A cesarean section is chosen by the medical team when vaginal delivery is unfortunately no longer possible or presents risks . It is a major surgical procedure that leaves an abdominal scar . While this method of delivery is sometimes unavoidable, many women are concerned about the appearance and care of their postpartum scar. Although this scar can fade naturally over time, some people are looking for solutions to reduce its appearance more quickly. In this blog post, we will explore the topic in detail by providing you with tips for caring for your cesarean scar.
What is a cesarean scar?
A cesarean scar is the result of surgeons cutting through several layers of tissue, including skin, muscle, and the uterus, to deliver the baby during a cesarean delivery . This incision is usually made at the lower abdominal line, just above the pubic bone. There are 2 types of incisions that can be made:
- Horizontal (transverse) incision : The most common, it is made just above the pubic line and is often called a “bikini incision” because it is hidden below the underwear line.
- Vertical (classic) incision : Less common, it is made vertically from the navel to the uterus. It is mainly used in emergency situations or for certain medical conditions.
The resulting scar varies depending on several factors, such as the surgical technique used, genetics, the skin's ability to heal, and the quality of post-operative care. Although some women heal quickly and without major complications, others may develop hypertrophic or keloid scars, which are thick, red, and may be itchy or painful.
How to take care of your cesarean scar?
The abdominal incision measures between 10 and 15 centimeters and takes the form of a line. Considered unsightly, over time, the cesarean scar fades and becomes more discreet and less visible.
Taking care of your C-section scar is crucial to promote proper healing and minimize its appearance. Don't hesitate to seek advice from your midwife or a healthcare professional before applying any products to your C-section scar. Here are some tips to optimize the healing process:
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Maintain good hygiene
In the first few weeks after giving birth, it is important to keep the area clean to avoid infections . Use warm water and a mild soap to gently wash the scar without rubbing. Then, dry thoroughly after each wash to avoid any form of moisture.
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Avoid intense physical exertion
Avoid lifting heavy objects or exerting stress on your abdominal muscles . This can reopen the wound and prolong healing. Also, don't neglect gentle exercise, such as walking, which can improve blood circulation and prevent complications.
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Moisturize the scar regularly
Once the scar is well healed, you can apply a repair cream to soften the skin and improve the appearance of the scar.
Once the cesarean scar is well closed , it is recommended to apply a restorative cream to soften the skin and promote better healing. A cesarean scar restorative cream such as the SOS Stretch Mark Balm from Laboratoires Téane is ideal. Formulated with natural ingredients and certified organic, this restorative balm is designed to reduce stretch marks, but it is also effective in improving the appearance of scars. Its rich and nourishing texture deeply moisturizes, helping to soften the skin and promote its regeneration. In addition to its restorative properties, it provides a feeling of comfort by reducing the tightness and itching often associated with scars.
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Massage regularly around the cesarean scar
Regular scar massage can help promote the healing process , break up adhesions and stimulate blood circulation . It is advisable to wait until the wound is completely closed before starting massages. Massage gently in circular motions for a few minutes every day for scar treatment.
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Protect your cesarean scar from the sun
The cesarean scar can be sensitive to UV rays. Exposure to the sun can make the scar darker (hyperpigmentation), so it is recommended to apply an SPF 50 sunscreen to the area when you are exposed.
Finally, do not hesitate to ask those around you for help with daily tasks and to consult a health professional for any questions or discomfort.
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Wear comfortable clothes
It is recommended to wear loose, comfortable clothing that does not put pressure on the scar.
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Laser treatment
Laser is a technology used in many medical and aesthetic fields. In dermatology, it is often used to treat various types of scars, including those resulting from a cesarean section. The principle of the laser is based on the emission of highly concentrated light beams, which target the scar tissue. This promotes cell renewal, stimulates the production of collagen and evens out the texture and color of the skin.
There are different types of lasers, each with specific indications depending on the type of scar.
Although laser is an effective solution for treating scars, it is not without risks. It is important to note that laser does not completely remove the scar, the cost is high (treatment may require several sessions) and there are risks of complications.
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How long does a cesarean scar last? Pain after a cesarean?
The scar from a cesarean section can evolve over several months. Immediately after surgery, it is red and swollen, but it begins to gradually fade after a few weeks. It usually becomes less visible after 6 to 12 months, but this can vary depending on skin type, surgical technique, and each person's individual healing.
Regarding pain, it is generally intense in the first few days, especially in the scar and abdominal muscles. This pain gradually diminishes over the first few weeks, but it is possible to feel discomfort for a few months. Good pain management with medication and medical monitoring can make this period easier.
Can a cesarean scar reopen?
Several factors can increase the risk of a cesarean scar reopening:
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Post-operative infections : Infections at the scar site can weaken the surrounding tissues, leading to poor healing or reopening of the wound. An infection often presents as redness, swelling, increased pain, or abnormal drainage.
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Too early physical exertion : After a cesarean section, it is recommended to avoid significant physical exertion, including lifting heavy loads, for several weeks. Excessive exertion can put too much pressure on the scar, causing it to reopen.
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Underlying health conditions : Certain health conditions, such as diabetes or bleeding disorders, can delay healing and increase the risk of reopening. Smokers, for example, have an increased risk of healing complications due to reduced blood flow to tissues.
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Being overweight or obese : Being overweight can increase tension around the scar, especially in the abdominal area, making it more difficult for it to heal completely.
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Multiple pregnancies : In women who have had multiple cesarean sections, scar tissue is often less resilient, increasing the risk of dehiscence in subsequent pregnancies or deliveries.
If you suspect that your cesarean scar has reopened, it is crucial to consult a healthcare professional immediately.
If you liked this blog post, check out the blog post, How do I choose my baby's care products?
