Cesarean Birth: The Role of Physiotherapy in the Preparation and Recovery

Photo by Aditya Romansa on Unsplash

Did you know that a pelvic floor physiotherapist can help with the preparation and recovery from a cesarean section? In Canada, 1/3 of babies are born by c-section. Sometimes c-sections are planned and sometimes they are needed after long hours of labour that just isn’t progressing. In any case, research has shown that 20% of women who received a c-section reported distress associated with their delivery, and preparation and education with regards to the c-section improved birth satisfaction.

Here are some tips for preparing for your c-section 

1. Know what the current hospital guidelines are with regards to COVID 19

2. Prepare some meals a head of time to keep in the freezer

3. Consider asking a family member or friend to help out for the first 1-2 weeks as you settle into your new routine

4. Set up space on the main floor of your home so that everything is accessible (i.e. changing station, extra clothes, blankets)

5. Plan care or activities for your other children

6. Communicate with your partner on ways they can help you with your recovery

 As with any surgery, there is a rehabilitation and recovery period after a c-section. Your pelvic floor physiotherapist can provide you with education on early post-operative strategies for coughing and moving in bed, equipment options, wound care, constipation, breastfeeding positions and exercise.

General post-operative guidelines

1. This is surgeon specific – so make sure you discuss this with your surgeon before you are discharged from the hospital

2. No lifting more than the weight of your baby

3. No driving for 3-6 weeks

4. No running or high impact exercise for 12 weeks (after you have received an assessment from your pelvic floor physiotherapist)

5. No bathing or swimming for 6 weeks or until wound is healed

6. Light housework only for 6 weeks (no vacuuming)

7. Avoid repeatedly going up and down the stairs for several weeks (occasional is ok)

Exercise progression after a c-section is person-specific and progresses regularly. It is recommended that you visit your pelvic floor physiotherapist before (if possible) and soon after your c-section to get the tools you need for optimal healing and faster recovery.

Contact us for more information or book an appointment.