Many women who give birth with cesarean section complain of severe lumbar pain. The difficult and responsible postpartum period in such patients proceeds against the background of exhausting discomfort. It certainly affects the psychological state of the woman in labor and her mood. Back pain after a cesarean section to a woman may indicate that there are serious complications from the operation.
The choice in favor of a cesarean section as a way to get rid of generic pain can be made by the woman herself. She consents to the operation and confirms it with a signature on the relevant document. But before making such a choice, it is necessary to get a complete picture of the possible serious consequences, more dangerous than pain during childbirth.
The doctor can also prescribe the operation after the examination of the patient's health, the structure of the organs and the particular course of her pregnancy. For caesarean section, there are a number of official medical indications.
When the operation is shown
A caesarean section is performed if the birth of a baby into the world in a natural way for some reason is impossible or is associated with a potential hazard to the health and life of the mother. Through an incision made in the abdominal cavity of a woman, the fetus is extracted from the uterus. The operation can be planned or emergency.
With a planned caesarean section, the incision is made in a horizontal plane. If in the process of natural childbirth there is a need for surgical intervention, a vertical incision is made. The operation is prescribed in the presence of motivating factors:
- the presence of systemic diseases (heart disease, retinal detachment),
- infectious lesions of the external genital organs, viral or allergic diseases,
- wrong position of the fetus,
- the risk of uterine rupture due to the divergence of the scar from previous births,
- multiple pregnancy,
- small pelvis,
- location of the placenta in a position that prevents the exit of the child.
Emergency surgery prescribed in the process of natural generic manipulation. The need for surgery is confirmed by the responsible specialist of the obstetric department. Indications for emergency surgical measures:
- development of hypoxia in a child,
- excessive stretching of uterine tissues, the threat of rupture of the uterus or abdominal skin,
- unforeseen detachment of the placenta, which is fraught with fetal death,
- termination of labor or its weak manifestation.
After surgery, the woman must be in the hospital under observation. The minimum period of outpatient medical monitoring is 48 hours.
An ice bag is placed on the incision area to avoid blood loss and to reduce the uterus walls intensively. At the same time, the woman is prescribed anesthetic drugs and taking medications to restore digestive functions. In addition, it is mandatory to prescribe antibiotics.
The cause of pain
After a cesarean, many women have a stomachache, lower abdomen, lower back, or back. Some patients experience intense pain when urinating. The appearance of pain syndrome is due to the fact that cesarean section is a serious surgical intervention. The healing of incisions requires a certain period of time, large body reserves are needed. But the body is weakened by pregnancy and childbirth, so rapid healing of the stitches is rare.
The gestation period is accompanied by a continuously increasing load on the spine. By the end of the term, it reaches its maximum performance. There are pain syndromes in the area of the back already at the initial stages, gradually the body gets used to them. When childbirth is finished, the pain resumes with increased force, manifested in the form of a phantom syndrome. There are various cramps, pinching the roots.
There are cases of acute back pain after childbirth. If a natural course of the process was planned, but after the attempts, a cesarean section was urgently needed, in this case there is already some stretching of the muscles. This leads to an acute pain syndrome after fetal extraction. The back hurts often in women with a curved structure of the spine.
The condition of a woman who survived a cesarean section is affected by the hormonal alteration of the body. The process of carrying a fetus is accompanied by the active release of hormones softening the ligaments and joints to facilitate the exit of the child through the birth canal. Until normal hormonal balance is restored, lumbar pains bother a woman when she is standing or sitting.
The lumbar region sometimes hurts due to improper installation of a catheter for epidural anesthesia or an erroneous choice of its diameter.
A scar formed as a result of cesarean section provokes pain syndromes of the lower zone of the spine, especially when rocking the arms or feeding a baby. Sometimes the discomfort of the lumbar region is a reflected syndrome of pain in the abdominal or uterine region. Uneven accretion of shortened peritoneal muscles, movement of the balance point leads to an increase in the total load on the lower back.
Massage will help to get rid of discomfort.
An effective means of eliminating unpleasant pain syndrome is massage. It can be done at home or in a massage room of a medical institution. Getting a massage is convenient when lying on your stomach. A stable table with a hard surface with soft natural upholstery will do.
Every day, you should perform a gentle massage with smooth movements, turning into a point effect on the lumbar muscles. It is useful to use the Kuznetsov applicator, hand massagers from wooden balls. Before you begin to apply the massage, you should consult with your doctor, who will select an individual set of procedures.
Intensive hard massage is not shown in all cases in the postpartum period.
Rehabilitation of the postpartum period includes taking anesthetics and antispasmodics, some types of analgesics that do not penetrate into breast milk. Women are given oxytocin injections. This causes increased uterine contractions. Recommended mode of limited physical exertion.
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Sore back after cesarean section
To date, many women are assigned a caesarean section.
This may be the result of medical indications or the desire of the woman herself. A cesarean section is a labor carried out in an unnatural way, in which the child is removed through an incision in the peritoneum. The medical indications for the operation are: the wrong location of the placenta, in which it obstructs the path to the child, the narrow pelvis, growths and tumors in the uterus, the wrong position of the fetus, cardiovascular and eye diseases.
Causes of discomfort in the back after cesarean section
After the operation, the newly-made mommy is worried about pains in various parts of the body, which cause more inconvenience than a constant lack of sleep and a restriction in the diet when caring for a child. During the operation, the woman is given anesthesia, so she does not feel her stomach for several hours. But as soon as the effect of anesthesia is over, the pain begins. Their intensity will depend on the individual pain threshold and on how many times such operations have been done.
Back pain in women after a cesarean section is quite natural, it is a frequent symptom. The body simply does not have time to recover from carrying a baby.
The main causes of pain are:
- Spinal column overload during pregnancy and after cesarean section.
Pregnancy in many ways changes the body of a woman. Baby in the womb develops, gradually stretching the muscles of the peritoneum. The load on all organs and the spine is growing every day, so the woman's back in the lumbar region constantly hurts. Throughout pregnancy, the ever-increasing abdomen causes the woman to keep her back constantly straight, even to lean back slightly. During this period, a shift in the center of gravity of the vertebral axis occurs, and pinching of the nerve endings of the vertebrae is possible. The role played by the state of the spine before and during pregnancy. If a woman had problems in the form of spinal curvature, then the back and loins after pregnancy and cesarean section will hurt longer. But gradually the spine itself will come back to normal, the main thing is not to overload it.
- Stretching the spinal muscles.
Stretching will occur without fail when the fetus passes through the birth canal. After the load associated with pregnancy and childbirth, begins physical exercise associated with caring for the child (carrying it on the hands, lowering and removing from the bath). If abdominal muscles are untrained, they do not cope with the load and then they come to the aid of the back muscles. If they can not cope with a high load, the waist begins to literally break.
- Hormonal adjustment.
In the period of carrying a baby, special hormones are secreted, gradually softening joints and ligaments. This process is necessary for the normal and safe passage of the child through the bones of the pelvis. Until the hormones return to normal, back pain will bother you. Especially when sitting for a long time or standing.
Following the recommendations of the doctor, the body quickly recovers, and the pain subsides.
It is believed that backache and back pain after cesarean section are associated with epidural anesthesia administered through a catheter into the spinal column during surgery. A third of women after it suffer from lumbar pain for two or more weeks. Sometimes the catheter may be installed incorrectly or larger than necessary. This provokes pain in the lumbar region.
After a cesarean, a scar remains, which, as it heals during tilts, sudden movements, and weight lifting, can cause pain in the lower spine. The pains are worse when feeding the baby or when it is rocked on the arms.
Lumbar pain is sometimes a reflection of uterine and abdominal pain. After the baby is born, the uterus begins to contract, recovering to the size that was before pregnancy. But sometimes the contraction is so strong that it painfully gives in the lower back. Back pain after cesarean is the result of shortening the muscles of the peritoneum. They grow together unevenly, the equilibrium point moves and the entire load falls on the lumbar region.
How to cope with back pain after cesarean section
The loin does not only hurt those mothers who were given caesarean, but also those who gave birth naturally. Women who give birth after surgery are prescribed antispasmodics and anesthetics, as well as analgesics that do not penetrate into breast milk. If your back or abdomen constantly hurts after cesarean section, then the hormone oxytocin is given in the form of injections, which helps to improve the contraction of the uterus.
After discharge, doctors advise women with the following on the constantly disturbing discomfort in the back area:
- To massage the lumbar.
- Apply to the back of the heater.
- Protect yourself from all physical exertion, even on the farm. The less a woman will strain, the faster the body will recover, and back pain will subside.
- Before you raise the baby, you should sit down and not bend down.
- During feeding or rocking, the child should change sides more often in order not to overload the back.
But first you need to consult with your doctor, as the cause of the pain may be a pinched nerve root or other problems with the spine.
The operation to remove the baby by caesarean section does not go without consequences for the woman’s body. Still, it is a surgical intervention with cutting of the skin, muscles, ligaments. But if you follow the recommendations of the doctor, the body will soon recover, and the pain will subside.
Lebedev Evgeny Ivanovich
experience in the industry - more than 10 years
Lower back pain after cesarean: causes, treatment
Pregnancy and childbirth - a responsible and important period in the life of any girl. But immediately after the appearance of the baby, the discomfort, pain, anxiety and other consequences of excessive psycho-emotional and physical exertion that accompanied her during the gestation period can be troubling. The rehabilitation is given 6 # 8212, 8 weeks postpartum, after which it is believed that the body is fully restored. But sometimes this is not enough, especially if the delivery was operational. Often women note that a backache after a cesarean section still hurts for a long time. Why it happens? Is the cause of pain a childbirth?
In order to find out the provocative factors, it is necessary to accurately determine the localization of unpleasant sensations. It may be:
- lower back and sacrum,
- mid-back area or slightly lower
- shoulders and thoracic spine.
Most often, women note that the loin hurts after a cesarean section, as well as the sacrum area. And even before pregnancy and during gestation periodically, discomfort may occur in these places. As a result, a woman often wears a bandage to relieve her condition.
The most common cause of these pains is spinal osteochondrosis of the corresponding section. During pregnancy increases the load on the lower back due to sagging belly and the appearance of overweight.
If before the conception there were manifestations of osteochondrosis, then during the period of gestation and after giving birth they would only intensify. The most dangerous complication of this disease is intervertebral hernia with incarceration.
Back pain and sacrum may be caused by an inflammatory process in the pelvic organs. After cesarean section, it may be endometritis, the treatment of which should be timely and only in the hospital.
Often women think that epidural anesthesia during cesarean section can cause back pain. But correctly performed anesthesia, the absence of complications in the first 3 # 8212, 5 days are a guarantee that epidural anesthesia should pass for a woman almost unnoticed.
If the pain is disturbed in the middle of the back or slightly lower, the cause may be inflammation in the urinary system, more often it is pyelonephritis. Such complications are often found in the postpartum period, especially in women with chronic kidney disease.
Pyelonephritis as a cause of back pain after cesarean section
Sometimes in the case of endotracheal (general) anesthesia during a cesarean section, women note that for some time they have pains in the shoulder and upper back. This may be due to an uncomfortable position during surgery, muscle spasm. As a rule, on the second or third day the discomfort disappears and the condition does not require special treatment and observation.
For each disease will be characterized by certain manifestations of discomfort.
Characterized by nagging pains that intensify in the evening. An acute attack can manifest itself due to a sharp attack of the “lumbago” in the back, often when lifting from a horizontal position. In the presence of a hernia of an intervertebral disc, irradiation to the right or left thigh is characteristic. The pain is shooting. Discomfort in the back appears when lifting weights (even a baby), when the body is tilted forward.
Osteochondrosis after cesarean section
Exacerbation of chronic diseases of the urinary system
In most cases, it is pyelonephritis. In this case, back pain is localized above the waist, they are pulling in nature. Symptoms of general intoxication appear: weakness, sweating, fever. If kidney stones are present, attacks of acute unbearable pain may occur.
We recommend reading the article on edema of the legs after cesarean section. From it you will learn about the causes of edema, preparations for their elimination, the effectiveness of folk methods for edema after childbirth.
Which doctor to contact
If you are worried about back pain after cesarean section, you should first visit a gynecologist. It will eliminate inflammatory diseases of the genital organs. After a minimal examination, the doctor will give recommendations and indicate which specialists should be visited at the same time. Most likely it will be a neurologist or urologist. If there were previously such exacerbations, and the woman is sure that this is a non-gynecological pathology, you should immediately contact the appropriate specialist.
Relieve pain at home
Often the pathology of the spine, namely hernia with osteochondrosis, is diagnosed in women before pregnancy. Therefore, during the carrying of the child it is recommended to wear a supporting bandage, which can also be used after childbirth. This special belt will help reduce the load on the lumbar spine. Also in such situations, you can use a variety of warming, anti-inflammatory creams and ointments that relieve pain for a while.
Acceptance of any analgesics should be based on whether the woman is breastfeeding or not.
Additionally relieve the symptom will help:
- To reduce pain, you should be attentive to poses while feeding your baby. They should not cause discomfort to the woman, it is better to periodically change the position of the body.
- It is also useful to perform therapeutic exercises for the spine. It is advisable to choose the exercises in such a way as not to give an unbearable load immediately after cesarean section.
- It is recommended to learn how to lift and carry the baby correctly, it is better to do this with the help of various slings.
- If you suspect an inflammatory process in the uterus or urinary organs, you should immediately consult a doctor.
Back pain after cesarean section may indicate both the exacerbation of osteochondrosis, and more serious, requiring immediate treatment of pathologies. Timely appeal to the relevant experts, the implementation of all the recommendations will get rid of the disease in a short time.
pain after cesarean
Cesarean section - This is a surgical operation in which the fetus and the afterbirth are removed through an incision in the abdominal wall and uterus. In various maternity hospitals, the caesarean section frequency ranges from 12 to 27% of all deliveries.
Indications for cesarean section quite a lot. They may be associated with the initial health of the mother, with problems during pregnancy and childbirth, with the state of the fetus.
Why does everything hurt?
It is impossible to imagine that the postoperative period after any surgical intervention passes without pain and discomfort. What can be connected with the fact that after the operation a woman feels pain:
- The seam after cesarean section hurts. The first time (about a day) the anesthesia still works, and you will not feel pain in the area of the suture. When the effect of the drug is completely gone, the stitched wound begins to disturb the woman who has given birth. All pain threshold is different, and therefore pain intensity is different. If desired, you can ask for an anesthetic injection. It is also noted that the suture is stronger for those women who are having Caesarean for the first time. If you are operated again, the pain will be less and the seam will heal faster.
- Pain due to the uterus. After delivery by caesarean section and after vaginal delivery, the uterus begins to shrink and gradually take on the dimensions that she had before pregnancy. The muscles of the uterus contract and cause tingling sensations. However, after cesarean section sore back, because sometimes the uterus contracts so much that the pains go to the back. The uterus is especially actively reduced when breastfeeding, since at this time oxytocin is produced - a hormone that stimulates the contraction of the muscles of this organ. Therefore, you can feel pain in the stomach when you feed your baby.
- Sore intestine. In the postoperative period in the intestine may be excessively formed and accumulate gases, disturbed intestinal peristalsis. As a result, the food lump does not move well along the intestinal tract, which causes discomfort. To get rid of pain, you need to lower the gases. Often in the intensive care unit mothers after surgery do for this enema.
- Pain after cesarean section in some cases associated with complications such as with endometritis, which is inflammation of the uterine cavity. Inflammation may also occur due to the discrepancy of the postoperative suture. Complications can occur due to adhesions, when the intestines and other internal organs are fused. At the same time, doctors and the site recommend "Walk around" after surgery.
Abdominal condition after cesarean section
The operation to extract the fetus from the uterus, called a cesarean section, can be performed either urgently or plannedly. A planned operation is appointed in cases when it is known in advance about the impossibility or undesirability of carrying out labor in a natural way. The doctor assesses the situation, weighs the risks and chooses the best option for delivery. The date of the planned operation is set a few days before the expected date of birth, usually at 39-40 weeks of gestation, if the operation is the first. With re-cesarean, it can be prescribed at the 38th week.
Despite the prevalence and apparent technical ease, the operation is very traumatic, affecting not only the skin and fiber, but also muscle tissue. In a planned caesarean section, the operation is more often performed by making a horizontal skin incision in the lower abdomen above the pubis, then the doctor cuts the subcutaneous tissue, dissects the aponeurosis and the parietal peritoneum, the wall of the lower uterine segment. After the child is removed, the placenta is removed, and then surgeons gradually suture: first, two rows of stitches on the uterus, then layers on the peritoneum, and a cosmetic suture on the skin layer of the abdomen.
During an emergency operation, to save time, a vertical incision is made along the white line of the abdomen - the lower midline laparotomy. Sewing of tissues is performed in the same sequence as during a planned operation. The recovery process after a horizontal incision in the lower abdomen may be slightly easier than when making a longitudinal incision, but the pain after the operation is present in both cases.
Symptoms related to the norm
Normally, after the birth of the child, the recovery process of the mother lasts up to 2 months. In the early days, a woman may experience a sharp cutting pain in the area of the postpartum suture, she may have a left or right side and other parts of the abdomen. Some mothers complain that their navel hurts. These are normal signs of wound healing after cesarean section, which are most pronounced in the first 3-4 days after surgery, then their intensity decreases.
In addition to pain in the area of the scar, the woman experiences discomfort from muscle contractions of the uterus, similar to pain during menstruation: the uterus returns to its former size. Discomfort may increase during breastfeeding and when urinating. The process of intensive uterine contraction lasts, as a rule, about 10 days. Unpleasant sensations after cesarean section are also caused by active intestinal motility or constipation. Disorders of the gastrointestinal tract after childbirth occur in almost all women and are eliminated with the help of a diet.
Sometimes after a cesarean, the newly-made mother feels severe headaches. Most often the head hurts because of the use of anesthesia. It does not matter what type of anesthesia was used during the operation: the head may ache after both general and spinal anesthesia. This state is not dangerous and goes away on its own, and to speed up the process it is recommended to consume more liquid.
You should consult your doctor if the pain after cesarean section does not decrease after a few weeks, especially when the pain is accompanied by fever. After vaginal discharge or surgery, a woman has vaginal discharge (lochia), consisting of mucus mixed with blood, abundant in the first days after delivery and not visible by the end of the recovery period. It is dangerous when lochia is accompanied by an unpleasant odor, pain and high body temperature, or has a greenish tint - this indicates an active inflammatory process and requires urgent action.
Pain after cesarean section
Today, many women go through a cesarean section during labor. so as not to endure birth pains. Even the legends of birth pain. That's just young mommies do not think that they can wait for numerous pitfalls, namely the pain after a cesarean section. Undoubtedly, in the first few days, or even more, the woman in labor will be tormented by pain in the area of the suture, after all, the operation cannot go without symptoms. But there are other pains, they can be many, however, we highlight the most popular.
Abdominal pain after cesarean
After cesarean section, the wound is treated with a special antiseptic, so the pain is not felt. When their action ends, the pain resumes, they are associated with damage to the tissues of the body. How much pain you will experience in the abdominal area depends directly on your pain threshold, as well as the number of approaches to the body tissue incision. Usually, the pains in this place disappear already in the first week after the operation, however, for some parturient women, they can last up to a month.
Also, abdominal pain after surgery can occur as a result of disruption of the bowels and gas accumulation in the stomach. Usually, the pain from the gases disappears if released. Such pains in the abdomen can occur as a result of the appearance of adhesions - spliced portions of the intestines, which cause pain. READ MORE
Low back pain after cesarean
Lower back pain is associated with the abdominal muscles. During pregnancy, these muscles lengthen and stretch, diverge to the sides, as a result, the lumbar muscle is shortened. Modification of the lumbar muscles can cause a depression in the lumbar region, with the stomach bulging out. This causes lower back pain, which is especially noticeable during squats, weight lifting and bending forward.
Another cause of back pain is stretching during labor of the pelvic muscles. Most often, such pain occurs in physically unprepared women. For those women who played sports before pregnancy, pain-like sensations should not arise.
Pain on urination after cesarean
If you have difficulty or pain when urinating, then you can try several ways, for example, turn on the tap with water, because otherwise you will have to insert a catheter. It is also worth noting that some pain medications used during surgery can have a negative effect on the bladder. Some women may experience physical trauma associated with a urinary catheter. Therefore, if you have a burning pain during urination, especially if it is repeated, you need to inform your doctor.
To prevent possible problems with the bladder, try to urinate on the first day after every two hours. By doing this, you will be able to prevent the feeling of pain from the filled bladder exerting pressure on the wound. If you develop urinary incontinence, which may have begun during pregnancy as a result of a growing abdomen that constantly exerts pressure on the bladder, then you should consult a doctor. He will be able to prescribe exercises for the pelvic floor muscles that must be performed to maintain bladder control. Also, these exercises will be useful in the event that you do not have such problems.
Headaches after cesarean section appear as a result of spinal anesthesia, and are one of the complications of such anesthesia. It is believed that a minor headache after spinal anesthesia occurs in approximately 30% of women. Severe headaches are quite rare, they occur in less than 1% of cases. Usually the duration of such pain after spinal anesthesia can vary greatly. So they can disturb the woman, both throughout several hours, and several weeks. The main measure aimed at preventing headaches after spinal anesthesia is the use of modern spinal needles, which are distinguished by a small diameter (25G) and pencil-like sharpening.
Pain during sex
The pain during sex after cesarean section is similar to the loss of virginity. The connective tissues, ligaments and muscles of a woman should be slightly stretched before everything returns to normal. Act slowly, do not jerk, it is possible that after prolonged abstinence, the organs simply froze. In rare cases, pain comes after 12 or even more weeks after surgery. Here we can recommend one thing - listen to your body and consult your doctor. If your doctor recommends to resume sex life, then do not be afraid: cope with the pain and start gently and slowly. READ MORE
Pain in the legs after cesarean
Many women experience pain in their legs after surgery. The cause of their occurrence is the edema that has not yet passed to the end, or the presence of varicose veins, which is just beginning to develop. Varicose veins are associated with an increase in the amount of blood in the body, while the vessels of a pregnant woman do not have time to stretch so quickly. At the same time, the valves of the veins also do not cope with the load, and as a result, blood stagnation occurs in the lower limbs. In order to avoid all of the above, you must use special compression stockings, which contribute to proper blood circulation and prevent stagnation of fluid in the lower extremities.
What is the cause of pain after spinal anesthesia?
Spinal anesthesia requires certain skills from the anesthesiologist - the procedure is rather complicated and any mistake can lead to serious consequences. But in some cases, despite the correct technique of anesthesia, the patient develops an unpleasant symptom - back pain.
Back pain after anesthesia may occur due to the inaccuracy of the anesthesiologist.
In most cases, such a condition is in no way associated with sustained spinal anesthesia - only 3-5% of cases are caused by the procedure, the rest is a consequence of comorbidities.
Scope of spinal anesthesia
Spinal anesthesia is used in cases where surgical intervention is planned in areas located in the lower half of the human body. Most urological and gynecological interventions are performed under this type of anesthesia, saving the patient from the difficulties and effects of anesthesia. In traumatology, spinal anesthesia is used for various operations on the lower limbs. The use of regional anesthesia in obstetrics allowed us to make a cesarean section without the use of narcotic drugs for anesthesia, which has a beneficial effect on the condition of the fetus.
Why back pain after anesthesia?
The mechanism of development of pain after the injection into the spine can be different and depend on many factors. By agreeing to the operation, the patient must be aware that any surgical procedure carries certain risks and consequences. The main cause of back pain after spinal anesthesia is associated with irritation of the tissue from the injection - with this type of anesthesia, the needle is inserted to a sufficient depth, passing into the spine and making a hole in the hard shell of the spinal cord. In this case, the pain will be short-term, unsharp, without acute attacks and will disappear on its own within one or two days.
In the course of spinal anesthesia, a hematoma may form, the ligaments of the spine stretch, the muscles spasm spasmically - these factors are not dangerous, but they contribute to the development of pain syndrome.
Hematoma may be a cause of back pain.
A more dangerous cause of back pain is infection of the needle insertion site. This happens quite rarely and is caused by non-observance of the rules of asepsis and antisepsis by medical personnel. The development of infection contributes to the long-term presence of the catheter in the spinal space, with headache, fever and general weakness associated with back pain, which indicates the development of the inflammatory process. In this case, it is very important to recognize the cause and start treatment in time to prevent generalization of the process and the development of purulent inflammation of the spinal cord.
A predisposing factor to the development of pain is spinal hernia. By itself, it is not a contraindication to spinal anesthesia, but when exposed to the spine, it can contribute to pain.
Another cause of back pain is irritation of the nerve roots with an anesthetic solution. In this case, the discomfort subsides on its own without medical intervention.
Do not forget about the psychological factor. Science has long proven that self-hypnosis leads to the development of real symptoms. The patient may be afraid of complications, unconsciously setting himself up for an unfavorable outcome. After the procedure, excessive suspiciousness and fear lead to the fact that a small natural discomfort is perceived by patients as severe pain.
Separately, there are back pains after anesthesia performed during caesarean section. Many women mistakenly believe that the cause of pain is unsuccessful pain relief, but in most cases, pain syndrome is associated with a high load on the muscles and spine during pregnancy. After the fetus is removed, the voltage drops sharply, and the spinal column takes time to adjust to the new changes.
Treatment of pain after spinal anesthesia
In order to make a treatment regimen, you should identify the cause of back pain. In most cases, the discomfort disappears on its own after a few days, and to alleviate the condition, you can take non-steroidal anti-inflammatory drugs - Nurofen, Nise. Rest will help the patient, he can do warming compresses, use patches and ointments. In some cases, an analgesic injection will help.
Before using a warming agent, make sure there is no inflammation.
Relieve back pain can warm compress
In the case when the pain is caused by an infection, antibiotic treatment is indicated. With the development of purulent complications, surgical intervention is carried out aimed at rehabilitating the lesion.
The most serious cause of back pain that occurs after spinal anesthesia is considered horsetail syndrome - a complex of symptoms that develops after damage to the end section of the spinal cord, called the horse's tail. It got its name due to its appearance - a bunch of roots emerging from the lower part of the spinal cord is really similar to a horse's tail.
The syndrome has characteristic symptoms that appear in the lower body:
- Severe pain.
- Muscle weakness.
- Impaired sensitivity.
- Malfunction of the bowel and bladder.
- Sexual dysfunction.
The ponytail syndrome is detected by a neurological examination of the patient and additional research, such as CT scan or MRI.
The treatment of this serious condition is carried out surgically or conservatively, depending on the cause of the ponytail syndrome. It is important to exclude a spinal injury and a bulk neoplasm of the spine.
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Causes of abdominal pain after cesarean section
No matter how good the doctor does, the tissue is still damaged. An operation is an operation. And it takes time for everything to heal. During the healing period, women often complain of abdominal pain after cesarean section. Sometimes the pain disappears in a month, and sometimes it can last for about six months. In any case, pain is inevitable.
In the first few days the pain will be constant, because the tissue is injured. The pain is caused by several factors. First, the seam. The seam puts pressure on the tissue and this causes pain. The first few hours, while the anesthesia lasts, you will not feel anything, but as soon as the anesthesia passes, the pain from the suture will last for about a week. To alleviate the condition, women are given painkillers. But very often, mothers refuse them in order not to harm the baby.
Exacerbation of pain can also cause tension in the abdomen as a result of coughing, laughing, or sudden movements. This is quite normal and should not be scared. But still, once again it is better to try to avoid unnecessary load. In order to fully recover from a cesarean section, on average a woman’s body takes three to four months. But this does not mean that the pain will be strong throughout the time. Every day it should become smaller.
Scar after suture
Unpleasant sensations can cause scar after suture. It can be felt by tingling and dull pain for a long time. This is normal. It should be very careful to monitor their state of health in the first couple of weeks after cesarean section. It is necessary to check the seam: whether the wound has started to fester, whether any contents are extracted from it. If you have a fever or a headache, you should immediately consult a doctor. Timely treatment at the hospital can save you from various troubles.
Very often, after a cesarean section, women experience increased gas production. Because of the surgical intervention, the gastrointestinal tract is disturbed, as a result of which many gases accumulate in the intestine, which lead to pain. And the pain in this case can be quite strong. If you encounter such a problem, you should consult a doctor. He will select the necessary drugs that will improve intestinal motility and reduce flatulence.
In addition to taking medications, you must follow the diet. Exclude completely from it all products that cause gas formation: soy, carbonated drinks, beans.
The uterus suffers from cesarean section. After all, it appears fresh scar. In addition, after the birth of the baby, it begins to decrease in size. This process is always painful, as the uterus contracts. The most severe pain will be felt in the first few days, while the cuts are very active. It will increase during breastfeeding, as nipple stimulation leads to an active reduction of the uterus.
The cause of concern can be severe pain, which lasts for several days and which is accompanied by a rise in body temperature and unpleasant discharge and odor from the vagina. In this case, you should immediately consult a doctor. Sometimes after cesarean section, blood clots and pieces of the placenta remain in the uterus. This can lead to the development of the inflammatory process of the uterus. Self-treatment in this case is meaningless and can only worsen the condition. The only way is to clean the uterus.
Do not be afraid of this procedure, because it is carried out under general anesthesia. After the procedure, you will be prescribed a course of antibiotics and antibacterial drugs. After 10 days you will be completely healthy.
A caesarean section damages the internal organs and tissues. Sometimes during the healing process spikes occur. Most often they appear between the intestinal loops. Pain from adhesions occurs a month and a half after the operation and can last a lifetime. The pain is weak and aching in nature. Sometimes the pain is very strong and doctors prescribe a second surgery to remove adhesions.
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The first days after cesarean section are the hardest and pain can not be avoided. The only way to get rid of it is to take painkillers, but only a doctor should prescribe them. After all, you do not know what will be their interaction with other drugs prescribed to you. In addition, the medicine can get into breast milk and have the best effect on the baby.
In addition to analgesics, the girl is prescribed medications that stimulate uterine contractions. Such drugs are taken only a few days. This time is enough for the uterus to regain its size. In addition, antibacterial drugs that prevent the development of the inflammatory process are also prescribed.
You should understand that pain after a cesarean section will be in any case. You just have to accept this fact and try once again not to burden yourself physically. Avoid sudden movements. In the first few days, you may feel dizzy and nauseous. These phenomena are quite natural.
If you have a seam pain, use a bandage. Providing support to the stomach, you reduce the pressure, thereby reducing the intensity of pain. It is not necessary to buy a new bandage for this. The one that you used during pregnancy is also suitable. Just fold it in half and tighten.
If the uterus hurts, then prepare yourself chamomile tea. To do this, brew in a cup of boiling water a teaspoon of pharmaceutical chamomile. Let it brew for an hour and drink. A couple cups a day of this tea will benefit you. Chamomile is absolutely harmless for a baby.
In the first few months after surgery, it is best to sleep on a hard bed, then the pain will bother you less often. It is very important not to get involved in pain medication, otherwise the body will soon stop responding to them. Therefore, try to give up analgesics gradually in two or three weeks.
If severe pain lasts a month or more, this should be a cause for concern. You may have any postpartum complications, so you should immediately consult a doctor and be examined to determine the cause. After the examination, the doctor will prescribe the necessary treatment for you.
When to spend the COP
If natural delivery for any reason is impossible or there are high risks to the life / health of the mother and / or baby, the doctors insist on a cesarean section. The operation involves the extraction of the fetus through an incision that is made in the abdominal cavity. If surgical delivery is planned, then make a horizontal incision. When the need for surgical intervention arises in the process of natural delivery, the incision is made vertically.
The planned COP is prescribed by the doctor based on the evidence. A woman in labor should not abandon the operation, because factors that indicate the need for a planned surgical intervention may ultimately cause irreparable harm to the health of the patient and her baby. Sometimes they even lead to death. The indications for the planned CU include:
- systemic diseases of the mother (for example, heart disease),
- a scar from a previous birth that can lead to a uterine rupture (only a doctor can assess the state of the scar),
- defeat infections of the genital organs (external),
- narrow pelvis women in labor,
- pelvic presentation of the fetus,
- placenta previa.
A planned CU allows a woman in labor to mentally prepare for an operation. She knows that on the appointed day everything will be under the supervision of doctors. Obstetricians do not welcome operative labor at the request of a woman: a planned cesarean, although it is considered a safe operation, however, the natural mode of delivery has many more advantages and much less risks.
Indications for emergency surgery
Caesarean section can be performed on an emergency basis. The decision is made by the doctor after the start of natural labor activity. Indications for emergency CS are unexpected factors:
- the threat of uterine rupture due to excessive tissue tension,
- development of hypoxia in the baby, who is preparing to be born,
- placental abruption,
- umbilical cord loops,
- early discharge of amniotic fluid
- termination of labor activity
- weak attempts.
There are factors on which you can try to influence the drug, but there are those in which the decision about the operation is made immediately. For example, emergency CS is carried out without delay if there are serious threats to the health and life of the baby or mother: high probability of uterine rupture, acute hypoxia. If labor activity has just begun, but its development is abnormal, the doctor may try to adjust the process with medication. When birth stimulation does not produce the desired effect, surgical delivery is performed.
Pain syndrome after surgery
It is impossible to self-medicate, it is very dangerous.
After any surgery, pain appears. Surgical labor is no exception. After the end of the anesthesia, the suture starts to hurt. Severe pain is present for the first four days, after it begins to fade. The woman usually feels discomfort in the incision area for about a month, but sometimes it is felt for another six months.
Pain arises due to uterine contractions and impaired intestinal motility.In the first days, pain causes any movement, even a deep breath or cough. Because of this, the woman tries to make a minimum of gestures, but it is “activity” that speeds up the recovery process.
Back pain is added to the general discomfort. It appears in almost every woman when the gestation period ends. This is due to the huge load on the spine during pregnancy: the vertebral axis shifts with growth of the fetus and it needs time to recover. The process does not depend on whether there was a natural birth or a CS. But what to do if after operative delivery back pain is severe and does not go away even when the recovery period is over? The first thing to look for is the reason why the pain arose. This is the only way to understand whether it is necessary to run to a doctor or how to reduce suffering at home.
Causes of spinal pain
Immediately after operative labor, back pain is considered a natural occurrence. The body has not had time to rebuild, get used to the lack of load. When carrying a spinal column overloaded, the expectant mother often feels pain in the lower back. Discomfort does not disappear immediately after childbirth, even if surgical intervention was performed. The body needs time to recover, the back will gradually return to normal. If a nerve is pinched by a load, then the pain syndrome will be present longer. There are other causes of back pain:
- Crick. Passing a baby through the birth canal often provokes stretching of the muscles. If the caesarean was urgent, and at the time of the operation the labor activity has already begun, then the likelihood is high that the muscles have stretched. Stretching can also occur after the operation: the mother’s shoulders take care of the baby, from which the back suffers. Excessive loads are indicated by back aches.
- Hormonal adjustment. While waiting for a miracle hormonal changes. Activation of specific hormones is necessary to gradually soften the ligaments / joints. This is a prerequisite for the successful passage of the baby through the pelvic region. If the cause of back pain lies only in this, then with the normalization of the background, the discomfort will not be felt.
- Anesthesia. The COP is performed under epidural anesthesia. To enter it, in the region of the spine put a catheter. In most patients, subsequent spinal pain associated with the introduction of anesthesia. Usually, the discomfort that arises for this reason disappears a week after the operation, but sometimes lumbar "lumbago" are disturbed for two weeks or more. The duration of pain depends on the correct installation of the catheter, the right size.
- Scar. As long as the incision site heals, it hurts. Pain increases with sharp body movements, bending, lifting, sometimes even when breastfeeding a baby. The pain in the scar "mirrors" in the spine (usually felt in the lower part).
Lumbar pain sometimes acts as a kind of reflection of abdominal or uterine pain. The uterus after cesarean begins to actively decline. So she returns to the size that they were before conception. When contractions are strong, they give back pain. After surgery, the abdominal muscles are shortened. Splicing occurs unevenly, the axis responsible for the balance moves, because of which a large load falls on the lower back. Hence the pain.
How much the back after the CS will hurt depends largely on the state of the spine. If it is twisted, then the pain will not go away for a long time. During the recovery period, you need to protect your back from stress, then the discomfort will disappear faster.
Pain as a symptom of disease
Pain in the back can indicate the development of various diseases. Especially it is necessary to be on the alert, if after the COP a lot of time has passed and the pain does not go away. Unpleasant sensations in the back can indicate:
- Osteochondrosis. The pains are aggravated by the evening. They are disturbed by “lumbago”, which appear when bending forward, lifting any weight (even a baby). The disease is a dangerous complication - intervertebral hernia. Under this condition, nerve crushing may occur.
- Inflammation in the pelvic organs. Pain syndrome is permanent. The pain is pulling, felt in the sacrum / lower back. Against the background of the inflammatory process, the temperature may increase, uncharacteristic vaginal discharge may appear.
- Chronic diseases of the urinary system. With the exacerbation of the chronic form of such diseases, pain in the back appears. If the pain is felt above the waist, it is pulling, then the likelihood of pyelonephritis aggravation is high. Acute pain, which is difficult to endure, usually indicates the presence of kidney stones. In addition to pain, other symptoms occur in diseases of the urinary system: weakness, fever, excessive sweating.
If, prior to conception, women had chronic diseases that were periodically exacerbated, then when the baby was born, the situation could be aggravated. After childbirth (even if the delivery was carried out surgically), the disease also worsens: the organism undergoes a restructuring, which entails consequences. The exacerbation of chronic diseases often occurs after an emergency COP, than after a planned one, because when the attempts begin, the mother’s body has serious stress.
See a doctor
To avoid complications, it is important to be under constant medical supervision.
If back pain after the operation does not go away, you need to consult a doctor. You should not postpone the visit with a strong pain syndrome: this can indicate serious problems. Which specialist to contact? The first thing you need to make an appointment with a gynecologist. He will examine the seam, check for diseases of the genital organs, in which the pain "gives" in the back.
If the discomfort is caused by the fact that the operation was performed recently, the gynecologist will give recommendations to the young mother on how to reduce discomfort. When the cause of the pain cannot be determined immediately, the patient is sent for examination. It is necessary to pass tests, visit a urologist, a neurologist.
If a woman knows about the presence of chronic diseases and exacerbations, expressed by pain in the back, happened before, then you need to contact your doctor. In parallel, it is necessary to undergo an examination by a gynecologist to make sure that the pathology has a non-gynecological character.
Possible causes of back pain
Back pain is a very frequent and quite natural symptom. A woman just does not have time to recover from pregnancy. Immediately after giving birth, she begins to care for the baby, lifts it out of the crib, wears it in her arms and nurses it. If the abdominal muscles are not strong enough for such a load, this is compensated by the muscles of the back. At the same time the balance is disturbed and the loin starts to hurt.
Also, discomfort can provoke:
- hormones that relaxed joints and ligaments for childbirth,
- spinal injury during gestation and attempts,
- recovery after epidural anesthesia and cesarean section.
Young mothers often ask how long these symptoms will be felt and what to do when your back hurts. Recovery from birth can take from two months to a year. The loin will disturb as long as the child needs to be raised, whose weight increases with each passing day. Doctors make recommendations depending on the woman’s well-being and the way her baby was born.
When giving birth to a child, a woman is in an obstetric chair for several hours. In this position, the tailbone is injured, the waist is curved. A mother in labor strains muscle groups that are usually not involved. It is quite natural that 80% of women after childbirth have a backache.
During pregnancy, hormones gradually soften the ligaments and joints so that the baby can safely pass through the bones of the pelvis. Before the hormonal balance is restored, the woman experiences pain when sitting for a long time or standing. It can be difficult to maintain balance.
General recommendations after delivery
- Young mothers are advised to lose weight and take care of joints that are still under the influence of the hormone relaxin.
- Crooked posture requires correction with the help of exercises, massage and physiotherapeutic procedures.
- To raise the child in your arms, it is better to sit down and not lean over him.
- During breastfeeding, it is recommended to constantly change sides in order to relieve the shoulders. Feet should rest on the floor. Under the lower back, you can put a small pillow.
- A woman can not lift anything larger than a baby. It is better to entrust the stroller and other heavy things to relatives.
- For carrying the child, it is advised to use slings - special devices on the principle of a backpack, which release the hands and distribute the load on the back.
- During this period, you need to pay attention to all the symptoms and report them to the doctor in order to notice violations in time.
Epidural anesthesia is done to relieve pain in the lower body during natural childbirth or cesarean section. The drug is introduced through a catheter into the membrane with fluid that surrounds the spine. Unlike general anesthesia, a woman remains conscious.
A few days after the procedure, the woman in labor feels a sore pain at the puncture site. But a direct relationship between epidural anesthesia and chronic back pain was not revealed. According to the results of clinical studies, only a third of women after local anesthesia experienced discomfort longer than two weeks.
There is a popular belief that anesthesia hurts the spine and can cause chronic lower back pain. Should I avoid local anesthesia during childbirth?
Possible pains from epidural anesthesia coincide with general discomfort after delivery. During the attempts, the woman in labor controls poorly the sensitive body. She could get a tailbone injury or stretch. The effects are felt only when the anesthesia passes.
After natural childbirth with epidural anesthesia, you can follow the general guidelines for young mothers. Even if you feel weakness and back pain, it is helpful to stretch and strengthen the abdominal muscles.
- It is better to start with small loads. For example, walking for short distances.
- Posture should remain flat.
- During feeding, you need to press the baby to the chest, and not lean over him.
- When the doctor allows, you can do exercises for the back and abdominals.
- Yoga and Pilates classes help to improve the stretching of the muscles of the whole body. You need to listen to the sensations and perform those exercises that do not cause discomfort.
Back pain after cesarean section is just one of the symptoms during the recovery period. This surgical procedure is prescribed when natural childbirth can harm the child or the mother.
For cesarean section, local anesthesia is done with epidural anesthesia. The child is removed through a small incision in the abdominal cavity and uterus.
The effects of surgery can cause back pain.
- After healing at the site of the incision, a scar is formed. When the scar tissue is stretched with bending and sharp movements, pain is felt in the lower part of the spine.
- Another reason that hurts your back can be shortening of the abdominal muscles. After cesarean section, the tissue grows unevenly. In the body, the equilibrium point shifts and the entire load passes to the lower back.
- The pain is aggravated when the woman holds the baby in her arms and slouches during breastfeeding because the healing scar prevents her from straightening her back.
- Pain in the lower back can be a reflection of abdominal pain.
After cesarean section legs hurt
During and after childbirth, many women experience pain in their legs. It says about not yet past edema or varicose veins, which is starting to develop. Varicose veins are associated with an increase in the amount of blood in the body, while the vessels of a pregnant woman do not have time to stretch so quickly. At the same time, the valves of the veins also do not cope with the load and because of this, blood stagnation occurs in the lower limbs.
In order to avoid all of the above, it is recommended to use special compression stockings, which help proper blood circulation and prevent stagnation of fluid in the lower extremities.
If after cesarean section stomach hurts, how to numb it?
The only way to relieve pain in the postoperative period - take anesthetics and antispasmodics. Almost all women in labor after surgery take drugs with analgesics that do not pass into breast milk. If the pain does not stop longer than 2-3 days, in order to exclude possible complications, it is necessary to consult and undergo a medical examination.
During the first three days after birth, in order to avoid inflammatory processes you are prescribed antibiotics, killing microorganisms of different strains.
When the stomach or back hurts after cesarean section, the hormone oxytocin is given in injections, which contributes to a better reduction of the uterus. They also prescribe drugs that restore the stomach and intestines work.
Avoid postoperative pain is impossible. However, you can ease them and carry out prevention of these troubles.
In any case, the very next day after surgery, need to move, even through pain. This will avoid adhesions and recover faster in order to independently care for their newborn baby.