Postpartum Caesarean Section?

Illustration of Postpartum Caesarean Section?
Illustration: Postpartum Caesarean Section?

I just had a fault on the 22nd yesterday … when I checked the wound and on the ultrasound it said that there was blood clotting … and because the scar was dry so it was only given an ointment, even though the right abdomen was still in pain. is there any problem with my puerperal 3 weeks. in the last 3 weeks the exterior is a little bit and the color is brown .. thanks

1 Answer:

Hello. Thank you for the question submitted to We can understand the concern you feel.

The first 6-8 weeks postpartum is called the puerperium. In this period, mothers who have just given birth, either by vaginal delivery or by cesarean section, gradually experience recovery until the state of the reproductive system and various other organ systems return to pre-pregnancy conditions.

During which the puerperium, from the birth canal can come out blood and fluids in connection with the process of cleaning the remnants of blood and tissue during pregnancy. Vaginal fluid that comes out with puerperal blood is known as lochia. There are 4 stages of discharge of puerperal blood, namely:

Lochia rubra, lasting for about 1 week, is usually predominantly red because it contains fresh blood and tissue remaining from the placenta
Lochia sanguelenta, lasts for about 1-2 weeks, is yellowish red and slimy
Lochia serosa, lasting for about 2 weeks, is yellowish in color
Lochia alba, which lasts for about 2-3 weeks, is clear white or slightly yellowish, indicating that the puerperium is almost complete

If the doctor who treats you does not provide specific therapy, it does not rule out the possibility that the "lumps" found on ultrasound examination are expected to come out spontaneously in the form of lochia and will continue to be evaluated for progress at your next control visit.

Associated with pain in the surgical scar, as long as the surgical scar does not show symptoms of redness, warm palpation, oozing / blood seepage, swelling, and fever, you don't need to worry. Pain is one of the complaints that is quite a lot experienced by postpartum patients with Caesarean section. Usually the intensity and frequency of pain will continue to decrease with recovery. The recovery process in the suture of a Caesarean scar usually takes about 4-6 weeks. Furthermore, the overall wound healing of a Caesarean section takes about 12 weeks. The recovery of a Caesarean scar is characterized by the following signs:

Pain in the former stitches disappeared
The condition of the former training is quite dry and there is no fluid / blood coming out
The size of the surgical scar has shrunk compared to the beginning
The color of the skin in the area of ​​the scar after the surgery returned to its original condition

You are advised to make periodic control visits to the obstetrician and gynecologist who is treating you so that the condition of your scar can be evaluated and given the necessary treatment. To help the recovery process, you are advised to apply the following steps:

Get enough rest and avoid heavy and excessive activities
Consumption of balanced nutritious food regularly, especially those that are a source of protein (example: egg whites, chicken, fish, meat)
Avoid excessive straining when defecating
Drink plenty of water and consume fiber (example: fruits and vegetables) to maintain smooth bowel movements
If the wound is still covered with bandages, make sure the bandage is always quite dry and clean; Change bandages regularly according to doctor's orders
Use a buffer pillow on the stomach when coughing, sneezing, laughing
Stress management well
To enrich insight, you can read articles about post-caesarean recovery. Thus information from us. Hopefully always healthy. May be useful.

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