Key points you would come to stumble upon…
- Time Frame of My First Period After C Section
- Role of Hormones Affecting Your First Period
- Factors Affecting My First Period
- My First Period After Caesarean: What Would It Be Like?
- Caesarean Scar, Types & What Would It Look Like?
- Things To Avoid During Postpartum Phase
- How Would Caesarean Affect Me Emotionally?
- Will I Face Physical Complications after Caesarean?
- Once Gone Through C Section, Probability Of Caesarean For My Next Delivery
- Reasons To Call Your Doctor Immediately During Postpartum Phase
From the heavenly feeling of giving birth to a new life to the hell of an experience while going down to the phase of postpartum, you will have to witness whole lot of physical as well as mental challenges which is never going to be easy. Specifically the days following the birth of a baby which in medical terms is referred to as postpartum phase is one of the most difficult times for the mothers and families and it becomes even more complex if mothers have gone through a caesarean delivery.
The role of family members and of course the sole partner becomes vital as mothers need extra bit of care and attention. Considering the fact that in India, the maternal mortality rate is high in the postpartum period; the surrounding members need to dive in special attention to the mums. According to the doctors and health experts, after delivery mothers should be allowed to rest and heal as giving birth drains their body which needs to get to the state of equilibrium as early as possible. In an ideal situation, mothers shouldn’t be bothered with heavy household works or running after the other little ones.
One of the most important and widely concerned elements here is what’s the average time of firstperiodafter the caesarean and does it wary?
TIME FRAME OF MY FIRST PERIOD AFTER C SECTION
Well, when a mother is going to witness her first period depends on lot of factors which is why there is no sure shot answer for this one but still there are assumptions and a general view from the experts/doctors.
- If you had a caesarean delivery, you might end up having a first regular period after about 45 days to 7-9 weeks if you bottle feed but you need to keep this in mind that this time frame is just an approximation.
- Key factor affecting your normal menstruation cycle is how much you breastfeed your baby. Breastfeeding exclusively can prevent ovulation for up to 6 months after the baby is born.
Note: There is no guarantee that Breastfeeding would stop ovulation. The time frame mentioned above is just a general pattern of postpartum periods but the breastfeeding’s effect on menstruation cycle varies from women to women as their hormonal structure is not the same. There are instances where mothers exclusively breastfeeding their babies around the clock end up having their first period just after a month while those who preferred supplement with formula remained at bay from periods for several months.
ROLE OF HORMONES AFFECTING YOUR FIRST PERIOD
The list of hormones playing vital role during your pregnancy and postpartum periods is long but the most important of them all with key information about them are as follows…
- HCG which stands for Human Chronic Gonadotropin is the hormone which is produced by the placenta right at the time of implantation. It indicates if you are pregnant or not but its role is not limited here. HCG has a more important biological function to tell the corpus lute um to maintain the production of progesterone which keeps the body warm and at elevated level, prevents you from having a period. So, in layman’s language, the presence of these hormones prevent you from menstruation during yourpregnancy.
- If HCG is responsible for keeping you away from periods during pregnancy, Prolactin is a hormone which helps you prevent periods post-delivery. Pregnant women have high level of prolactin which can swell up to 10 to 20 times during this period. After the baby is born, it stays high if mother continuesbreastfeeding and this could prevent ovulation for up to 6 months. If you bottle-feed, your prolactin level may return to normal resulting in earlier ovulation.
FACTORS AFFECTING MY FIRST PERIOD
A lot depends on your physical body conditions, its ability to cope up with the hormonal changes, the level of hormonal changes in your body, health status prior to pregnancy and complications during the pregnancy and delivery.
Apart from these, there are few more which could affect your first period and make it different than the usual ones…
- Weight Loss, Weight Gain
- Thyroid Diseases
- Too Much Exercise
It is also recommended for mothers to get involved in normal physical activities and those who fail to do so have irregular menstruation cycle. Improper rest and over exertion of work pressure can also lead to heavybleeding.
MY FIRST PERIOD AFTER CAESAREAN: WHAT WOULD IT BE LIKE?
This is going to be painful with heavier bleeding than usual and you need not worry as this is a very common situation. The periods happen at irregular intervals with heavy cramping as well. But this is not a customary situation for all as there are opposite cases as well with lighter bleeding and lighter cramping.
Don’t get confused with the heavy amount of bleeding during the first week of your caesarean delivery as this is not your first period. In medical terms, we call it “Lochia” which is the normal cleaning out of uterine tissue from pregnancy.
Note: You should always consider using sanitary pads instead of tampons to avoid the risk of infections.
CAESAREAN SCAR, TYPES & WHAT WOULD IT LOOK LIKE?
If you are going through caesarean operation, you are sure to have a scar on your lower abdomen. Generally most cesareans these days are “lower segment caesarean sections” (LSCS) which means in order to give birth to babies, lower uterus of mothers are opened up.
During the caesarean operation, the small cut made on your skin is of two types_ one is horizontal and the other one is vertical. The horizontal cut is made about two fingers above the pubic bone and is considered to have several advantages over the vertical one.
The horizontal cut is called the “bikini cut” and scars produced by it eventually gets hidden by the underwear.
If you have to dive in deep to figure out the advantages of horizontal cut, consider these…
- Horizontal cut heals better and fast
- There are less chances of it opening up later on
- And the important one, the scar is less likely to get noticed
No matter what sort of cut you have during your caesarean, at the initial stage, the scar would look very red and sore. Any numbness on or around your scar would get better with the passage of time but if it becomes very sore, inflamed or red then it is better to consult your doctor immediately.
Gradually as weeks and months pass on, your scar would also start fading away. Finally after a year or two, your scar might fade into a light line which is generally of different colour from the rest of your skin. Keloid scarring may occur to few mothers. In keloid scarring, the area around it is raised and skinny and you might feel it hard and lumpy when touched.
THINGS TO AVOID DURING POSTPARTUM PHASE
Postpartum is a phase in which each and every movement, actions, symptoms should be analysed deeply and there are few things to avoid to keep mothers healthy and fit during this phase.
- The first one amongst all is the sexual intercourse. No matter if your delivery is vaginal or caesarean, you must keep at bay from indulging into sexual intercourse with your partner until your health adviser or the doctor gives you the green signal.
- Another important thing to consider avoiding is the use of tampons or douche as they may risk infection. Always use sanitary pads for any cleaning purpose.
- You should avoid taking baths until your incision is completely healed and bleeding is stopped.
- Lifting heavy objects and repeated use of stairs can be dangerous.
- No exercise until your doctor recommends for it.
HOW WOULD CAESAREAN AFFECT ME EMOTIONALLY?
Everyone is different and so is their cognitive thinking. Some do it wise while others think it otherwise. You might feel elevated, excited and very happy that you have given birth to a babywhile there may be some emotional and sentimental women who prioritize heart before everything else.
Some mothers get disappointed that they had to go through caesarean while they were hoping for a normalvaginal delivery and this might open up a traumatic mental state for them. On the other hand, there are mums who find it satisfactory that they and their baby are safe and sound and this is what they wanted at all. This happens to first time pregnant mums as they are quite nervous and scared of caesarean delivery.
WILL I FACE PHYSICAL COMPLICATIONS AFTER CAESAREAN?
Yes and quite a few of them. You have to go through a whole lot of physical challenges as your body is healing and it is coping up with the changes to get back to equilibrium state after the delivery during postpartum phase specifically.
Going through C Section is a major surgery and it hurts afterword. Your body becomes weak and you may feel that doing anything on your own is a tough ask now. Even a laugh and cough could be painful for mums. In such cases, supporting your incision with hands or by pillow may come in handy and helpful. Just keep in mind…
- During the early stages, you might feel dizziness or shortness of breath while moving due to weakness.
- Keep eating and drinking at regular intervals when you feel hungry and thirsty. Drink plenty as it would keep your body hydrated.
- Prefer loose clothes as they would ease in moving and also help in healing better and fast and it would also keep you comfortable as finding the comfort zone becomes little difficult after delivery.
ONCE GONE THROUGH C SECTION, PROBABILITY OF CAESAREAN FOR MY NEXT DELIVERY
This topic has been the talk of the time since inception of this Caesarean delivery as mothers want to know if there are chances of normal vaginal delivery once they have gone through C section. And yes, mothers can have a vaginal delivery which is known as VBAC (Vaginal Birth After Caesarean). In fact, the number we are talking about is 70% which means 70 out of 100 women go on to have a vaginal delivery next time.
REASONS TO CALL YOUR DOCTOR IMMEDIATELY DURING POSTPARTUM PHASE
When you give birth, your body is in a state of transformation and lot of hormonal changes coming back to equilibrium state which might affect you physically and mentally. Following symptoms must not be ignored and you should consult your health care expert as soon as you witness any of these during your postpartum phase…
- Fever of over 100.4 degree Fahrenheit
- Foul odour from vaginal discharge
- Sudden onset of pain in the incision area with pus coming out of it
- Feeling of burning urination or blood in the urine
- Excessive bleeding with the passage of large clots
- Sore, red, painful area on the breasts
- Severe headache
- Appearance of rash or hives
- Feeling of anxiety, panic and depression
GOING THROUGH THIS POST, IMPORTANT THINGS I WOULD BE TAKING HOME WITH ME
Breastfeeding is the ultimate way to avoid periods for about 6 months but keeping in mind the fact that it’s not the full proof guarantee that the ovary would not ovulate during this period. So using precautions while sexual intercourse is recommended!The use of sanitary pads instead of regular tampons must be used to avoid infection.If you feel we missed something important or you still have a query regarding the topic, we would gladly like to hear from you. Feel free to comment.