Postpartum Adhesions After C-Section: Symptoms and What To Expect

Many women experience adhesions following a cesarean section, although the majority do not encounter any noticeable symptoms. In most cases, these adhesions are mild and do not interfere with daily life or digestive functions. Often, they involve only the outer lining of the intestines and do not impair normal bowel movement or digestion.

Understanding Post-Cesarean Adhesions

During a C-section, the abdominal cavity is opened, which can expose the intestines to various irritants such as blood, amniotic fluid, and irrigation solutions. These substances may cause minor irritation or damage to the intestinal surface, leading to the formation of scar tissue or adhesions after surgery.

When Adhesions Cause Symptoms

While many adhesions remain asymptomatic, some may lead to complications. One of the first signs of problematic adhesions is difficulty passing gas or delayed bowel function after surgery. In more severe cases, adhesions can partially block the intestines, resulting in symptoms like bloating, abdominal discomfort, cramping, and even nausea or vomiting.

Potential Complications: Bowel Obstruction

If bowel movements and gas passage remain absent for an extended period post-surgery, especially when accompanied by abdominal swelling or pain, it could indicate a partial or complete bowel obstruction caused by adhesions. This is a serious condition that requires prompt medical attention to prevent further complications such as intestinal ischemia or infection.

What To Do If You Suspect Adhesions

If you experience persistent abdominal pain, bloating, constipation, or an inability to pass gas after a C-section, it's important to contact your healthcare provider. Early diagnosis and treatment can help manage symptoms and reduce the risk of severe complications. Your doctor may recommend imaging tests, dietary adjustments, or in some cases, surgical intervention to remove the adhesions.

Conclusion

While intestinal adhesions after a cesarean section are common, they don't always cause problems. Being aware of the signs and knowing when to seek help can make a significant difference in your recovery. Always follow up with your physician if you have concerns about your postpartum healing process.