C-Section Incision Is Opening
C-Section Incision Is Opening : Congratulations! You’ve just delivered your brand new miracle baby via Cesarean section! It’s not an easy task. The doctor you consult may have suggested this method of delivery as the most healthiest or the only — choice for you and your child.
Also called a C-section it’s the most frequentTrusted Source surgery performed in the United States: Nearly one-third of allTrusted Source births is delivered via C-section. C-section is a method of delivery in which the baby is born through two incisions – one of the abdominal skin and the other one inside the uterus (womb).
Like any other surgery C-section cuts take time to heal and require special care. Most of the time, the area is fully healed and without issues. However, even when you’ve done everything correctly you may experience some complications during your healing.
In rare cases, your C-section incision might open (or reopen). Medically speaking this is known as C-section dehiscence.
Here’s what to look out for and what you should do if your C-section wound is opening, or isn’t healing properly.
When should you seek immediate medical attention following surgery
See a doctor immediately If you notice that your C-section scar is leaking or infected after returning home. Make an appointment with your OB-GYN as soon as possible in the event of:
- The incision site is bleeding and there is a lot of blood
- A fever that is over 100degF
- acute or more severe discomfort
- swelling or redness around the site of the cut
- heavy vaginal bleeding
- Vaginal blood clots with large blood clots discharge
- foul-smelling vaginal discharge
- an unpleasant odour emanating coming from the area of incision
- There is pus or leakage around the area of incision
- Urination painstakingly painful
- hardness or bulging around the site of the incision
- Breast pain and fever
What are the C-section incisions normally shut in the course of the procedure?
Like any type of surgery, the C-section’s outer cut can be closed several ways, such as:
The inside of the of your womb’s incision is stitched with absorbable stitches which disintegrate once the area is healed.
The causes in C-section dehiscence
The C-section’s outer edge may open or break due to a variety of reasons:
Stress and strain
When you put too high tension on your stomach could cause stitches to become loose or tear. There is a risk of putting too much pressure on the area by lifting things that are heavy (like your child or a large grocery bag) and climbing up a number of stairs or trying to work out too early.
If your OB-GYN advises you not to lift anything more than your infant during your recovery then take note of it as you let someone else take on the hard work. You deserve a break in the end!
Sometimes, your body’s healing process doesn’t work in the same way as it should. A poor heal healing may be caused by the genetics of your body or an underlying medical issue. For instance, diabetes and obesity may affect healing of wounds.
This can cause an uneven healing process or cause the incision to split and then open instead of being joined.
Insufficient blood flow and oxygenated blood to the area could also cause inadequate wound healing.
In certain instances, the skin cells that line around the site of incision might die as a result of not receiving enough oxygen or nutrition. This is known as necrosis. The cells that are dead can’t reproduce and connect in order to repair the injury creating an incision in the C-section.
A bacterial infection at the C-section site of incision will hinder or prevent it from being healed properly. Infections can result from bacteria or other bacteria. Although it’s a standard practice to receive antibiotics prior to surgery, it’s not common to receive antibiotics following a routine simple C-section.
If you suffer from an illness, your body is constantly fighting infections, that it will not be capable of healing the area effectively at the same time.
Risk factors for C-section dehiscence
A C-section cut might be:
- Vertical (from beneath the belly button all the way to above the hairline of the pubic area)
- Horizontal (across that hairline in the pubic area)
The kind of cut that you will need is determined by what your OB-GYN recommended for the birth of your child. Horizontal cuts are the most popular because they are more likely to heal and result in less bleeding.
Vertical C-section cuts might be more susceptible to opening as they do not heal as quickly.
According to a review by the Trusted Source an incision made through a C-section that is closed with sutures or stitches may be less likely to be opened when it’s closed using staples. However, sutures may open and create complications.
The signs and signs of dehiscence in the C-section
In some instances the C-section cut may be opened due to the fact that some or even all the staples or stitches that were holding it shut came loose or ruptured through the skin. This may happen when the incision has opened because of too much pressure being put on the region.
If this is the case you may be able to see the staples or stitches which aren’t in use anymore. Your C-section could look similar to an open wound with bleeding or redness.
If the opening in your C-section is caused by an infection in the region there will be symptoms of an infection like swelling, redness or pus.
When necrosis may be the reason for the opening of the C-section opening it is possible to see gray black, yellow, or areas of discoloration instead of normal skin color. The area might be sour and smell unpleasant.
What is the C-section’s internal cut?
The internal C-section cut on the uterus may break or become open. This isn’t obvious however you’ll certainly notice indications and signs that there’s something wrong. This includes:
- intense abdominal pain in the abdomen
- Vaginal bleeding
- Low blood pressure
- A fever
- Urination painstakingly painful
- painful bowel movements
- severe constipation or inability to get an constipation movement
- A lump or lump in your stomach
Another complication that is not uncommon in C-sections includes intestinal evisceration. It occurs when certain tissues of the body like intestines and gastrointestinal organs, tissues or muscle that is located just beneath the skin, penetrate into or pass through the site of C-section. The force of the moving skin organs could force the incision to be opened.
The complication could also manifest as a fleshy lump emerging from the site of incision. The site may also appear hard or lumpy at certain places. The same thing can be experienced with other abdominal procedures.
Be aware that this is an emergency and you must seek medical attention as soon as you can.
Treatment for C-section dehiscence
The strength of a C-section opening is determined by the location of the opening.
If the incision on your outside opens, you physician will likely provide you with a local shot to numb the area , and then cut off the skin or tissues in front of the incision site. The newly opened area is sutured or stapled and re-glued.
If you are suffering from an outbreak of infection, or have dead skin cells in the the site of the C-section will need to be cleaned before it is able to be closed once more.
An opening in the C-section that is internal or rupture is not common but it can be very dangerous. It’s likely that you’ll need surgery to fix the gap. In small instances the uterus could have to be removed in the event that it’s severely damaged or is infected. This procedure is known as the hysterectomy.
In the event that your area has been infected your doctor may recommend more antibiotics or receive antibiotics via injection or an intravenous (IV) treatment.
Incisions to be treated and preventing the reopening of your incision
There is no way to avoid a open-up or other issue from the incision made by your C-section However, it is helpful to be prepared as you recover and heal. Follow these suggestions:
- Rest well during the first couple of weeks.
- Take care to get adequate nutrition Include lots of vegetables and fruits.
- Do not lift or push anything heavier than your baby.
- Beware of standing too long.
- Do not exercise vigorously.
- Do not wear tight clothes.
- Utilize the proper posture support for your stomach while you’re lying down or sitting.
- Do not sex for up to six weeks or even longer if want to.
- Be careful not to rub or press the surface.
If you’re feeling constipated, consult your OB-GYN to prescribe an effective laxative. The strain can cause more pain and cause pressure on the site of your C-section.
Clean the C-section area and clean by changing bandages when required. Seek help or ask your OB to assist in case you’re not able to do it yourself.
It is possible to shower following having a C-section. It’s okay to let the soapy water wash across the site. Be careful not to scratch, rub or rubbing the C section site.
Wounds require some moisture to heal properly therefore it is recommended to keep the bandages in place for the majority of time. It’s also crucial to allow the area to breathe by taking off the bandages occasionally.
A gentle exercise such as a quick walk or stretching session can keep blood flowing. A higher flow of oxygen and blood to the area is beneficial for healing overall after a C section.
The main takeaway
You’re taking good care of your child But be sure to ensure that you take good care of your own as well. A C-section is an important surgical procedure. In the majority of cases it is easy to recover quickly (within six to eight weeks) and leave only one tiny scar.
Sometimes, you may be doing everything right, but still experience problems. Pay attention to the site of your C-section’s incision and notify your OB be aware immediately If you notice or feel any signs of infection or other complications from a C-section.