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 start to 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 feels itchy 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 in the lower abdomen, and the other is a transverse incision above the pubic symphysis in 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 restored, and semi-liquid foods like congee and crucian carp soup can be eaten.
Mothers undergoing cesarean section should pay attention to the amount of vaginal bleeding. If the bleeding exceeds the normal menstrual flow significantly, medical intervention should be sought. During the later stages of postpartum recovery, an increase in lochia (postpartum discharge) also requires immediate medical attention, as the cesarean uterus has a wound and is prone to fatal hemorrhage.
Mothers may experience abdominal suture rupture during coughing, nausea, or vomiting, so they should press the sides of the wound with their hands to prevent this. Additionally, pain at the wound site during menstruation should be noted. This is because the wound area of the cesarean uterus is often affected by endometriosis, which causes persistent during menstruation. Later, abdominal masses may develop, and timely medical attention should be sought.