Cesarean section recovery: What to expect

If you have had a cesarean section, your recovery won't be quite the same as for a vaginal birth. Remember that a cesarean is actually major surgery. Be patient with yourself in the days after delivery. Recovery will come; it will just take a little longer.

What can you expect?

Neonatal Intensive Care. Not for you, for your baby. Babies delivered by cesarean are often taken to intensive care for breathing difficulties. This is quite normal, so try not to be alarmed.

Disappointment. It's not unusual for women who have had a cesarean to feel disappointed. It might help you to remember that bringing a child into the world is a great accomplishment no matter how your child is born.

Fatigue. You will have lost blood during the procedure, and this can make you tired, especially if the cesarean was performed after you had been in labor for a long time.

Sore incision. You will probably have a sore lower abdomen for several weeks. Take the pain reliever your doctor prescribes. It won't hurt your baby if you are breastfeeding.

Painful gas, constipation and shoulder pain. These pains are a sign that your intestines are starting to work properly. Avoid carbonated drinks for 10 days. Blood and air can press on the diaphragm, resulting in shoulder pain. Don't be alarmed; it will go away.

Breastfeeding challenges. Because of your stitches you may feel pain while breastfeeding. Try placing a pillow over your abdomen or nurse the baby on your side. If you're having trouble breastfeeding, ask nursing staff for help.

Stitches and staples. Some physicians use stitches that dissolve on their own. Sometimes staples are used; these will be removed, probably before you leave the hospital. You will still have absorbable stitches inside your body.

Additional hospital time. You may be in the hospital as many as four extra days. Even after you go home you'll have to take it easy for a couple of weeks.

Speeding your recovery

Walk. Although you may feel reluctant to walk because you feel so sore, this can actually speed your recovery time. This doesn't mean getting out on the track. It just means getting out of bed and walking around for a while. Walking will also help your digestive tract feel better. Try not to hunch over when you walk. Take tiny steps, if your regular strides hurt too much.

Drink up. It is very important for you to drink enough water. Staying hydrated on your own while in the hospital may mean your IV can be removed sooner. It is also important to stay hydrated after you come home from the hospital.

Take it easy. Getting enough rest is extremely important to your recovery. Avoid stairs and lifting. You'll need extra help at home for a few weeks.

Breastfeed your baby. Some moms feel disappointed about having a cesarean instead of a vaginal birth. Even though you may have to spend time resting, breastfeeding can help you bond with your baby and overcome feelings of disappointment.

Watch for fever or incision pain that gets worse. These symptoms can mean you are getting an infection. Be sure to tell your doctor if you experience these symptoms.

Date last reviewed: October 2002.

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