seek Help after C-section Complications

C-sections happen for many reasons. Some are scheduled, many are unplanned, some are truly life-saving, and some may have been preventable. 

If you consider planning a repeat Cesarean, it is important to consider both the short and long-term risks associated with them in your decision. Only you can decide the right choice for your birth. 

Regardless of how or why your Cesarean happened, being aware of the signs c section complications years later is important to ensure you are in good health. 

As a summary, here are some times it is necessary to check in with your medical provider:

• Pain around your incision site
• Redness, swelling, or pus coming from the incision site
• Excessive bleeding
• Fever over 101°
• Chest pain
• Swelling or redness in your legs
• Difficulty breathing
• Unusual vaginal discharge
• Anytime you feel something’s not quite right

FAQ

Can C-Section cause problems years later?

Recent studies show that moms who give birth by Cesarean have higher chances of facing long-term health and surgical complications, including the need for a hysterectomy, endometriosis, mental health issues, and difficulties in future pregnancies. Babies born by Cesarean also face increased risk for adverse health outcomes. 

Why does my C-section scar hurt years later?

In some cases, pain from scar tissue is noticeable right away. In others, the pain may come on years later. Sometimes this has to do with nerves that develop after the injury itself heals; however, sometimes, it is a sign of excessive scar tissue interfering with pelvic floor organs or endometriosis. 

What are the long-term side effects of a C-section?

Long-term side effects of Cesarean include long-term gynecological morbidity, intermenstrual bleeding, birth trauma, the likelihood of future abdominal surgeries. Chronic pelvic pain and risk of secondary infertility, scar pregnancy, uterine rupture, placenta previa, and accreta are also increased risks after Cesarean section.

Can your C-section scar get infected years later?

If the C-section scar heals incorrectly, it leaves itself vulnerable to the risk of infection. Bacteria can more easily enter the incision site and cause inflammation, redness, swelling, and pain. If left untreated, it can result in further complications in the abdominal area.

Sufferers Are you from adhesions after caesarean section?

June 30, 2014 03:43 PM

#1

June 30, 2014 04:09 PM

#2

9 0015 June 30, 2014 04:11 PM

#3

June 30 June 30, 2014 4:17 PM

#4

June 30, 2014 4:23 PM

#5

Henrietta I can regret it or not, since the operation was emergency and the decision was made by the doctors.
I still don’t know what spikes are, maybe they are.
are these seals in the seam area? or what?

June 30, 2014, 4:32 pm

#6

Henrietta_neither impossible_nor that

I can’t regret it or not, because the operation was an emergency and the decision was made by the doctors.
I still don’t know what spikes are, maybe they are.
are these seals in the seam area? or what?

June 30, 2014 4:48 PM

#7

June 30, 2014 4:49

#8

Henrietta_neither impossible_nor that

I can’t regret it or not, because the operation was emergency and the decision was made by the doctors.
I still don’t know what spikes are, maybe they are.
are these seals in the seam area? or what?

June 30, 2014, 17:35

#9

Guest

Henrietta_it’s impossible_neither I can’t regret it or not, because the operation was emergency and the decision was made by the doctors.

I still don’t know what spikes are, maybe they exist.

Are these seals around the seam? or what? congratulations. Who do you have? June 30, 2014 nothing worries me. KS, planned, 8 years ago . .

June 30, 2014, 18:24

#11

Author

Henrietta_Ye, I can’t regret it or not, since the operation was emergency and the doctors made the decision.

I still don’t know what spikes are, maybe they are.

are these seals in the seam area? or what?

a kind of film is formed from the connective tissue, which begins to unite several organs, i.e. fusion occurs between the internal organs of the abdominal cavity or intestinal loops. Such scars between organs are called adhesions.

June 30, 2014 18:40

#12

June 30, 2014 19:20

#13

0006 Author

they say that constipation and diarrhea and in general problems with the intestines occur. Pain is at the site of the seam.

June 30, 2014 7:43 pm

#14

June 30, 2014 7:49 pm

#15

June 30, 2014 20:00

#16

June 30 2014, 20:34

#17

June 30, 2014, 20:53

#18

Guest

I had 13 years ago planned caesarean on honey. testimony. There are no adhesions, but there is a seal on the seam. Moreover, it began to bother me only 11 years after the operation, the surgeon said that it could be that the threads had not resolved or something had been brought in during the operation. In general, he cut out this bump for me and for some time I forgot about it, then it started again. Again to the doctor, he did not advise to remove it anymore, he said only to keep the cold if it bothers. But I noticed that she started to hurt me after wearing tight trousers, when the tight belt goes almost along the seam.

June 30, 2014, 21:56

#19

In order to avoid adhesions after the operation, you should not lie like a seal, but move immediately, in your usual mode. Then you will avoid the possible appearance of adhesions. June 30, 2014 I have 4 mm above the pubis, what kind of trousers will hold there? June 30, 2014 Pants in this place, of course, will not hold, but they will still press, especially if they are low-rise.

June 30, 2014, 10:43 pm

#22

Guest

I’m in the same place. Pants in this place, of course, will not hold, but they will still press, especially if they are low-rise.

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June 30, 2014, 22:47

#23

Author

I read that after cesarean women suffer from adhesions. Have you ever regretted having a caesarean instead of a natural birth?

June 30, 2014, 22:53

#24

Guest

I’ll tell you one thing, you had very bad surgeons, you were very unlucky. There shouldn’t be any bumps at all. Otherwise, plastic would have suffered a complete collapse, and a good seam is plastic. The only thing is that it is very difficult to sew overweight patients.

June 30, 2014, 22:59

#25

Guest

It’s just that I had a CS 9 years ago, no, not the slightest discomfort a month after the operation and already forgot about it. So I was surprised0005 July 01, 2014, 08:48

#26

Guest

The surgeons were good, experienced, that’s all I can say. And everything depends on the specific organism, as the doctor explained to me, this is a reaction to the suture material, the body mistook it for a foreign body and it did not resolve, a capsule formed around. Some even 20 years after the operation have such problems.

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July 01, 2014 09:55

#27

July 1, 2014 13:40 9000 5

#28

Guest

Don’t get me wrong, I don’t want to offend you, I’m talking about your surgeons, what they tell you is not true. Threads cannot be foreign in one place, but not in another, especially after 20 years. Moreover, for many years the seams have been soldered, and the seam is made cosmetic, such threads always dissolve perfectly.

Jul 01, 2014 1:47 PM

#29

Jul 01, 2014 03:06 PM

#30

Y awn

Just understand me correctly, I don’t want to offend you, I’m talking about your surgeons, what they tell you is not true. Threads cannot be foreign in one place, but not in another, especially after 20 years. Moreover, for many years the seams have been soldered, and the seam is made cosmetic, such threads always dissolve perfectly.

July 02, 2014, 09:14

#31

Author

I read that women suffer from adhesions after caesarean. Have you ever regretted having a caesarean instead of a natural birth?

July 02, 2014, 21:03

#32

July 03, 2014, 15:15

#33

September 15, 2014 11:23 am

#34

November 09 November 20, 2014 10:02

#36

New Topics 325 Is this normal ttg?

2 answers

November 20, 2014 10:04 am

#37

April 28, 2015 7:13 pm

#38

September 29, 2015 10:19 AM

#39

Guest

I had 2 caesareans and am worried about pain in my right side. The doctor says it’s adhesions. I really regret the cesarean, but there was no other choice.

October 25, 2015 12:22

#40

November 14, 2015 08:36

#41

November 14, 2015 08:44

#42

February 15, 2016 23:01

#43 900 05 March 14, 2016 11:43 AM

#44

May 22, 2016, 23:38

#45

2 years have passed.. with sudden movements, acute pain at the bottom where the seams. the outer seam along the edges is colorless in the middle red and mound. the gynecologist said spikes … in general, the body is prone to them. the feeling inside is nasty. the feeling of some stiffness. everything is different now. everyone has their own body . . So I don’t regret it. but I’m upset with spikes …

June 21, 2016, 1:48 pm

#46

Attention

June 22, 2016, 1:29 pm

#47

June 23, 2016 07:43 AM

#48

24 June 2016, 08:12

#49

09 November 2016, 09:26

#50

Adhesions after caesarean section – symptoms and prevention tips

Some women choose to have a caesarean section because while others may need this surgery due to some of the health complications they may face during pregnancy. Whatever the reason for the caesarean section, complications such as adhesions can occur months or even years after the operation. Birth. We will review this post and learn about the symptoms of this condition. Also find out how this can be prevented.

What are adhesions?

Abdominal adhesions are a common complication of surgical procedures. When the body undergoes surgery, dense bands of tissue, known as adhesions, can form between the abdominal tissues and organs. It is difficult to prevent or prevent its formation. They may look like cobwebs or nylon threads surrounding the organs. These strong threads can cause blockage of blood flow or dysfunction of various internal organs.

How do adhesions form after caesarean section?

Abdominal adhesions are very common, especially after abdominal operations such as caesarean section. It is less likely to occur during laparoscopic surgery because the incision is relatively small. However, during a caesarean section, a larger incision is made. Therefore, more likely to injure or damage the peritoneum.

The peritoneum is a transparent membrane covering the organs of the abdominal cavity. But when that protective slippery layer is damaged during a C-section, the body’s immune system flips over and begins to repair itself. This leads to the formation of tissue, also known as fibrin matrix, and inflammation.

In most cases, dressing tissue dissolves through a biochemical process, also known as fibrinolysis. But during a surgical procedure, fibrinolysis may not occur efficiently due to the low levels of chemicals in the blood needed for the procedure. This means that the tissues or bands do not dissolve, but instead turn into adhesions. This can happen weeks, months, or even years after a caesarean section. Most abdominal surgeries can cause a risk of abdominal adhesions. However, caesarean section carries a much greater risk.

What are the symptoms of caesarean section adhesions?

Here are some symptoms of adhesive pain after Class C adhesions:

• If you find it difficult to stand upright or upright.
• If you have unexplained abdominal pain a few years after your caesarean section.
• If you have an enlarged or swollen belly.
• If you experience pain during intercourse.
• If you feel pain or tenderness in the scar.
• If you experience severe menstrual pain, especially after a caesarean section.
• If you suffer from severe pelvic pain.
• If you are experiencing secondary infertility.

What are the optical characteristics of adhesions after caesarean section?

You can identify the presence of adhesions after a caesarean section by a few simple signs. If you have a thick c-section scar, you may have adhesions. Also, if the scar is darker than the rest of your skin tone, chances are you may have a thick adhesive, which could be in addition to the fact that the scar is protruding, flaking, or indented.

What are the possible complications?

Some of the complications of adhesions that can occur after a caesarean section are:

• Adhesions can cause dyspareunia or pain during intercourse.
• Adhesions can also cause infertility.
• Some women may experience pelvic pain due to adhesions.
• Adhesions can cause complications and difficulties in further abdominal surgery.

How to treat a caesarean section?

Adhesion complications are treatable. A procedure called adhesive lysis may be performed to treat infertility or pain associated with adhesions. If you have problems with bowel movements, you may have surgery to open your bowels. In most cases, treatment is successful, but there is always a risk of further complications that may arise from new adhesions. However, endoscopic adhesive lysis may be the best option as it reduces adhesion formation.

How to Prevent C-Section Adhesions

It is important to know that all surgeons are aware that adhesions can lead to complications. Therefore, surgeons take a number of measures to minimize the risk of scarring after caesarean section:

• The use of certain medications can reduce the chance of adhesions.
• When closing the peritoneum, caesarean delivery is likely to lead to adhesion formation.