Our postpartum bodies may look and feel different than they did before pregnancy – even if you had a cesarean delivery. The pelvic floor plays an important role in both vaginal and c-section births, and is affected by the changes that occur throughout the duration of pregnancy. Postpartum recovery isn’t just about getting back into pre-baby shape.
A cesarean delivery bypasses the need for the baby to pass through the vaginal canal, but even so, a woman’s pelvic floor muscles, vaginal tissues, and vulvar structures can still experience significant strain during pregnancy. This tension can lead to postpartum issues related to urinary control, bowel function, and sexual activity. It is important.
Patients who have had a cesarean delivery may find that the tissue around their healing incision has become restricted, leading to pain and difficulty with functional movement. Postpartum bodies are unique and can require special attention when it comes to recovery and restoring function.
What to expect in a pelvic health assessment after cesarean
The connective tissue of the abdomen may be one of the first places a pelvic physical therapist will assess for postpartum mothers who have had a cesarean section. This is due to the numbness, pain, tightness, and mobility restriction that may occur in this area from scarring. Additionally, many women find it difficult to activate their abdominal muscles, which can make physical activities more challenging. It is important for postpartum mothers to speak with their physical therapist about any issues that may be occurring in this area, and ask what exercises or treatments may help them regain full mobility and strength.
The pain a patient may experience after a cesarean delivery can be quite varied. It could manifest in the form of diffuse abdominal pain, localized discomfort at the incision site, and/or muscular pain or tightness during physical activity. Additionally, patients may feel sensitivity to touch around the scar as well as numbness.
- Cesarean shelf
- Painful sex
- Pelvic pain
- Back pain
- Painful ovulation and menstruation
- Straining during bowel movements
- Unable to empty bladder
- Section incision site feels numb, fuzzy, painful or sensitive
What you can do to help your cesarean shelf
After childbirth, the area around your scar will likely feel numb. It is important to start lightly massaging your abdominal area within 2-3 inches of the scar in order to help it heal and restore blood flow and sensation. This massage should be gentle, as too much pressure can cause discomfort.
Spending 2-3 minutes a few times a week on scar management will help improve its appearance, making it softer, flatter, and less purple.