Cesarean section is one of the most common surgical procedures performed on women. In fact, it is estimated that two out of every ten deliveries are by cesarean section. It is an alternative that tries to be avoided as far as possible since it carries more danger for both the mother and the baby. Recovery also takes much longer, before the woman had to rest in the maternity ward for at least a week, now the time has been reduced to just 3 or 4 days, however, care must continue at home.
Formerly, cesarean section was done vertically (infraumbilical cesarean section) where the scar was very evident. Now doctors always do it below the bikini line and horizontal (Pfannensteil transverse cesarean section), for aesthetics more than anything. If everything goes well, that is, there are no infections, bleeding or the scar opens, there will hardly be a horizontal mark above the pubis that can be easily camouflaged under underwear. The closure is done with stitches or staples, both have good results and there is not much difference between the mark they leave.
WHAT CARE SHOULD WE FOLLOW TO TAKE CARE OF THE CESAREAN SCAR?
1. Before delivery. If you have been given a date for the cesarean section, you have had good luck because you can take care of the area beforehand, so you will be prevented and facilitate the healing of the area. How? To begin with, follow a nutrition rich in quality food. Run away from convenience foods and fast food. Choose foods that contain high-quality protein such as fish and lean meat, fruits and vegetables that provide vitamins and antioxidants, and you should also drink a lot of water. Think that you must be hydrated so that your skin is more elastic and recovery is easier. In the same way, begin to apply moisturizing cream in the area at least a week before using concentric massages.
2- Take care of the points. After the cesarean section, it will be necessary to take proper care of the stitches. In the hospital it is the doctor who will evaluate if your wound is progressing properly, that is, if it has closed, it hurts less when running your fingers over it … For a couple of days they will not remove the dressing but after that time they usually remove it carefully leaving the wound in contact with the air. However, this is not always the case and sometimes the woman comes home with the dressing after delivery. If that is the case, you can bathe with it on as long as you dry it properly afterwards. If it falls on its own and you see that the wound does not look bad or hurts, do not put it back. Otherwise visit the doctor.
3. Wash the scar. At home after delivery you should wash the wound with soap and water regularly, the soap has to be neutral. When you are bathing, gently remove the small scabs that form , according to the instructions previously given by the doctor, you must do it carefully but do not be intimidated by the wound. When it comes to drying, you have to do it by tapping with the towel, without rubbing or scrubbing.
4. On the eighth day after the cesarean section, the bandages are usually removed, leaving it uncovered. In the event that you notice pain in the points when you did not feel it before, go to the doctor because you could be having an infection and you may need to take antibiotics.
5. If the wound reopens, you will also have to see a doctor because once closed it is rare for this to happen unless there is an infection or the surgical technique used during the cesarean section was not correct.
6. Do I use an abdominal support girdle? It is a good alternative if you feel too exposed, thanks to it the pain will be less, however, you should not use it continuously because after all the pain is a signal that the body gives us so that we rest and lower our standard of living . By mitigating the pain with the girdle, we can have the false feeling of feeling better and not taking the necessary measures for the wound to heal completely. Until the middle of the year it is totally normal not to fully recover the sensitivity of the area.
HOW TO AESTHETICALLY IMPROVE THE CESAREAN SCAR
– The first two weeks follow the medical advice that is usually given specifically to the pregnant woman after childbirth. Tips on how to clean it, what to do with bandages, etc.
– Once the stitches have fallen or they have been removed, we must hydrate the area through circular massages , practically any moisturizer is worth it but one of the most used is rosehip oil or aloe vera for its healing properties. If we keep this area taken care of, we will prevent chyloids from forming, they are hypertrophied areas around the wound, the tissue grows abnormally and thickens, giving a bad appearance. It can also hurt or itch in some people, it is really difficult to control because it will depend on the way your body heals, there is a genetic component involved.
– Do not expose the scar to the sun for the first half year so that the tone of the scar does not change and it is more evident. A good option to avoid redness and be more comfortable in summer is the use of silicone patches. Softens the scar and prevents redness.
– Dress fresh and with cotton fabrics avoiding lycra. We want the wound to perspire to avoid the accumulation of bacteria in the area (heat is the perfect medium for its reproduction).
– Does the area still hurt? You may have the so-called wrinkle pains , they are cramps that are around the scar after the cesarean section as a result of the uterus contracting to return to its original size and after cesarean delivery it is more sensitive. In that case, anti-inflammatories are recommended but always under the recommendation of the doctor and never on your own.
– Surgical treatments. Finally, if for whatever reasons (infection, enlargement, chyloids …) you are very complex with the cesarean section scar, you can undergo surgery to reduce possible chyloids that have formed. It can never be completely eliminated, but it can be hidden by turning it into a thin line.