Postpartum Care in case of Caesarean Section

Postpartum Care in case of Caesarean Section

The World Health Organization (WHO) recommends that a country should ideally have a C-section rate between 10% and 15%. However, in recent years, India has witnessed a sharp rise in caesarean deliveries from 8.5% in 2005–06 to 21.5% in 2019–21. In some states, the numbers are even higher; for example, in Punjab, the rate stands at 47.1%, according to data obtained through an RTI.

In such a situation, it is important for women to understand how to care for themselves after a caesarean section. In this blog, MUMYU shares the top five tips for postpartum care after a C-section.

Number of C-section deliveries across India

Postpartum Care in case of Caesarean Section

1. Physical Recovery and Wound Care

Clinical trial shows that if you keep your genital area clean and dry it helps in reducing chances of infections. Daily gentle cleaning and proper air drying can reduce infection rates. Modern medical guidelines recommend using a combination of different pain-relieving drugs (multimodal pain management) after a C-section instead of relying heavily on strong opioids alone. For example, nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen are used together because they relieve both types of pain after surgery: somatic (from the incision and muscles) and visceral (from internal organs). Evidence suggests that gentle movement within 12–24 hours after surgery reduces the risk of blood clots and promotes healing.

2. Nutrition for Healing

Protein-rich foods like lentils, eggs, and fish help the body repair tissues and heal wounds faster after surgery. Proteins provide essential nutrients that support cell growth and tissue repair. Because C-sections involve blood loss, eating iron-rich foods (like leafy greens, beans, and fortified grains) and drinking plenty of fluids help prevent anemia. Ayurveda recommends warm, easily digestible foods such as rice, lentils, and ghee (clarified butter) to strengthen the mother. Herbs and spices like turmeric help reduce inflammation, boost healing, and improve digestion. Postpartum oil massage and herbal baths also support relaxation and recovery.

3. Breastfeeding Support

Studies indicate that breastfeeding positions such as side-lying or the football-hold position reduce pain and pressure on the abdomen after abdominal surgery, making breastfeeding more comfortable for mothers post-C-section. Early skin-to-skin contact (SSC), where the newborn is placed directly on the mother's bare chest soon after birth even after a C-section greatly supports breastfeeding success. Research finds SSC increases rates of exclusive breastfeeding, strengthens emotional bonding, reduces newborn crying, stabilizes infant heart rate and breathing, and helps mothers relax and bond better with their babies. Several randomized trials confirm SSC after C-section improves breastfeeding outcomes and maternal satisfaction.

4. Mental Health and Emotional Care

Evidence suggests that women who undergo C-sections may have a slightly higher risk of postpartum depression due to pain, slower recovery, or feelings of loss of control. Family and community support, counseling, or peer groups have been shown to improve coping and maternal well-being. You can go for lite walk in garden to feel connected with nature.

5. Gradual Return to Activity

Light walking after 2 weeks and core-strengthening exercises after 6–8 weeks (with medical clearance) reduce long-term back pain and improve abdominal strength. Research advises avoiding lifting anything heavier than the baby until healing progresses.

How to reduce your chances of Caesarean Section

In most cases, if there is no medical issue, one of the most common reasons for a C-section is lack of physical activity during pregnancy. Being lethargic and inactive increases the chances, so it is important to engage in light pregnancy exercises, take short walks in the park or garden, or do small household chores that don’t require heavy strength. Lifestyle factors are closely related to the risk of having a caesarean section. According to the research paper published on March 1, 2020, in Cureus titled "Association Between Maternal Obesity and caesarean Section", maternal obesity is significantly correlated with several caesarean delivery complications including deep vein thrombosis, wound infections, and longer hospital stays. The study highlights that obese women undergoing C-sections have a higher risk of complications compared to non-obese women and suggests the need for awareness programs focusing on weight management during pregnancy to reduce these risks.

When to Seek Medical Help

mothers should seek immediate care if they notice these symptoms

According to WHO and ACOG (American College of Obstetricians and Gynaecologists), mothers should seek immediate care if they notice:

• High fever

• Redness, pus, or swelling at the incision site

• Severe abdominal pain

• Heavy bleeding or foul-smelling discharge

• Difficulty breathing or chest pain

Conclusion

Postpartum recovery after a C-section requires holistic care from medical wound management to emotional support. Blending scientific evidence with traditional practices (like warm diets, gentle massage, or herbal remedies under supervision) can provide mothers with comfort and faster healing.