My No BS Guide to Having and Recovering from a C-Section

Since having a C-Section 17 months ago, I have had several friends ask me to guide them through what to expect with theirs. I realize that I wish I had know some of these things before going into my C-Section and so I have decided to share.

This is my absolutely no-bullshit guide to having and recovering from a C-Section. Now, mine was planned so the recovery from an emergent C-Section could be different. In fact the truth is each woman’s recovery will be slightly different. I wish I had someone tell me the truth about what to expect- I think it would have prepared me and made my experience a lot less scary and unknown at the time. Here it goes mamas!

Part One: The C-Section, before and after

  1. Belly bandit- wear it as soon as you feel you can. It’s the one single thing I can now swear by about healing and recovering from a C-section. Wear it as much as you can. I didn’t sleep in mine but otherwise I wore it as much as humanly possible!!! It shrunk my uterus down in 1 month to almost it’s normal state and supported my incision area and also my back. It just really holds everything in that otherwise after a C-Section can hurt as you’re tummy is all wobbly and wonky for a while.  This is the one I used. I started with size small and then eventually had to buy the XS because I shrunk so fast but still needed and wanted the support. I saved both as I plan to use them again if/when we get pregnant a second time.
  2. THIS:  Use these strips on your incision as soon as you’re allowed to. They are the most amazing things EVER! I wore them 24/7 (you can wash them when you shower- that’s the only time I wasn’t wearing them)….my scar looks SO good because of these PLUS they protect your scar from underwear, clothes, etc. which can feel pretty icky against it for a while (up to 2 months maybe more).
  3. Compression big panties: I wore these every single day and night and I wore them under the belly bandit. They also help with the swelling and really do help hold things in…They aren’t sexy but none of this is sexy (plus you can’t have sex anyway so just do all you can to get your body put back together and try not to care about what you or your big ass panties look like)! 
  4. Pooping: DO AN ENEMA BEFORE YOU LEAVE THE HOSPITAL! If they’ll allow you trust me this is the way to go. Have a nurse give you an enema in the hospital you will be so relieved. Take stool softeners so that you don’t get constipated with the pain meds post C-section. I had to do an enema the first poop after surgery, 3 days later…And on that- that first poop….hang on to your heart: it feels like you are ripping yourself open but you ARE NOT…just remember me telling you this- you are OK…you are not ripping yourself open and are totally okay. You have to poop and once you do it’ll only get easier to do it again. I ended up doing a few enemas post surgery until I was able to go on my own. It won’t hurt you and is the easiest way to get it done. Any pushing hurts deep inside as you’ve been sliced open and are healing.
  5. SLEEP! In order to heal fast, you have to sleep. Sleep as much as you can and let the people around you help you. The worst you can do is over-due it. You will set yourself back  not heal yourself. Tell your husband/partner this: he/she needs to be in charge of stepping up and not letting you over-due. After about 1 week the pain reduces a lot and after the 2nd week so much more  but you have to be careful not to over-due it even though you feel better because for about 6 weeks total you’re still healing and things are still fusing back together. It’s easy to push it but you have to really be on yourself not to. This is extremely tough for those of us who take care of everything and everyone but ourselves so try to use this as practice for asking for help from your support team. Remember- they WANT to help you but you may need to be specific about the kind of help you need and when you need it.
  6. Big pads- you will bleed for weeks. I wore a long heavy over-night pad 24/7. Finally switched to a regular pad at week 5 post partum. Don’t think you can just hang out after taking a shower for 15 mins- you can’t- you’ll bleed. Pad it up!
  7. Make sure to eat high protein as it helps you heal fast.
  8. You may come home swollen from the fluids they pump into you but not to fear- it will go away (you’ll pee it out) with in about 1.5-2.5 weeks or so. I think drinking lots of water/coconut water helps flush and drain it out. You need lots of water anyway to support nursing. It can be scary to see yourself looking so puffy after you get home from the hospital but I promise the swelling goes away and you’ll be able to see what you really look like post baby in about 1.5-3 weeks.
  9. NIGHT TIME HELP: This is KEY! If you can get a night time nurse or Doula (we had a Doula and it saved us) do it! If you can do it for 2 weeks at minimum but ideally would be 1 month. I can’t stress enough how much this helps. It allows you to sleep a little with out worry. Someone skilled and trained is up with your baby or up watching your sleeping baby. They will come get you out of bed to nurse when you are needed (usually every 2-3 hours in the beginning). If you do not sleep, you will not heal and also your milk supply will suffer. You have to sleep. So someone you can rest easy with should be with you at night. This isn’t your mom and it’s not your husband. This really is someone much more skilled to actually do just this. If that person is with your baby trust me you WILL sleep and you will be a better new mommy for it. The reason it’s not your mom or partner is because you still need those people’s support during the day while you heal. You can’t lift anything for a while and barely that sweet new baby so try to set this up BEFORE you have your baby (if you know you’re having a C-Section). If this isn’t an option for you financially or perhaps because you don’t live near family then you need to set a very real schedule with your partner for them to support you in being able to sleep (and then stick to it).
  10. Pain: people do NOT talk about how painful it is to recover from a C-section. I will be honest it’s SO painful. So just know this and it’ll help you not worry that something is wrong. Also, the healing itself can feel very weird. The area of the incision ends up this weird combo of numb and painful to touch. It changes and you may feel some weird tinges of pain (healing pains) on and off. Don’t let them scare you- just expect them. The body is amazing…almost 5 months postpartum my scar wasn’t even close to as wide or scary as it was at even month 2 or 3 and my tummy was back to normal. When you’re freaking about stuff- just don’t. Know that you’ll get back to feeling like yourself and instead focus all your energy on loving your baby because that will take your mind off anything uncomfortable that’s going on (and make it all worth it).

Part Two: Your tummy, your healing

  1.  Tummy Time: One of the hardest things post C-Section is getting the tummy muscles to fuse back into place and start working the way they used to. This is just a game of patience but there are things you can do to help. The Belly Bandit as mentioned above is a must. On top of this I suggest trying to do all things you do being mindful of your core. After you have a baby and while you’re in recovery there’s not much time for working out (plus you aren’t allowed to do much but take walks for a while). So use the walks and even lifting the baby or doing the dishes or laundry as your work outs. Tighten and use your core muscles (which may feel very weird for a while) as your power zone. Do all movements from this power zone (not your butt or your legs). Soon you will just use your core as a habit and you won’t have to think about it all the time. Most important take walks and as you feel better and better take longer, faster walks using your core as the movement force and power zone. The weight will start to fall off. Oh and wear your belly wrap on your walk and as much as you can! Eventually you can start to get back into your normal work outs. I recommend pilates with a trained instructor for good post C-Section healing. Make sure to always tell the instructor you just had a C-Section!
  2. What you eat: In my experience the MOST important component to healing and getting your body to slim down after a baby is what you eat. In the beginning you have to make food choices to support your nursing (if you choose to do this). That means you must eat. This is one of the hardest things to do with a newborn and a C-Section recovery. It might sound nuts but it’s true. First of all, stuff happens like you could have a baby who can’t latch (like we did) and then you end up pumping 8-12x a day. Between the pain of getting in and out of bed or walking around post C-Section and then need to pump then feed the baby I swear I barely had a moment to do one more thing. This is where HELP comes in. My mom was in town to help support us after the baby came and ended up staying longer once we had some postpartum feeding issues and difficulty. She would actually feed me while I was pumping AND also trying to breast feed. If she wasn’t there spoon feeding ME I swear I wouldn’t have been able to eat much in those first couple weeks. If you’re partner is around then they can be this person (my husband wasn’t able to take time off right after the baby was born and had a crazy schedule in fellowship and being on call at the time).
  3. More on what to eat:
    1. High protein (note: eggs are the best fast food while nursing and healing), probiotic yogurt is also really good for you but use full fat if nursing.
    2. Lots of easy greens (kale, spinach, asparagus)
    3. Good fats: Avocado, coconut Milk, coconut oil, olive oil
    4. Fiber: You may be having post C-Section “issues” as I call them and will need extra fiber to help support you. Try lentils, hummus, dates, figs, prunes, apples, pears mixed into your diet to assist your needs.
    5. Good healthy carbs: Try quinoa, brown rice, chickpea flour based pasta, sweet potato or yams but try not to overdo it on the carbs.
    6. Nursing support: Try to eat your carbs in the morning in the form of oatmeal or gluten-free oatmeal. This will help your milk supply but also give you fiber and carbs for the day (add dates, figs, pears, apples here for more fiber support).
    7. Water water water! Drink water all day. If you’re not a water person then add cucumber, lemon, berries, orange slices, etc. to water in a container in the fridge and let it marinate. It’ll be tastier and also add some good things to your diet at the same time.
    8. What you eat after nursing and in order to get your body back to a good space:
      1. Greens! Greens and veggies oh my! Okay so the skinny is this: eat as many greens and veggies as you want! That’s right- you get a free pass on this one. You can fill up on greens and veggies at each meal!
      2. Small amounts of protein you don’t need as much as you think! If you make a fist the amount a protein you actually need per meal is in fact probably 1/2 of that size. So, if you’re doing a lean meat or fish try to portion it out with that in mind. If you’re having a vegetarian meal then the protein may be in the form of lentils or beans of some sort (I do this more than anything else protein wise). I say 1/2 a cup of beans is the portion size per meal depending on the size of the bean…then it may end up being 1 cup.
      3. Eat whole unprocessed foods. Instead of the low or non-fat item (which is filled with carbs and sugar and “filler” opt for something real and whole (and then eat slightly less of it). For example…choose whole organic yogurt, choose a drizzle of olive oil and a dash of sea salt on your salad instead of “fat-free dressing.” Your body will process these things so much better and you will actually be thinner for making these choices.
      4. Cook your own food. If you make your own food then you can control what’s in it. Going out or ordering in here and there is fine but if you can, try to control what REALLY goes into your mouth. I find it helps to make dishes once or twice a week that you can keep in your fridge and grab as needed such as: hummus and organic veggies to dip into it or grab and snack on, Israeli salad (or salads in general), salmon or lean meats to have and grab.
      5. Do not starve yourself. The worst thing you can do when trying to shed baby weight (or any weight) is to starve yourself. You MUST eat. Just eat less and make healthy choices.
      6. Splurging is okay. It’s important to be kind and moderate when on the long road to loosing your baby weight. The reality is you’re going to have days where you want to splurge or you’re out and you want to eat something you have been craving for ages. Eat it. Enjoy it then let it go. Start the next day back on track and don’t sweat it. The reality is that even one splurge meal or even one day a week will not derail your weight loss if you are making healthy choices (most of the time).