A Cesarean section operation involves an incision in the lower part of the uterus through which the baby is delivered. As the bladder sits in front of the uterus, it must be pushed down to expose the part of the uterus the surgeon must cut.
Bladder injury during cesarean section is not so rare nowadays (during primary CS 0.2% and repeat CS 0.6%). Dome is commonly gets injured. Recognition of the injury intraoperatively and immediate repair yields best result.
Women who have a caesarean can also develop bladder problems. Having a caesarean can reduce the risk of severe incontinence from 10% to 5% for the first baby, but after the third caesarean women are just as likely to develop bladder problems as women who give birth vaginally.
The risk of bladder injuries during a c-section
The Royal College of Obstetricians and Gynecologists (RCOG) estimates that one in 1000 Caesarean sections result in bladder damage.
If you are unable to fully empty your bladder when it is full you are experiencing postnatal urinary retention (also known as voiding dysfunction). This is a common problem in the first day or two following childbirth. About 1 in 500 women may have a problem with bladder emptying which lasts longer than 3 days.
Painful urination after a C-section
That has to do with the fact that C-sections almost always include having a catheter placed, which can cause soreness and pee pain for a day or two. If you spent time pushing before having your C-section, that can cause the same temporary symptoms too.
Soon after, you will feel cramp-like "after pains" when your uterus starts to contract and shrink in size. Your bladder, which is attached to your uterus, will probably be bruised, and you will need to urinate often so your bladder does not get too full.
In addition to the uterus returning to its normal shape (which often happens with contraction-like sensations or cramp-like feeling), the organs in your abdominal cavity are shifting back into their normal places – including your urethra, vagina, and anus.
Assisted births (forceps and ventouse) and Caesarean birth
The urine drains down the tubing into a collection bag which means you don't need to worry about having to go to the toilet. Once the catheter is removed, the maternity staff will advise you to try and pass urine (void) within four to six hours.
a catheter to drain urine from your bladder – your midwife will check you have passed enough urine within 6 hours and will take the catheter out about 12 hours after the operation, once you're up and moving around. compression stockings to reduce your risk of blood clots.
Many guides suggest that full recovery from a C-section takes 4 to 6 weeks. Yet every person is different, and much research suggests a significantly longer recovery time. Some studies , for example, have found that 60 percent of women have some pain in the incision 24 weeks after delivery.
Once the baby is out, whether by vaginal or c-section delivery, the uterus contracts and shrinks to GRADUALLY go back down to size. That full process takes 6 weeks. So, the shrinking uterus is part of the reason that you look like you are ready to attend your own baby shower, not bring a baby home.
Straight talk: The first poop after giving birth can be challenging since it can be hard to pass and may be more painful than you expected. That's because after you give birth, the perineum (the area between the bottom of the vaginal opening and the anus) is still sore and tender, especially if you have stitches.
The researchers found that, on average, women who chewed gum farted about 6.5 hours sooner than those who were not given gum: Gum chewers experienced their first fart about 23 hours after the operation, compared with non-chewers, who didn't fart until about 29.5 hours after the operation.
Try to avoid constipation and straining with bowel movements. You may want to take a fibre every day. If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative.
Walking after c-section is encouraged and should be your go to for the first few weeks. You'll start to notice day to day movement getting easier and less discomfort lifting baby or moving around.
The catheter will usually be removed from your bladder around 12 to 18 hours after the operation, once you're able to walk around.
Cesarean Section Preparation and Anesthesia
In some cases of emergency, general anesthesia is used, which means you will be asleep. Sometimes, your arms will be strapped down in a T-position away from your sides. This is done to prevent you from accidentally interfering with the surgery.
“So, every patient is different and every case is unique. However, from the current medical evidence, most medical authorities do state that if multiple C-sections are planned, the expert recommendation is to adhere to the maximum number of three.”
Caesarean section is a relatively safe operation; however, possible complications include infection, damage to your internal organs, an increased risk of respiratory distress for your baby and complications with future pregnancies.
Some of the main risks to you of having a caesarean include: infection of the wound (common) – causing redness, swelling, increasing pain and discharge from the wound. infection of the womb lining (common) – symptoms include a fever, tummy pain, abnormal vaginal discharge and heavy vaginal bleeding.
Getting up and walking around once you are home will help you heal faster and can help prevent blood clots. You should be able to do most of your regular activities in 4 to 8 weeks. Before then: Do not lift anything heavier than your baby for the first 6 to 8 weeks.