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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Planned c-section pain relief and recovery

22 replies

buffyverse · 13/09/2022 20:35

Can anyone who's had an ELCS talk me through recovery?

What happens immediately after ?
What pain relief will I likely be to get ?
Do you get sent home with any?
Is the scar dressed?
When can you have a shower?
How long am I likely to be in for ?

Any info on recovery etc will be great

Thanks

OP posts:
pretendingtobezen · 13/09/2022 20:49

Hi, I had mine last year…

What happens immediately after ? We went through to recovery area for a few hours and then into the ward.

What pain relief will I likely be to get ? In hospital I had oral morphine and paracetamol

Do you get sent home with any? Nope. I did ask! Just did paracetamol and ibuprofen round the clock (maximum safe dose) so something every few hours 24:7 for a week or two and was told not to wait for pain

Is the scar dressed? I remember having two layers. A big dressing that was removed the next day the one like a big plaster under that.

When can you have a shower? I was told I had to have a shower the next day and get the big dressing off. I was terrified of damaging it or doing wrong thing so got a midwife to come with me to help with removal.

How long am I likely to be in for ? I could have gone home after one night but was in pain and found the electronic bed helpful so I chose to stay an extra night for that plus to establish BF. CS was midday Monday and home 10am Wed but could have been late Tues afternoon.

Really postive experience overall. I think I overestimated the initial pain&immobility (thought I’d be bed bound) but was up and about and fine moving about in the first week. However I underestimated the long term impact- weird things like putting on tight shoes and pushing down to get them on could be painful and awkward months later. Still get twinges (15minths in). Post partum sports coach said it takes at least 2 years for really healing and strength back.

hope that helps x

Sparklythings1 · 13/09/2022 20:56

What happens immediately after ?

As soon as I was stitched up I was lifted sideways onto a wheely bed and taken round to recovery. I had my little one at 2pm and stayed in recovery until between 5/6pm. I was given dinner and people did everything with baby as I was still numb. No pain whatsoever, completely fine and not even weird like I expected it to be! Sometime between 10 and 12 I got up with help and went the short walk to the chair beside my bed. It was pretty much uneventful, I’d heard a lot of people say they can bleed a lot at that point but I didn’t. It maybe did cause me to bleed more after though as I did end up bleeding through my nightie and onto the bed when I got back in.

What pain relief will I likely be to get ?

I think it depends if you’re breastfeeding or not for morphine (don’t quote me on that). They come round regularly with a little trolley and I took everything that was going. They also put a suppository in your bum 😬 as you’re finished the op so I think that probably helped too. Someone beside me was getting liquid morphine at one point and I was starting to get the sensation back in that area so decided I’d just take some too 😂

Do you get sent home with any?

Barely, it was diclofenac and paracetamol every 4 hours but I really didn’t feel much at all. The only actual pain came when I went to sit up (do not sit up) 🙈

Is the scar dressed?

Yes everywhere does that differently but I had a dressing then a really sticky glue like substance sort of layered over it to keep it on. It actually felt quite good by day 7 and I had been out a walk etc. I had to peel it off myself as the midwives in my area don’t have time to do it. I was told to do it in the bath and it went all stringy and took what felt like days to come off. I didn’t really want to look at it but eventually glanced in the mirror and it wasn’t that horrific, considering 🙈

When can you have a shower?

As soon as you’re up, you can have a bath when you get home. I couldn’t believe that!

How long am I likely to be in for ?

pain? If I have another one I’m going to aim to take it in stages this time. Get over the first day, get the feeling back in your legs, stand up, catheter out, be able to change your pad and do basic things with the baby. Day 2-5 I would take as one chunk. You bleed quite a lot and don’t want to have to bend down for anything. I turned a corner at the end of the first week then again at the end of the second week. Walking slowly about the house isn’t sore, it’s only sitting deep into the sofa and trying to push back up that puts pressure on it, as well as the struggle to get out of bed. I slept in my pregnancy pillow eventually so I wasn’t flat back. From day 14 to week 5 I’d say I was aware something had happened there but I could go out a walk and as long as I didn’t overdo it I knew it would be okay. By week 6 I felt pretty much good as new, which you cannot believe you will ever feel again at the start 😂

Any info on recovery etc will be great

  • put a pillow in the car for the drive home to put over your belly below the seat belt
  • put your pads up high in the bathroom and anything else you’ll need before you leave for the hospital, then there’s no fumbling in bags needed
  • big black high waisted pants x100 - I aimed solely for the hospital and then got home with a horrible bag of bloody pants and couldn’t face asking my husband to put them in the wash for me so bent down and did it myself. I’d get more than 7 next time! Have some comfy ‘visitor is coming’ outfits laid out all ready to go (for you) so you’re not rushing about trying to get dressed.
  • Trousers/joggers are quite awkward to get on when you have to pull them up, loose dresses might be easier
  • colpermin or peppermint tea for trapped gas, you can get it in your shoulder apparently and it’s really sore. I took that and didn’t!
  • even if you feel fine at week 1 or 2, don’t move about too much. I did and the bleeding got heavier again.
  • I bled on my compression stockings in the bathroom while getting changed (a particular low point) and wished I’d had another pair. Had to pathetically shout my husband to tell him and instead of saying ‘ew’ he helped me get them off 😂
  • you’ll probably get nippy fragmin injections for 10 days after that you or someone else has to do at home. I got him to do them into the flab at the side of my belly, I just pinched a big bit and turned away til it was done. Saw that tip on Jennifer joy’s YouTube channel. Her and eilidh wells section and recovery videos are great!
good luck, I’m a wimp and I managed it! Ask for a bit of local in your hand before the cannula if you’re as bad as me 😂 that was the only bad bit of the whole thing, honest!
Vincitveritas · 13/09/2022 21:13

Hi Buffy, I assume every NHS trust does things slightly differently. You should be given an information pack at the pre-op assessment (usually the day before the C section). After the delivery you'll probably be given a diclofenac suppository to help with pain relief. You'll also still be numb from the waist down for a few hours and feel tingling as you regain sensation. You'll be given paracetamol and ibuprofen to keep on top of the pain and offered Oramorph (oral morphine solution) if you're still uncomfortable after these. A waterproof, absorbent dressing (like a big sticky plaster) will be used to cover the scar. The nurses will need check you've managed to have a wee and measure the volume. I'll add more info when I get a minute.

daisydoods · 13/09/2022 21:23

I've had two ELCS

What happens immediately after ?
Once I was stitched back up both times I was wheeled into recovery so they could do my vitals, and was given an antihistamine as I was scratching like mad all over once the morphine wore off. Then I was wheeled back to the ward and was given some food, first time had DD1 at 8:26am and then DD2 at 12:34pm. After DD1 healthcare came to get me to stand up and sit in chair after 4 hours or so which I did and wasn't in anywhere near as much pain as I expected. After DD2 and when I could feel my legs my catheter was removed and I walked to the bathroom and had a quick wash and freshen up and changed into my own nightie

What pain relief will I likely be to get ?
I had morphine and also a suppository straight after CS. I feel I was in more pain after DD2 than after DD1, regular paracetamol/ibuprofen from the trolley and codeine

Do you get sent home with any?
Yes - I had dihydrucodeiene and paracetamol/ibuprofen

Is the scar dressed?
I had one big sticky bandage plaster over which I removed in the shower after 3 days

When can you have a shower?
I had one the morning after

How long am I likely to be in for ?
One night but can request two

Any info on recovery etc will be great
When sneezing, grab a pillow and squeeze into it - I found that pain the worse. Don't lift anything heavier than your baby - I ran the hoover around on the second day (stupidly) and I still feel the ache years later. Roll out of bed rather than sitting bolt upright. I bled for 6 weeks after DD1 and then 12 weeks off and on after DD2 so don't be alarmed if you haven't stopped right away. Listen to your body and remember to rest, but also keep moving ie walking round the house. Loose clothing is always best while you're recovering

daisydoods · 13/09/2022 21:28

Oh yes like pp has said about big pants! I used all mine too and had to hand wash them haha. And lifting heavy things will mean a heavier blood flow. Keep pads and stuff handy in the bathroom too. The sticky stuff from my dressing seemed to be there for aaaages - I ended up using a finger of an exfoliating glove to gently rub it off!

AuraBora · 13/09/2022 21:34

I had an emergency c section with my first and a planned with my second - the two experiences were utterly different, with the planned.one being much more positive!
I'd go as far as saying I actually enjoyed the surgery part of it, so calm and organised. The anaesthetists (who seemed to take control once I was in theatre) explained everything they were doing and this really helped put me at ease, they even asked me and my husband what music we would like on, which I hadn't thought about before but was actually really soothing!

Not something you mentioned but also - one of our two lovely anaesthetists asked if we'd like him to take photos of our baby arriving from below the screen. I thought I wasn't bothered but actually those.photos are pretty amazing, more for us as a very personal thing and not.something we would share with others but I think really made the whole process more real/understandable to us and I will always cherish those photos.

In terms of recovery I was fortunate in having a very easy recovery but a few things that helped or I'd recommend having not had -

  • earplugs - to help drown out incessant chatter from other women/their families who think its OK to shout loudly to relatives in WhatsApp chat for entire visiting time (sure you'll still hear your baby)
  • drink plenty of water post-OP to help keep hydrated and be able to wee (you need your bladder to be working properly in order to ne discharged)
  • make sure they give you lactulose both in recovery and for home - I did not have this first time round and the post birth constipation to me seemed worse than anything that came before. Second time round I took the daily 2.doses.of lactulose religiously for about 10 days and had no issues at all.
  • if you are b'feeding, get all the help you can whilst in hospital. Second time.around the support was.amazing and it made a huge difference me being able to establish breastfeeding from the start. It is so much easier to get help in hospital and I found so many of the midwives to be super supportive.and lovely. Also harvest some colostrum beforehand if you can - as if you are struggling can make a big difference if you have a few ready made feeds while in hospital
  • don't worry in the slightest about what you are wearing as long as it's comfy. You are not likely to care about what you look like.in the early days.
Also most hospitals are hot.so I d recommend light clothing/nightie (hope energy crisis won't mean cold maternity wards)
  • re shower - I was in 2 nights and altho well overall,had no desire to have a shower. I.was walking.around with.a catheter tho, which would have made that difficult. I was fine with the nice big bathroom on the.ward.where i had some good washes. I did attempt a shower after my first c section and it was awful (boiling hot.and cold water and no inbetween

Good luck. Keep us posted!

Vincitveritas · 14/09/2022 12:50

I've added an information leaflet about what to expect, just bear in mind it might be a bit different in your area. Apologies for the bad quality photos!

Planned c-section pain relief and recovery
Planned c-section pain relief and recovery
Planned c-section pain relief and recovery
Vincitveritas · 14/09/2022 13:05

You might also find this useful:

www.nhs.uk/conditions/caesarean-section

Eek3under3 · 14/09/2022 13:10

I had an elcs 5 weeks ago.

Pain relief - I was given morphine, diahydracodeine and paracetamol in hospital and sent home with the diahydracodeine. Make sure you have stocked up on paracetamol beforehand at home.

Depending on the hospital trust and their policy, you will have a dressing that needs removing on day 2 or day 5.

I showered the next afternoon in the hospital.

With my first elcs I was in for 5 days because DTs needed help with feeding. With my recent elcs I was discharged the following evening which felt pretty quick.

good luck!

Chdjdn · 14/09/2022 13:10

Lots of good advice on here so will try not to repeat but I really recommend having an extra baby blanket for the car journey home to put between your tummy and seat belt, especially if someone stops quite suddenly. Also have a box with nappies, wipes and spare clothes in your lounge to avoid having to walk around the house a lot.
Big knickers are your friend and peppermint tea for the wind after.

Vincitveritas · 14/09/2022 13:25

@Eek3under3 I'm surprised you were given Dihydrocodeine, were you breastfeeding? Medication containing codeine is no longer recommended as it can pass into breast milk, potentially leading to excessive sleepiness, difficulty feeding and breathing problems. The NHS website says:
'Do not take codeine if you're breastfeeding. Small amounts of codeine pass into breast milk and can cause breathing problems in your baby and make them feel drowsy.
Talk to your doctor or pharmacist, as they will be able to recommend a more suitable painkiller.'

snowflake29 · 14/09/2022 13:37

I had an ELCS 2 weeks ago so hope my experience is helpful!

What happens immediately after ?
You'll be in recovery for as long as it takes to get you a bed on the ward - I was there from 4.30 til 7pm with regular obs taken and help to wash (bed bath) and change into a nightie.

What pain relief will I likely be to get ?
I got paracetamol, diclofenac, and a one off tablet of something morphine related.

Do you get sent home with any?
I was discharged with paracetamol, diclofenac and omeprazole along with 10 days blood thinning injections.

Is the scar dressed?
Mine was covered with a very thick rubbery waterproof dressing that was removed on day 3.

When can you have a shower?
I was told immediately.

How long am I likely to be in for ?
I had DS on Wednesday afternoon and was home by Friday lunchtime. I had a catheter in for 24 hours as that was standard in my hospital. Was up and encouraged to be mobile within 12 hours of surgery.

It's amazing how quickly the pain improves as you start to walk around. The first week was the worst pain wise for me, but it very quickly got better to the point where I can now potter around normally and haven't needed any painkillers for several days now.

Hugasauras · 14/09/2022 13:45

I've been home after 24 hours with both, just with paracetamol and diclofenac. My elective was an absolute breeze and almost painless; I stopped taking painkillers on day 2 and was back driving by day 10, so hopefully you'll have a similar experience! Good luck Flowers

lifehappens12 · 14/09/2022 13:55

I had a emcs but I don't think the recovery is much different.

C section at 1am Tuesday and they give me something (don't know what) at the end of the op to help when the spinal wire off.

At 6am I was given paracetamol and ibuprofen and that was all my pain relief and that fine and I took it for about 2 weeks. I don't have a high pain threshold.

Was mobile by about 5pm on tuesday.

Home by lunch on Wednesday and I took my own dressing off in the shower that afternoon and left it. Ie I would let shower water run over it but didn't use anything to wash it.

The surprise for me was the blood thinners. I had to inject daily for 10 days but you get pretty used to it quickly.

I think I had a good recovery - was driving by week 4 but the first few weeks I did as little as possible.

Lastly pack a cushion for the car ride home to put between the scar and the seat belt

abovedecknotbelow · 14/09/2022 13:57

Mine was EMCS but it might put your mind at ease.

Delivery 2201 and 2206 (twins), they were rushed off to NICU, I went to recovery room, I had to have several infusions but then went to my own room, at 0900 they took the catheter out, had to wee in a bowl. Once I did that I had a shower and was on the NICU at 11am, was able to walk there.

Discharged the following morning.

I was on paracetamol and diclofenac (I don't think they can prescribe that anymore), take your own stash of ibuprofen and paracetamol, take it when it's due don't wait for pain, much easier to keep on top of it than get on top of it.

Imo from friends, an ELCS is mostly a relatively easy recovery. If you have to go through a full labour at term and end up with an EMCS you'll probably feel like you've been run over by a truck several times and utterly exhausted.

lifehappens12 · 14/09/2022 13:58

Oh and lastly - I was breastfeeding the first week and it was much easier to sleep on the sofa some nights with the Moses basket on a low table by me.

I used to sleep semi on my side with the sofa back supporting me if that makes sense?

And then feeding with the support of the sofa is way easier then doing it in bed

lifehappens12 · 14/09/2022 14:00

Sorry keep remember things - it's really painful to bend down or squat to get to lo things. I moved where all my post birth clothes and underwear were to higher drawers to avoid too much bending

EverydayIsPJday · 14/09/2022 14:11

Oh I've also remembered something. Sometimes the nurses will wheel the baby cot away from you whilst doing blood pressure etc (especially in the night) and then unhelpfully forget to push the cot back to your bedside. I was recommended to take an old dressing gown tie to attach to the cot to be able to pull it back to you or tie it to the bottom of the bed so you can use it pull yourself up to reach the cot; helpful if your partner has gone home.

Hopelessacademic · 16/09/2022 14:14

Everyone has basically said everything I was going to so I won't repeat!
My top tips:

  • bring an extra pillow to the hospital - it was super useful to get baby in a good position for feeding that didn't sit on my tummy. And put it on my tummy in the car - speed bumps were terrifying!
  • the dressing was super sticky and it took me weeks to get all the glue remnants off! The thing that worked in the end was nail varnish remover! Just put it on a cotton pad and don't get it on the actual wound!
  • stock up on paracetamol and ibuprofen, alternate taking them. Don't wait for the pain to come back before you do.
  • that said... remember that you are on painkillers, and take it easy! If your tummy feels fine on day 2 or whatever, it's because of the drugs, so still be careful!
  • try on your nursing/maternity clothes before you need them. I bought some nursing nighties and brought them to the hospital and turned out they were actually super uncomfy! Next time I will just wear a nursing camisole (like the h&m ones), leggings and a xardi/dressing gown.
Hopelessacademic · 16/09/2022 14:16

Ooh and take a phone charger, preferably a long one!

GroggyLegs · 16/09/2022 14:26

Everyone has said everything but I cannot help but repeat:

make sure they give you lactulose both in recovery and for home - I did not have this first time round and the post birth constipation to me seemed worse than anything that came before. Second time round I took the daily 2 doses of lactulose religiously for about 10 days and had no issues at all.

And I'd add - try and avoid codine and take a big bottle of prune juice 😯honestly, the only post birth injuries I still feel the effects of are from that first post birth poo 😳

buffyverse · 16/09/2022 19:16

Thank you so much everyone!!

I do have a huge bottle of lactulose already at home so that's good, I already know the pain of poo's thanks to constipation so will be dreading that first one 😆

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