A cesarean birth is a scenario that a growing number of women are experiencing. Although it's a medical procedure intended to ensure the safety of mother and child, it often leaves behind not only a physical scar but also a psychological one. How can you prepare for this form of birth, how can you care for yourself during the demanding recovery period, and why emotional support is just as important as wound care? To help expectant and new mothers, we spoke with midwife Agnieszka Szychowiak about the key aspects of a cesarean birth.

A cesarean section is a surgery – remember that

The first and most important thing Agnieszka Szychowiak emphasizes is that a cesarean section is not a cosmetic procedure, but a serious operation. "It's worth noting that a cesarean section is simply a surgery. And it's not worth deciding solely on a cesarean section because it's better for the baby or for us," says the expert.

The decision to have a cesarean section is made when there are specific medical indications – it's a procedure that saves the health and life of the mother or the child. Although the scar on the skin is small, the surgery involves cutting through several layers of the abdominal wall. Understanding this is crucial for a proper approach to recovery.

The first hours and days after surgery: what to expect?

The period immediately following a cesarean section is demanding. The mother must cope with pain and limited mobility while simultaneously beginning to care for the newborn.

• Pain and discomfort: In the first few hours, before the anesthesia wears off completely, the mother may not be able to feel her legs. "This being cut off from the waist down is always such a discomfort," notes Agnieszka. Later, pain appears, which is natural, but it shouldn't be paralyzing. If the pain is very severe and prevents getting out of bed, it should be reported to the staff.
• Early mobilization: Despite the pain, mobilization as soon as possible is crucial. Start by moving your legs in bed, and then, with support, attempt to stand up. This helps prevent blood clots and speeds recovery.
• Breastfeeding: A cesarean section can delay milk supply due to the medications administered. "It's very important to put your baby to the breast within two hours of the procedure, if possible," emphasizes the midwife. This requires support, however – the mother is lying down, so someone needs to help her pick up and properly latch the baby. Don't be afraid to ask for help!

Convalescence at home: how to care for yourself and the wound?

After returning home, the actual recovery period begins. It's crucial to take care of the postoperative wound and monitor your body.
Signs that should raise concern:

• Redness, swelling, purulent or bloody discharge from the wound.
• Wound separation.
• Severe, persistent pain around the wound or abdomen.
• Fever.

If you experience these symptoms, contact your doctor or community midwife immediately.

Agnieszka Szychowiak also emphasizes the crucial importance of seeing a urogynecological physiotherapist. "This is a must, whether you have a cesarean section or a vaginal delivery," she emphasizes. The specialist will assess the condition of the pelvic floor muscles and abdominal wall and help with proper scar mobilization, which is crucial for avoiding adhesions and returning to full function.

The emotional dimension of a cesarean section

Beyond the physical aspect, a cesarean section carries a significant emotional burden that is rarely discussed.

"There are patients who are prepared for a natural birth. But it will happen during labor (...) that you will give birth by cesarean (...). And unfortunately, we can't come to terms with it perfectly right away," says Agnieszka. Feelings of loss and regret that the birth didn't go as we had imagined are natural and require processing. Talking to a partner, a friend, and sometimes a specialist is incredibly important.

An appeal to mothers and their surroundings: support, patience and non-judgment

In summary, Agnieszka Szychowiak has some key advice for mothers who have had a cesarean section:

• Don't blame yourself: "A cesarean section isn't a worse way for your baby to come into the world. (...) It's not my fault again. It's simply safer for me and my baby."
• Take care of yourself: "If we take care of ourselves, we'll take care of the baby." Remember, you are the sunshine for your family – if you don't have the strength, it will be difficult for you to give it to others.
• Give yourself time to recover: Don't expect yourself to get back into shape immediately. Your body has undergone surgery and needs time to rest.
• Ask for help: Don't be afraid to ask for support from your partner, family, friends, or specialists. It's a sign of strength, not weakness.
• Celebrate postpartum: It's a special time. "Order sushi, order pizza. Simply celebrate what you couldn't do before," the midwife encourages

Remember, dear moms, no matter how you gave birth, you are heroes. Your body performed a miracle. Be kind to yourself, be patient, and surround yourself with support.

This article is based on a conversation with Agnieszka Szychowiak, a community and family midwife, conducted as part of the Healthy Kids CLUUb.

This material was created in collaboration with the Bebilon 2 brand.

Important information: Breastfeeding is the most appropriate and cheapest way to feed infants and is recommended for young children, along with a varied diet. Breastmilk contains nutrients essential for the proper development of the child and protects them against diseases and infections.
Breastfeeding is most effective when the mother eats properly during pregnancy and lactation, and when supplementation is avoided. Before deciding to change feeding methods, the mother should consult a doctor.