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Childbirth

Share experiences and get support around labour, birth and recovery.

Elective c section tips

21 replies

SweetPeaPods · 18/01/2025 21:40

Booked in for an elective c section next week for ds3 due to a number of complications. Ds1&2 were forceps.
I was wondering if anyone had any tips or advice? Anything you recommend I pack in hospital bag, or have to hand when back home?
We might have to stay in a couple of nights which I imagine will help as I can lower the hospital bed etc. also hoping to get help establishing breastfeeding as I'm guessing positions might vary a bit.
Can I shower as normal with my dressing on? How long should I expect the dressing to be on for?

OP posts:
Businessflake · 18/01/2025 21:55

Yes you can shower. Can’t remember how long the dressing was on for but I definitely showered within 36 hours.

Take a nightie rather than PJs for the catheter, button front for feeding.

I’ve only had c sections so can’t comment on how different the feeding is, but I did suffer with back ache with my first which I’m sure was due to feeding a big baby with zero abs. (No back pain whatsoever when pregnant so very annoying). I used a pregnancy pillow in bed to help with feeding.

Mahoosive pants that come up over your scar.

Hospital bed massively helpful for pulling yourself up. First couple of nights home were a lot tougher than the hospital nights.

Take all the painkillers they give you, when they tell you to. Although I think that one of them made my DC2 very drowsy, they were a lot smaller than my first which may have contributed.

Both my recoveries were really not that bad.

good luck!

TheMellowOrca · 18/01/2025 22:32

For when you get home, an over the door nappy caddy was really helpful.
I think my dressing was on for about 5 days afterwards. When you shower, let it air dry completely.
A pillow in the car helps with the seatbelt. I also used a sanitary towel stick to the inside of my knickers over the scar for added protection against it.
Ive had two and the first 3/4 days felt like the worst and that I was never going to recover but after that, it was much much much easier. I also took Arnica tablets for 2 weeks before to help with the bruising and healing.

Fergs1972 · 18/01/2025 22:54

Best of luck! Hope it all goes well! My advice would be to take a stool softener (but not a laxative) as it’s so much easier to go when you do eventually need a number two

secondly don’t rush anything, go at your own pace and make sure you start moving about gently before you build it up…. If you do little and often and have a slow build of activity, the recovery should hopefully go very well! Take care.

DippyDuck19 · 19/01/2025 06:13

I had an emergency section 1 week ago. My tips for hospital, what to pack & recovery:

Nightie - much easier to wee with something that pulls up rather than you having to bend.

Flip flops - or something easy to get on/off your feet.

Adult "nappies" I found easier in the first few days. Make sure any knickers you were come high up past your wound.

Request painkillers regularly! Don't let it slip.

If you need to cough or sneeze, hold a pillow against your wound as you do it.

For getting out of bed - don't use your abs to sit up. roll onto your side, drop legs off bed and use arms to push up. If in hospital use functions of bed to help.

If you're prescribed codeine, remember this makes you constipated. Lactulose is your best friend!!!

My catheter was taken out after 12 hours and was able to walk and shower straight away. I was discharged home 36hrs after section.

My dressing was removed by midwife during day 5 home visit.

The first 5 days at home I've taken both paracetamol and ibuprofen regularly. Yesterday (day 6) I stopped the ibuprofen. Midwife said I should hopefully be off painkillers by day 10.

sel2223 · 19/01/2025 07:11

Alot of good tips already so I won't repeat but I also took peppermint tea for gas and arnica tablets for healing (maybe utter bllcks but it made me feel I was doing something by taking them.

RobinHeartella · 19/01/2025 07:23

My elective c section went so well. I hope yours does too, op.

Recovery doesn't take that long, but you will be pretty uncomfortable for a week or two.

Prepare caddies at home to have next to the bed and sofa containing everything you need so you don't have to go from room to room. Painkillers, bottle of water, etc. The TV remote!

Prepare your older ones for how you'll be afterwards. I had a lovely book called Mommy Has a C Section. (Suitable for 2-5y, not sure how old your older ones are! If they're older, it's still worth a conversation.)

Have lots of activities planned for your older ones that don't require you to be physically active:
Board games
Karaoke/dance apps (you watch, they sing/dance)
New books
New video games, depending on age

Finally, get a stool to sit on in the shower. Staying standing while you wash yourself is quite hard initially

QuietlyStorming · 19/01/2025 07:47

Echoing everything that’s been said as the tips are spot on.
Don’t be a hero and stay on top of the pain relief as they recommend.
Big knickers are your friend. I’ve just discovered M&S Full Brief knickers which are perfect and I’m stocking up! (I’m due a second section myself in two weeks 😅)
Take Lactulose if offered, maybe even before bowel movements are a problem. You don’t want to be straining whilst healing in the early days.
Although you don’t want to over exert yourself, walking (or slow shuffling, whatever you can muster) can also help bowel movements along.
If you’re given the blood thinning injections to continue having at home (I was given 10 days worth) don’t inject too close to the wound site. I made this mistake and ended up either causing or making worse an infection on my wound site 🥴 (thankfully it went with antibiotics).

The most important bit of advice though, is the one my mum gave me, just in general when I gave birth but in particular when having a section: If you are offered help, take it! Back to point one, don’t be a hero 😉

Good luck!

RobinHeartella · 19/01/2025 09:25

One more thing about the older kids. They will want to "help" with the baby, encouraged by well meaning relatives, but this can be very stressful/not helpful because, depending on their age, you won't want them carrying the baby, feeding the baby etc in case they hurt them by accident. Realistically, they really can't actually help you with the baby.

Instead, I'd make a big deal in advance of how incapacitated you will be, and how much help you'll need. They can play-act being Mummy's nurse. Make a big fuss over your kids fetching you a snack or a drink etc. Keep your medication in a wallet with a doctor symbol on it and your kids fetch it for you when the medicine alarm goes off, etc.

This will help it seem less scary to them when you are actually a bit incapacitated, and the bonus is they can be actually useful!

This is all depending on age of course. My dc1 was 3.5yo and this worked quite well.

SweetPeaPods · 19/01/2025 21:01

all really helpful and some things to add to the list thank you!

OP posts:
Lunamoon23 · 19/01/2025 22:06

5 weeks post ELCS here...

For the hospital, a nightie, and VERY high wasted underwear, think middle of your belly high, your lower tummy will feel very tender and you won't want anything touching your incision/bandage. Although I stayed commando as you have your catheter in.
Also loose fitted clothing for the journey home.

For the car - take a pillow to put between you and the seatbelt, also one to sit on. (It lessens the impact from the bumps in the road)

Take your painkillers (the oramorph is fantastic) even if you 'think' you don't need it. It's better to be ontop of the pain than let it creep up on you. It also will have zero effect on your caring for your baby or breastfeeding. Also stay ontop of your pain medication when home, I found it really helpful to keep a log in my phone (on notes) to keep track of when I took what.

  • pack your own paracetamol and ibuprofen (you can self administer in hospital aslong as you tell them you are, then you won't have to wait if they're particularly busy on the ward)
Also stock up at home. I had a draw full and went through it very quickly.

Be prepared to have the shakes. It's completely normal and nothing to worry about. It's due to the pain medication and anaesthesia during surgery and will ware off about a hour post surgery. I didn't have it too bad - was more like I was shivering but I know some people get it badly. Just ride it out.

If you get really itchy, ask for an antihistamine. Again, due to the anaesthesia. Not everyone gets it, I didn't but if you do don't suffer in silence.

Ear plugs and a eye mask / the wards are noisy and light (I even had a side room and only got 2 hours sleep)

Pack some drinks (lucozade sport) for electrolytes and to help you wee lots.
Also some nice snacks. You'll deserve a treat.

Also you'll have to do 3x 700ml pee's after the catheter is removed, so the following morning, start drinking lots and lots of fluids.
It'll make it alot easier!

Also you can have someone bring you food in if you're not a fan of hospital food. My sister brought me in a meal deal which I was so thankful for as I hate hospital food and all id eat was toast, and when they brought that round to me I was being faffed about with by a midwife and it was stone cold by the time I got to it.

Yes you can shower with the dressing on. But they do advise not to get it soaking wet. (So stand with your back to the water) and allow it to dry once out the shower. I showered at home because I choose too, I was discharged within 26 hours in at 7am, home by 4pm the following day and wanted to shower in the comfort of my own home and get into my new pjs waiting for me and into my own bed. The plus side of a ELCS is you have time to shower the morning of, and you're not pushing so not a hot sweaty mess!

My dressing was removed 5 days after - I found this made me feel really exposed after, so again, loose clothing and High wasted underwear. DO not put anything on your incision, no soaps, liquids, etc. just let the water run over it in the shower and pat dry with a clean towel when you're out. Or sit and let it air dry for a while.

Although they'll possibly give you laxative to take home with you, buy yourself a suppository, I got one from boots (cheap and cheerful) you do NOT want to be constipated (the pain meds will do this) it's not pleasant with a c section - I used a suppository on day 5 due to constipation and it was a god send.

Move little and often when you feel able too. When I say little, I mean to the toilet and back, around the bed. DO take it easy, it'll make your recovery easier and better in the long run. You won't win any awards for walking 5 miles a week post major abdominal surgery. Take your time and enjoy being on the bed enjoying newborn snuggles.

I basically lived upstairs in the bedroom for the first two weeks, husband did anything needed down stairs and I stayed upstairs with baby.

When at home and in bed, have lots of pillows, you will likely be sleeping sat upright for the first week or longer (I did for two weeks) as trying to get up from lying down was too much and laying on my sides felt like it was pulling and was too uncomfortable to fall asleep. It's sounds horrible but you'll be so tired, you'll sleep!

Pack some peppermint tea and rennie 'deflatine' (can be brought on amazon) for the trapped wind. (I thankfully didn't suffer but I had two of the rennie as soon as I was in recovery and two every hour after) Also chewing gum! Helps with trapped wind and helps get the bowel moving again.

Also second the caddy's - I had one beside the bed filled with baby essentials (nappies, wipes, Muslims, nappy bags, sudocream etc etc) aswell as a travel changing mat. And another full of stuff for me, (painkillers, lip solves, moisturiser, hair bands, glasses, snacks) and I had one in the bathroom for me (filled with sanitary towels, femfresh wipes to freshen up inbetween showers due to bleeding, spare underwear etc) so if I needed it, it was all right there for me.

I also highly recommend The frida mom disposable briefs. They're extremely comfortable over your incision and comfy full stop. They're also washable and wash well so you don't actually have to throw them after one use.
And lots of sanitary towels, nice comfy ones.

Good luck! Not long and baby will be in your arms!!

FoxtrotSkarloey · 19/01/2025 22:21

Essentials to pack:

  • 2m phone charging cable because the socks is often miles behind you
  • a water bottle with an inbuilt straw which seals shut and doesn't leak. At first it will be very hard to stretch and reach for water from the side table so just being able to have a bottle lie on the bed next to you is ideal
  • flip flops
  • your own pillow. Hospital ones have nasty waterproof covers underneath which are all plasticky
  • snacks
  • books
SweetPeaPods · 21/01/2025 00:17

Really helpful tips thank you

OP posts:
SnowSnow · 21/01/2025 00:43

Just to say my wound had dissolvable stitches and glue and no dressing at any point. Was told ok to shower just don’t get soap on the wound.
Big knickers definitely your friend and I ended up on lactulose a couple of weeks after birth. If I had another I’d start taking it sooner.

Yuckyyuckyuckity · 21/01/2025 00:48

I know everyone says 'take it easy' and I agree, but not to the point of basically staying in bed all day. Make a point of at least getting up and walking around the house every few hours, stand by the kettle while making a cup of tea etc. I found the odd days that I was sat down all day made the pain a lot worse when I did eventually move.

elliejjtiny · 21/01/2025 01:06

I found the worst bit was the waiting beforehand. Bring a tablet or portable DVD player. I was waiting from 7am to 11pm, then bumped to the next day. If you feel thirsty while you are nil by mouth, ask for a bag of fluids in a drip. I was sceptical, thinking that I would need an actual drink to make my tongue not feel like sandpaper but it did the trick.

tightarses · 21/01/2025 01:18

Lots of brilliant advice so far but as a Mum who has had 2 ELCS,get up and walk ASAP. Use a pillow on tummy and move! Take ibuprofen and paracetamol regularly.
Its hideous the first time,but worth the discomfort and each time gets easier.X

TheSilentSister · 21/01/2025 01:25

I had an elective. Echo the big pants and baggy clothes. Let out the following day and walking around town with baby in a sling the next day. No pain, nothing. No bed rest, able to do everything as normal.
I stuck to the 'no driving' rule but other than that it was a breeze.
I honestly wondered what all the fuss was about c-sections but realise that I must have been v lucky.

coolwolf34 · 21/01/2025 01:44

As someone else has mentioned, peppermint tea to help with the painful/awkward gas after!

Caddy's for anything and everything you might need after! Bending is painful so having a nappy station that's not on the floor is a god send!

I wish I'd left piles of outfits for myself each day ready so that I wasn't having to reach for each thing after I showered every day eg. Knickers, nursing bra, top, bottoms in individual piles, as getting things out of drawers etc was sore. Also would've saved me time and I did this for a recent surgery I had (learnt from my mistake with the c section) and it was a godsend!

For the section itself we took our own playlist they let us play in the delivery room which was lovely!

Frida mom disposable c section shorts were amazing for after the dressing was taken off (5 days after I think?) before that and whilst the dressing is still on giant knickers were great, big enough to fit the huge pads in!

Good luck, just remember what one midwife told me the day after 'today it's the worst the pain will be and each day will improve'! I didn't believe her at the time as found the pain on day 2 hit me like a ton of bricks but she was so right, it really does improve a bit each day and before long (2/3 weeks) you start to feel like yourself again and by 6 weeks I would say i was back to 'me' in terms of ability xx

BFhelp2024 · 24/01/2025 21:20

I recommend trying to get up and about as soon as possible. My LO was admitted to NICU (nothing to do with the c-section, as I had to deliver early for other reasons), I had my catheter out after 8h and I walked to and from the NICU to go meet her, then walked to and from the NICU 12h for the following few days. It was tough and I needed my partner to support me but it massively helped my recovery, I was back to normal activity levels after about 10 days!

Also drink loads of water after the surgery to help you pee.

Good luck!

Imisschampagne · 25/01/2025 17:16

The recommendations I received on top to the ones mentioned included:

  • you can ask also for stronger painkillers than just ibuprofen etc. in my hospital they also have opioid based medication
  • chewing gum, after surgery - the chewing helps with getting bowel movement and apparently alleviates constipation
  • a belly binder afterwards to wear at home (was recommended by a friend of mine whose a physiotherapist and had an ELCS)
SweetPeaPods · 26/01/2025 07:30

Really helpful thank you

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