Tips from C-section veterans

What everybody above said. I was offered neither enema nor laxative - one of the nurses slipped me a SURPRISE! suppository the first day I was on my feet!

The only time I was really uncomfortable after I came home with the baby was for a couple of days when the big metal staples began to hurt, as I began to heal. (When they took them out, they asked if I wanted to keep them as a souvenier.) As for ‘taking it easy’, I must have strong-like-bull peasant roots, because other than the sore itchy incision, I felt just fine and went about my daily routine as usual, stairs and all. Though I did bleed rather heavily because I didn’t rest enough. Somehow I was a bit surprised there would still be post-delivery bleeding with a C-section, but of course I was in a befuddled state of mind…

slitterst, this cracked me up totally. I was expecting some sensitive-new-age-guy remark about how your wife’s face would tell you what she needed, blah, blah, blah…

:slight_smile:

I’m a two time c-section veteran; the first happened after 14 hours of fruitless labor, the second was scheduled. You’ve gotten lots of good advice here that I won’t repeat. What I will say is this – don’t dread it too much. I was VERY anxious when I went to the OR for my first c-section. It seemed like everyone I knew had a horror story to tell about how painful it was, how long it took to recover, etc. Afterward, I thought, “That was it?” While it wasn’t the most wonderful thing in the world, it really wasn’t all that bad either. I didn’t have tons of pain afterward, I was able to get up and walk around (slowly) and shower and all that stuff. Stairs weren’t too challenging as long as I went slowly and someone else carried the baby.

I followed my doctor’s instructions carefully, took my meds like I was supposed to, and had absolutely no problem with it either time. So try not to dread it too much if you can help it. I wish you all the best of luck, and congratulations on becoming a parent!

Mine was urgent, but not an emergency. I was already in the hospital being monitored due to pre-eclampsia, and at 34 weeks my body basically decided that self destructing would be a fun thing to do. As the doctor disagreed, and Moon Unit was transverse, this meant a c-section.

My first child, Dweezil, was born vaginally, after 15 hours of induced labor, a non-functioning epidural (by a male anesthesiologist whose dick I really should have ripped off - he was a real ass and not overly competent), 3rd degree tearing when they got the baby out with forceps…

I’ll take a c-section over that, any day of the week!

The procedure itself took less than an hour. Epidural didn’t work too well that time either: I didn’t feel them cutting or anything, but my bladder wasn’t numbed. They don’t cut on that, but it does get pushed out of the way and gets jostled, a LOT, which was painful. Still MUCH less pain than the vaginal delivery. And my recovery was a lot faster too: I couldn’t sit upright for 3 weeks after Dweezil was born, and was in a lot more pain.

I was in ICU myself for about 15 hours after the c-section so I wasn’t urged to get up on my feet. I wasn’t in major pain at that point: they dumped a long-acting morphine in the epidural before removing it. The only problem I had with that was my back and legs were itchy (which I’d been warned about ). Typo Knig spent a lot of time scratching my legs, bless him!

I did get up and on my feet within 24 hours. I remember the first attempt to pee - when they removed the catheter - was unsuccessful. The next was not, fortunately.

I had relatively little pain. I don’t mean my gut didn’t hurt - it did - but nothing too intolerable. In fact I took precisely one percocet while in the hospital, the rest of the time I just too naproxen prescription strength. I was walking - well, shuffling - up to the NICU (another floor of the hospital) frequently by 48 hours post-surgery.

I firmly believe that my easy recovery was because the doctor had time to take her time and not rush through, because the baby wasn’t in imminent danger. This allowed the damage to be somewhat minimal.

I had heard that we’re not supposed to drive for 2 weeks after surgery. I probably could have, but didn’t want to push it. I sorta needed to - as I was spending all day at the hospital even after I was discharged.

Find out from your insurance company if they have a standard allowable stay after a c-section. Many of them were trying to cut that to 3 days (some even 2) but some state legislatures actually intervened as 3 days isn’t enough for many people. I think the standard is 4 days unless you have strong medical indication that you need longer. You don’t want to plan on 4, then find out after that that you’ve just spent a grand out of pocket!

Don’t plan on any heavy physical activity for a few weeks. You may feel great but your body will probably pipe up suddenly and say “Rest. Now.” if you overdo it.

Your traumatized gut will shut down and it’ll be a few days before you need to poop. I’d suggest keeping up with stool softeners (the nurses will have Colace to hand out like breath mints. Take them.). That first dump will be like, well, shitting a brick (it gets better after that). And your gut muscles won’t especially feel like working that hard.

To prepare for my C-Section, I expressed colostrum and kept it refrigerated. I was able to collect nearly 2 oz, which sounds like a pittance, but, it fed my son until he was able to breastfeed directly after I was out of recovery.

My son was breech, and stayed that way, so we scheduled a c-section for 6 days before his due date. The doctor gave me a last minute ultrasound to confirm he was still backward, and then we continued to the OR. I was given an epidural, then I laid down on my back, the doctor made the incision, reached in, and carefully drew out my son. The doctor counted to three slowly and my son made a decent cry, and then stopped. As I was about to go mad, KellyM told me he was quiet because he was happy, and she brought him over so I could touch him and see him. It turns out the umbilical cord was wrapped around his neck three times, that accounted for the counting to three before the cry. His APGARs were 9 and 9, IIRC.

KellyM left the OR with my son, David, and they tilted the table a bit so my head was lower and I felt like I was a tight pillowcase they were stuffing a pillow into. Then I heard the stapling. At no time was there any pain. They moved me off the table by lifting me in the sheet onto a mobile bed. I was amazed that I felt comfortable, but I did. I then waited for a bit in the recovery room with the same nurse they had me lean on when I was given my epidural. She was pleasant and after an hour or so, I was moved to my room where KellyM and David were waiting.

They had given me some narcotic in the epidural, and that was good, but afterward, I chose to only use Ibuprofen for pain. This was because I don’t like being in a hospital and found the bed uncomfortable and I missed having my husband near, and I missed my daughter. I wanted to get home as soon as humanly possible. My choice was based on the knowledge that the heavier duty painkillers tend to make me nauseated and/or, they slow down my bowels. My doctor was not going to let me leave the hospital until I my digestive system gave evidence it was working.
I was also breastfeeding and was more comfortable with ibuprofen and nursing than I was other drugs.

That was a good choice for me, but you may well be more comfortable staying in the hospital longer, or taking heavier duty painkillers. Take it at your own pace, and understand how your decisions affect the choices that you will have available.

KellyM stayed with me the entire hospital stay. She helped me with everything, from getting David positioned for nursing, to getting in and out of bed. It was nothing like recovering from vaginal birth (no painkillers), which was much, much easier even though I was coping with a rip and stitches. One of the things that helped is that we brought lots of reading material, mainly woodworking magazines. It was nice to have something light and unrelated to baby care to read.

Once I was home, I showered at least daily, and washed the stapled incision gently with plain soap and water very thoroughly. I had KellyM inspect it everyday to look for infection, or just dirt or dead skin that was better off gently washed away. The scar is not really visible or palpable after a few of months.

One of the main differences between a vaginal birth and a c-section is that the vaginal birth instantly transforms you hormonally to the post-pregnant state. With a c-section you kind of drift back to normal non-pregnant. I was horny again after the c-section as soon as I got home, with a vaginal birth it was months before I really felt in the mood.

This must vary by hospital: I was offered solid food as soon as I got to my room, the morning after Moon Unit was born (was in the intensive-care recovery area for about 15 hours due to the pre-eclampsia).

As noted, the gut does try to shut down though, so I was feeling pretty bloated by 24 hours after that. I actually asked for a suppository (there was no “surprise” as salingmind had (how do they surprise you with that???)… and it was self-administered! That got things moving which wasn’t pleasant, but then, well, the blockage was out of the way!

Oh, and in my case, I was peeing a lot, as I had a huge amount of water-gain to pee off due to the pre-eclampsia. I had lost about 20-25 pounds by the time I left the hospital.

Great advice here. My first was a c-section followed by 2 VBACs. The only thing I would add would be to follow the doctor’s instructions, even after you start feeling better. Especially when it comes to lifting things.

I was given a 10lb limit of lifting after my son was born. My husband had to pick up the kiddo and give him to me because at 3 days old, he was already over 10lbs. After a couple of weeks, I went back to normal activities, keeping a vague eye on the weight limitations. About 3 days before my 6 weeks checkup, while lifting a small basket of baby clothes, I tore internal stitches. Not fun. Very painful. And there is nothing they can do about it. I got another 6 weeks of not lifting anything but the baby, and a lifetime of a belly pouch (okay that’s what I like to blame it on!).

Another C-section dad here (X2). My son was born back before allowing a dad in the OR was common. I asked the doc ahead of time, and he kind of hemmed and hawed, and I said, “If I promise not to act like an idiot, can I be there?” He laughed and said sure.
Well you guessed it, emergency section for fetal distress. I was not in the room for the incision, but they brought me in a few minutes later. I found the entire procedure fascinating, and when the doctor asked if I want to join them, I asked if he minded if I cut in. :smiley:
If blood bothers you, stick with the face. It doesn’t bother me, so I had no problem watching the action.
What no one had prepared me for is that the baby comes out blue. (Bloody also, but I expected that) They also don’t breathe for shit when they are first born.
When I saw that bright blue baby, who wasn’t breathing very well, I freaked just a bit. Then my rational mind took over and I thought if it is really a problem, they will hustle my ass out of here, but if the baby is OK, somebody will congratulate me.
About an eternity later (maybe 10 seconds) the nurse said, “That sure is a good looking kid Rick.”
At that point my heart resumed beating and I was good to go.
But for about 10 seconds there I thought my wife had given birth to a smurf. :smiley: