Patient's question:
I had a C-section almost six months ago. My menstrual period has been relatively light after childbirth. What could be the reason? I sweat profusely even from doing some light work, and sometimes I have lower back pain. How should I regulate my condition? The incision from my C-section still itches sometimes now. Is it a postoperative complication left behind due to poor suturing? Should I go to the hospital for a check-up?Doctor's answer:
Cesarean section surgery commonly uses two types of incisions: one is a midline vertical incision on the lower abdomen, and the other is a transverse incision above the pubic symphysis on the lower abdomen. Due to the large wound area of cesarean section surgery and its connection to the vagina, which harbors bacteria, it is prone to various complications and sequelae after surgery. Therefore, postoperative care must be strengthened.In the first three days after surgery, intravenous fluids are required to replenish fluids and aid recovery. Six hours after surgery, the patient can begin consuming liquid foods such as braised eggs, egg flower soup, and lotus root powder. On the second day after surgery, normal bowel movement can be expected, and the patient can eat semi-liquid foods like congee and crucian carp soup.
Mothers undergoing cesarean section surgery should pay attention to the amount of vaginal bleeding. If the bleeding significantly exceeds menstrual flow, medical intervention is necessary. Additionally, an increase in lochia (postpartum discharge) in the later stages of postpartum recovery also requires immediate medical attention, as cesarean section uteri have wounds that can lead to fatal hemorrhage.
Mothers may experience abdominal suture rupture during coughing, nausea, or vomiting, so they should press on both sides of the wound with their hands to prevent this. It is also important to note pain at the wound site during menstruation. This is because endometriosis often occurs at the wound site of cesarean section uteri, causing persistent during menstruation. Later, abdominal masses may develop, and timely medical attention should be sought.