Your C-section Recovery

Healing Starts Here

April is C-section Awareness Month

No matter how your baby enters the world, your birth matters. In April we celebrate C-section Awareness Month by providing you with the tools you need to take control of your birth experience and make the best decision for yourself. We´ve got you, mamas.

C-Section Insights: Your Guide to Recovery

C-Section Preparation & Recovery

Nutrition & Diet After a C-Section

Physical Healing & Postpartum Support

C-Section Overhang & Body Changes

By Aura Pyykönen, Gynecologist, obstetrician, and founder of Isla

In many countries, yes — the mode of delivery is chosen on maternal request.

In Finland, as in the other Nordic countries, maternal request C-sections aren’t technically an option without a medical indication. After counseling with an obstetrician, a diagnosis such as fear of childbirth may provide a clinical justification for surgery.

This type of planned procedure is referred to as an elective C-section.

By Aura Pyykönen, Gynecologist, obstetrician, and founder of Isla

Yes. Anxiety is usually associated or accompanied by fear of childbirth i.e. tokophobia — and then an elective C-section can be medically justified and even the safest option. Multidisciplinary support (e.g. mental health care + obstetric team) is essential.

By Aura Pyykönen, Gynecologist, obstetrician, and founder of Isla

Pre-op nutrition plays a crucial role in recovery. Your clinic may provide specific supplements — follow their advice.

Other tips:

  • No food or drink 6–8 hours before surgery, unless otherwise instructed
  • Shower to feel refreshed — it might be a while before your next one
  • Remove nail polish and jewelry
  • Do not shave the night before (risk of micro-injuries); if you want to, do it 3–4 days prior. Shaving is absolutely not needed!!
  • Try to get some rest — even if anxious. Have your hospital bag and documents ready.

By Aura Pyykönen, Gynecologist, obstetrician, and founder of Isla

Typically 2–4 days, depending on your condition and local practices. Many clinics now use Enhanced Recovery After Surgery (ERAS) protocols, aiming for discharge by day 2 after planned C-sections. The key factors: pain control, mobility, and absence of complications.

By Aura Pyykönen, Gynecologist, obstetrician, and founder of Isla

Showering is usually allowed 24–48 hours post-op, depending on the dressing. Full bath after c section​ and swimming should wait until the incision is fully healed — usually after 4 weeks.

By Aura Pyykönen, Gynecologist, obstetrician, and founder of Isla

You can begin gentle movements — like bending slightly to pick up light objects — within the first few days, depending on pain. Avoid heavy lifting or deep bending for 4–6 weeks to protect the healing incision and core muscles.

Rule of thumb: don’t lift anything heavier than your baby. When moving from lying to sitting, roll onto your side and push up with your arm. Always listen to your body.

By Aura Pyykönen, Gynecologist, obstetrician, and founder of Isla

The best position to sleep after c section is whichever feels good — no strict rules.

Back-sleeping with a pillow under the knees or side-sleeping with one between the legs is often most comfortable. Avoid stomach-sleeping until the incision is well-healed. Use extra pillows to support your body when turning in bed.

By Aura Pyykönen, Gynecologist, obstetrician, and founder of Isla

If you see redness, swelling, discharge, or have a fever — don’t self-treat. Contact your care provider.

In general:

  • Keep the incision clean and dry
  • Avoid tight clothes or friction
  • Don’t apply creams or oils unless prescribed

During the healing process, it's common to experience various sensations and changes around the incision site. Throughout the c-section scar healing stages, you may notice:​

  • Itching in c section scar: As the incision heals, itching is a frequent sensation. This typically occurs during the early healing phase, around weeks 1-2, and can be managed with over-the-counter painkillers and anti-itch lotions.
  • Numbness or heightened sensitivity: Some individuals report numbness or increased sensitivity near the scar, especially in the initial weeks following surgery. These sensations often improve over time as the nerves regenerate.
  • Discomfort or pulling sensations: It's normal to feel some discomfort or a pulling sensation around the incision, particularly during movements that engage the abdominal muscles. This typically diminishes as healing progresses.​

However, certain symptoms may indicate complications. If you observe redness, swelling, or experience a c section scar odor, it's essential to consult your healthcare provider promptly, as these signs could suggest an infection.

By Aura Pyykönen, Gynecologist, obstetrician, and founder of Isla

Most guidelines (e.g. ACOG) suggest waiting around 6 weeks before resuming intercourse — or until bleeding stops and the incision feels healed.

That said, there’s much more to maternity sex than intercourse. Skin-to-skin contact and intimacy with your partner are just as important as with your newborn. If you feel emotionally ready, it’s usually physically safe. Be patient with yourself — libido often returns gradually.

By Aura Pyykönen, Gynecologist, obstetrician, and founder of Isla

Nutrition before surgery matters just as much as after — see the section “What to do the night before.”

Interestingly, chewing gum in the first 24 hours post-op has been shown to speed up bowel recovery and improve comfort.

Post-op, focus on:

  • Preventing constipation with a fiber-rich diet and plenty of fluids
  • Protein- and iron-rich foods (e.g. eggs, lentils, fish) for wound healing
  • Vitamin C (from diet) may support healing — supplementation is likely unnecessary unless deficient
  • Omega-3s: often recommended, but avoid supplements before birth due to increased bleeding risk. Resume only 2–3 weeks postpartum, if needed.

Consuming fruits rich in vitamin C, such as apples, oranges, kiwi, and papaya, can support recovery by boosting immunity and enhancing iron absorption. However, some fruits like jackfruit might cause digestive discomfort and are best avoided.

Read more nutrition tips for post-C-section recovery

Yes, incorporating whole grains like brown rice into your diet provides essential fiber, aiding digestion and alleviating constipation.

Read more nutrition tips for post-C-section recovery

Eggs are an excellent source of protein and vitamin A, which are beneficial for healing and muscle repair. However, they can sometimes cause bloating, so it's advisable to consume them in moderation and monitor your body's response.

Read more nutrition tips for post-C-section recovery

Soya chunks are a good source of plant-based protein and fiber, supporting muscle repair and digestion, making them suitable for post-C-section nutrition.

Read more nutrition tips for post-C-section recovery

Yes, coconut provides healthy fats, magnesium, and fiber that support energy and digestion. Additionally, coconut water is hydrating and contains essential electrolytes like potassium, aiding in recovery.

Read more nutrition tips for post-C-section recovery

Enjoying pizza in moderation is acceptable, especially if it features a whole wheat crust and vegetable toppings. Be cautious of excessive cheese or salt to prevent water retention.

Read more nutrition tips for post-C-section recovery

Oranges are rich in vitamin C, which aids in recovery, boosts immunity, and enhances iron absorption, making them a beneficial addition to your post-C-section diet.

Read more nutrition tips for post-C-section recovery

Post c section stomach pain​ and bloating is common. To alleviate these symptoms, consume light, easily digestible foods, drink plenty of water, and avoid gas-causing foods like beans and carbonated drinks.

If you notice blood in your stool, it could be due to hemorrhoids or a small tear; consult your doctor if bleeding persists.

Read more nutrition tips for post-C-section recovery

While abdominal massages are typically recommended after about six weeks to allow the wound to heal, back massages may be permissible earlier, provided they avoid pressure near the surgical site. Always consult your healthcare provider before scheduling any post-surgery massage therapy.

Discover more tips on relieving back pain after a C-section

It is common to have back pain after c section​ due to factors like anesthesia, muscle strain, and altered posture.

While it typically resolves over time, persistent back pain can potentially lead to long-term discomfort if unaddressed.

Engaging in appropriate postpartum exercises and maintaining good posture can aid in recovery.

Discover more tips on relieving back pain after a C-section

The duration of backache after cesarean​ varies among individuals. Some may experience relief within a few weeks, while others might have discomfort for several months. If back pain persists or intensifies, consult a healthcare professional for evaluation and guidance.

Discover more tips on relieving back pain after a C-section

Yes, gentle post c section exercises​
such as pelvic tilts, walking, belly breathing, and seated Kegels can help strengthen the back postpartum. Before starting any exercise regimen, consult your healthcare provider to ensure the activities are safe and appropriate for your recovery stage.

Discover more tips on relieving back pain after a C-section

Wearing an abdominal wrap postpartum​ can support your recovering body by aiding abdominal muscle realignment, relieving back and pelvic floor soreness, reducing C-section scar pain, improving mobility, and assisting organs in returning to their original positions.

Additionally, it can provide support to weakened post pregnancy abs, helping to address conditions like diastasis recti and promote overall core stability.​

It's advisable to wear the postpartum belly wrap​ during the day for support and comfort during postpartum recovery.

However, it's generally not recommended to wear it while sleeping to allow your body to rest and recover naturally without added pressure.

Instruction for Lola&Lykke postpartum belly wrap:

When putting on the core restore band, ensure the tag is on the lower right side of your body. Carefully close the lower wings over your wound site without applying excessive pressure. Then, close the upper wings around your upper abdomen, slightly overlapping the lower wings around your belly button. It's advisable to consult with your healthcare provider to ensure proper usage.

​​​A C-section overhang, often referred to as a "C-section shelf" or "C-section pouch," typically results from several factors:​

  • Scar Tissue Tightness: The incision made during a C-section can cause the surrounding skin to tighten, leading to an overhanging appearance.
  • Abdominal Muscle Separation (Diastasis Recti): During pregnancy, the abdominal muscles stretch and may separate. After childbirth, this separation can cause a bulging or sagging effect over the incision site.
  • Skin and Fat Accumulation: The stretching of skin and accumulation of fat during pregnancy can result in excess tissue that hangs over the scar area post-delivery.

Learn more about C-section overhang

​Yes, engaging in specific exercises can help reduce the appearance of a C-section overhang by strengthening core muscles and improving the tone of the abdominal area. It's essential to consult with your healthcare provider before starting any exercise regimen post-surgery to ensure safety and appropriateness.

Recommended Exercises:

  • Pelvic Tilts: Lie on your back with knees bent and feet flat on the floor. Engage your core by drawing your belly button toward your spine, causing your pelvis to tilt slightly upward. Hold and repeat.
  • Glute Bridges: While lying on your back with knees bent and feet flat on the floor, raise your hips so only your shoulders and feet remain on the ground. Engage your glutes and maintain a straight line from shoulders to knees.
  • Wall Sits: Stand with your feet about one to two feet away from a wall. Slowly lean back, sliding down the wall into a seated position with hips and knees at 90-degree angles. Engage your core and hold the position.​
  • Scar Massage: Once your incision has fully healed, gently massaging the scar tissue can improve circulation and break down adhesions, leading to a smoother appearance.​

Learn more about C-section overhang

Yes, maintaining a healthy diet can aid in reducing the appearance of a C-section overhang. Focusing on nutrient-rich foods supports overall healing and can assist in managing weight, which may influence the prominence of the overhang.

Dietary Recommendations:

  • Balanced Nutrition: Incorporate a variety of fruits, vegetables, lean proteins, and whole grains into your meals. This approach provides essential vitamins, minerals, and antioxidants that support healing and general well-being.
  • Protein Intake: Adequate protein is crucial for tissue repair. Include sources like meat, fish, poultry, eggs, dairy, as well as plant-based options such as legumes, soy, peas, beans, nuts, and seeds.
  • Hydration: Drinking sufficient water is vital for overall health and can aid in weight management.
  • Limit Processed Foods: Reducing intake of sugary and processed foods can prevent excess calorie consumption and support weight management efforts.

It's important to note that while diet plays a role, combining healthy eating with appropriate exercises yields the best results in addressing a C-section overhang. Always consult with a healthcare professional before making significant changes to your diet or exercise routine post-surgery.

Learn more about C-section overhang

Find more post-C-section nutrition tips

Surgical intervention for a C-section overhang, such as a tummy tuck (abdominoplasty), is typically considered when non-surgical methods—including exercise, dietary adjustments, and time—have not sufficiently improved the appearance or comfort of the abdominal area. It's generally recommended to wait at least a year postpartum before pursuing surgery to allow your body ample time to heal and for any changes to stabilize.

Consulting with a qualified healthcare provider or plastic surgeon can help determine if surgery is appropriate for your specific situation, taking into account factors like overall health, the extent of the overhang, and personal goals.

​Diastasis recti, also known as abdominal separation, occurs when the left and right sides of the rectus abdominis muscle, which runs vertically along the front of the abdomen, separate during and after pregnancy. This separation can lead to a noticeable bulge or "pooch" in the belly area. It's common among pregnant women, with about two-thirds experiencing it.

Diastasis recti exercises, focusing on gentle core strengthening, can help address this condition. However, it's important to avoid traditional abdominal exercises like sit-ups or crunches, especially after a C-section, as they can exacerbate the issue. Additionally, weakened core muscles post-C-section can contribute to back pain, making proper rehabilitation crucial.

Read more about diastasis recti

Find the best diastasis recti exercises

​To check for diastasis recti, a condition where the abdominal muscles separate, you can perform a simple self-test:​

  • Position Yourself: Lie on your back with your knees bent and feet flat on the floor.
  • Hand Placement: Place your fingers just above your belly button, pointing toward your pelvis.​
  • Lift Your Head: Gently lift your head and shoulders off the floor, engaging your core muscles.
  • Assess the Gap: Press your fingers into your abdomen; if you feel a gap wider than two finger widths between the muscles, it may indicate diastasis recti.

It's advisable to perform this test in multiple areas: above the belly button, at the belly button, and below it, as diastasis recti can occur in any of these regions.

Read more about diastasis recti

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