Dealing with the Stitches and Incision
In the early days the surface scar may appear
intimidating: bruised, raised and dark in color.
Once the tape and dressing are removed it is important
to keep the stitches dry and clean. Suture removal
occurs four to six days. The removal is a painless
procedure, at the most a pinching sensation. Dissolvable
stitches will dissolve on its own like the internal
stitches. Even after the sutures are removed,
it is still imperative to keep a close eye on
your scar, as it will still be healing.
The scar will start to itch in the first few
weeks. Don't be tempted to scratch, rub or pick
at the scar since it must be left alone to heal.
You can expect a little bit of spot bleeding as
long as the wound is not tearing apart. Avoid
using any cream besides the antiseptic cream prescribed
by your doctor.
It is important to have adequate rest after
a C-section to avoid excessive vaginal bleeding.
If bleeding increases it can mean you are doing
too much too soon - take the cue and rest more.
If you notice any abnormalities with your scar
e.g. it becomes inflamed, starts to pus or leak,
or you develop a temperature report it to your
doctor at the earliest.
As mentioned, internal layers of fat, muscle
and finally the uterus will be cut to get the
baby out, after which these layers will be restitched
using soluble stitches. Finally the external
layer of skin will be stitched or clipped. A
vital step to surviving a c-section is to request
for dissolvable stitches instead of staples.
The advantage of dissolvable stitches is the
incision heals more quickly and is somewhat
less painful.
A very important step you should take after
your op is to try your very best to be as mobile
as quickly as possible. This helps the circulation
in the body, which in turn helps the incision
to heal quicker and restore your bowel and bladder
functions. Avoid leaning forward when you walk.
Walk short distances but frequently.
Do not strain your incisions by lifting heavy
objects or exercising until your doctor approves.
Avoid driving until you have checked with your
doctor.
When standing or if you cough or laugh or sneeze,
you will want to push a pillow against your stomach
or place your hands over the incision site to
avoid sudden discomforts.
Many cesarean patients experience numbness around
the incision and even in the abdomen for quite
some time after surgery. The nerves and muscles
were cut and it takes time for them to regrow
and for numbness to go away. Aching and soreness
at the site of incision is a common experience
and may continue for weeks or months.
