Post-Cesarean Section Wound Concerns: What’s Normal? - Obstetrics and Gynecology

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After a cesarean section, it is common for patients to have concerns about their surgical wounds, especially regarding the healing process and any unusual sensations or appearances. Based on your description of your wound being "凸凸的" (raised) and "摸起來有點硬" (feeling a bit hard), it is important to understand that these sensations can be part of the normal healing process.


Normal Healing Process
1. Wound Appearance: After surgery, it is typical for the incision site to appear raised or slightly swollen. This can be due to the accumulation of scar tissue as the body heals. The hardness you feel may be related to the formation of this scar tissue, which is a natural part of the healing process.

2. Sensation Changes: It is also common to experience changes in sensation around the incision site. Some patients report numbness, tingling, or a feeling of tightness. These sensations can occur as nerves regenerate and the body adjusts to the changes after surgery.

3. Mobility and Support: You mentioned not using a support belt and feeling a "垂垂的感覺" (droopy feeling) when walking. This is understandable, as the abdominal muscles and tissues may still be healing and may not provide the same support as before. Many healthcare providers recommend using a support garment or abdominal binder in the early weeks after surgery to help provide support and reduce discomfort.


When to Seek Medical Attention
While some degree of swelling and hardness is normal, there are certain signs that should prompt you to contact your healthcare provider:
- Increased Redness or Warmth: If the area around the incision becomes increasingly red, warm, or swollen, it could indicate an infection.

- Discharge: Any unusual discharge from the wound, especially if it is foul-smelling or has changed in color, should be evaluated.

- Severe Pain: While some discomfort is expected, severe pain that is not relieved by over-the-counter pain medications may warrant further investigation.

- Fever: A fever above 100.4°F (38°C) can be a sign of infection and should be reported to your doctor.


Recommendations for Care
1. Follow-Up Appointments: Make sure to attend any scheduled follow-up appointments with your healthcare provider. They can assess the healing process and address any concerns you may have.

2. Gentle Movement: Engage in gentle movements and light activities as tolerated. Avoid heavy lifting or strenuous activities until cleared by your doctor.

3. Scar Management: Once the incision has healed, you may consider discussing scar management options with your healthcare provider. This can include silicone gel sheets, massage therapy, or other treatments to help improve the appearance of the scar.

4. Listen to Your Body: Pay attention to how your body feels. If you notice any changes or have concerns, do not hesitate to reach out to your healthcare provider for guidance.

In summary, while some degree of hardness and elevation at the incision site can be normal after a cesarean section, it is essential to monitor for any signs of complications. Always prioritize open communication with your healthcare provider to ensure a smooth recovery.