Is It Normal for C-Section Wounds to Be Wet and Smelly?

Cesarean section incision

Hello, I would like to ask about my situation.
I had a cesarean section, and it has been a month since then.
I just noticed that there is a damp area on the adhesive strip over my incision, and there is some discharge that has a slight odor when I change the adhesive.
Is this normal?

A-Mei, 20~29 year old female. Ask Date: 2012/12/11

Dr. Lin Wenbin reply Obstetrics and Gynecology

Quickly go to the hospital for an examination; it may be a wound infection or poor healing.

Reply Date: 2012/12/11

More Info

Hello! Thank you for reaching out with your concerns regarding your C-section wound. It’s understandable to be worried about any unusual symptoms after surgery, especially when it comes to healing wounds.
In general, after a C-section, it is normal for the incision site to have some drainage, especially in the first few days post-surgery. However, by the time you reach one month postpartum, the wound should be healing well, and any drainage should be minimal or absent. If you are noticing that the area is wet and has a foul odor, this could be indicative of an infection or other complications.

A few key points to consider regarding your situation:
1. Normal Healing Process: After a C-section, the body goes through a healing process that can take several weeks. Initially, some drainage (serous fluid) is normal, but it should gradually decrease. By one month, the wound should be mostly dry.

2. Signs of Infection: The presence of a bad smell, increased drainage, or any redness and swelling around the incision site can be signs of an infection. Other symptoms might include fever, increased pain, or warmth around the incision. If you notice any of these symptoms, it is crucial to seek medical attention promptly.

3. Wound Care: Proper wound care is essential for healing. Ensure that you are keeping the area clean and dry. If you are using any dressings, change them regularly and follow your healthcare provider's instructions on how to care for your incision.

4. Consulting a Healthcare Provider: Given that you are experiencing wetness and odor at the incision site, it would be wise to consult your healthcare provider or a specialist. They can assess the wound, determine if there is an infection, and provide appropriate treatment if necessary.

5. Potential Complications: In some cases, complications such as seromas (fluid collections) or hematomas (blood collections) can occur, which may lead to prolonged drainage or infection. Your healthcare provider can evaluate for these conditions.

In summary, while some drainage can be normal in the early stages of healing after a C-section, the presence of wetness and a foul odor at one month postpartum is not typical and should be evaluated by a healthcare professional. It’s always better to err on the side of caution when it comes to your health, especially after surgery. Please make an appointment with your doctor as soon as possible to ensure that everything is healing properly. Take care, and I wish you a smooth recovery!

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