Congratulations

Congratulations on the birth of your child. There are many things new parents have to deal with just after the birth of their baby. We have put together this pamphlet to help answer many of the questions you may have. We are also happy to provide advice and guidance while you are admitted to hospital.

At the hospital

Skin-to-skin contact

If you and your child are doing well, the child will be placed on your chest immediately after birth for skin-to-skin contact and so it can seek out your breast. In some cases, your child will need to be checked and may need help breathing before being handed to you. The child can also have skin-to-skin contact with your partner or companion.
Skin-to-skin contact is important for breastfeeding, as the contact stimulates the hormones that start milk production. This contact will also help your baby maintain a stable body temperature, increase blood sugar levels and stabilise heartbeat and breathing.

Observation of you and your child

We will keep a particular eye on you for the first few hours. This will take place in a recovery room. We will keep an eye on any bleeding from your uterus, your blood pressure, your heartbeat and the oxygen levels in your blood. You will later be moved to a regular maternity room.

The urinary catheter and drip will be removed

Once you can get out of bed and walk to the bathroom, we will remove the catheter and drip so you can move about and begin caring for your child.

You will receive pain-relieving medicine

You will feel pain after a caesarean section. The uterus will shrink back to its usual size after the birth. The contractions can be painful and are referred to as after-pains. You may notice them more while breastfeeding. You will be given pain-relieving medicine regularly.
You can breastfeed while taking pain-relieving medicine.

Sometimes this amount of medicin will not be sufficient. You should therefore let us know if you need more. We will of course make sure to ask you as well.

You may feel pain in your shoulder

After a caesarean section, some women experience a sore right shoulder, as trapped air in the abdominal region places pressure on the nerves leading to the shoulder. This is normal and the pain will disappear within a few hours, or two days at the most. The more you are able to move about, the sooner the trapped air will disappear. You can use a heat pad to alleviate the pain.

You might have a headache and feel itchy after anaesthesia

Approximately 1% of patients experience a severe headache after an epidural. The headache disappears when lying down and will appear when you get up. Let us know if this is the case for you.
Some patients experience feeling itching in connection with the epidural. The itching rarely requires any form of treatment. The itching usually disappears within a few hours, but it can take up to 24 hours.

Move about

Try to get out of bed within the first six hours to help your body get going again after the operation. Take a walk around the maternity ward as soon as you can. In the days following the operation, alternate between sitting, walking and lying down. Ýou will usually be able to take a shower and begin taking care of your baby the day after giving birth. However, most people need help from a companion or partner. 

Avoid constipation

When you have had an operation in the stomach area, you may find it difficult to get rid of air and move your bowels. To help your stomach get back on track, we recommend moving about, eating high fibre foods and drinking lots of fluids. Chewing gum can also get your intestines moving again. We recommend that you chew gum at least three times a day for a total of one hour until your intestines are back to normal. We will provide you with a mild laxative until you have had a bowel movement.
The stomach will usually get back on track within three to four days.

You can take a shower once your bandage has been removed

We will remove the bandage to check the incision after 24- 48 hours. After that, you will be able to take a shower. In some cases, you may need to wear the bandage for a bit longer. We will discuss this with you.

Keep the incision clean

Let the incision air dry after bathing. It must be kept as clean and dry as possible.

Vaginal bleeding

It is quite normal to bleed from the vagina after a caesarean section. The bleeding will correspond to a heavy menstrual flow and will decrease gradually during the first week. You will then experience a bloody or brown discharge for six to eight weeks. We recommend that you only use pads because tampons and menstrual cups can increase the risk of infection.

Remember to urinate

It may be difficult to tell whether you need to urinate. You should urinate no later than four hours after the catheter has been removed, and then approximately every three hours in the first few days, even if you don’t feel like you need to urinate. This will help the uterus shrink to its normal size. You may experience a burning sensation when urinating. This may be due to the catheter or because your bladder was nudged during the surgery. This will disappear in the course of a few weeks.
Make sure to drink about 2 litres of fluids a day.

How to get out of bed

Follow these steps:

• Bend your legs and roll to one side. Make sure that your hips and shoulders are aligned.
• Lift your upper body by placing your elbow on the mattress as you keep your legs together and swing them over the side of the bed.
• Use your arms to push yourself to a sitting position.
• Place your hands on the bedside and push yourself up to a standing position.

Follow these steps in reverse when you get into bed.

Breastfeeding

When you give birth via caesarean section, your milk production may be a little delayed and it can take longer to begin breastfeeding for several reasons. One of the reasons is that the hormones released during a vaginal birth are not released during a caesarean.

To help you begin breastfeeding we recommend that:

• you place your child at your breast at least eight times a day and every time your child shows signs of wanting to suckle.
• have as much skin-to-skin contact with your child as possible during the first few days.
• you stay patient and keep trying. For most people, breastfeeding has to be learned. We are happy to help and advise.

Consultation with a doctor

If you underwent an emergency caesarean section, you can have a consultation with a doctor before you leave the hospital.

You will receive more information

We will provide you with more information on the period after birth.

Going home

If you are still wearing a bandage

If we have not removed the bandage before you leave the hospital, continue wearing it for as long as directed. Keep it clean and dry and cover it when you bathe. Remove it if it gets very wet.
Removing the bandage is easiest after bathing as your skin will be damp.

The stitches will dissolve after about three weeks

The small plasters covering the incision will usually fall off by themselves. If they do not, you can remove them after approximately one week. The stiches will dissolve within three weeks.

Beware of infection

It is normal for the area around the incision to be swollen and sore. However, keep in mind that the incision can become infected. This rarely happens, but if it does, it will need to be treated.

Contact your general practitioner or dial 1813 to reach the medical helpline outside your general practitioner’s opening hours if you experience one or several of the following symptoms (if you develop any of these symptoms within the first seven days of giving birth, then contact us):

• Increased soreness
• Increased redness
• Increased swelling
• The area around the incision feels warmer
• Discharge from the incision
• The incision opens up
• Unexplained fever over 38 degrees centigrade.

Continue taking pain-relieving medicine

If you need pain-relieving medicine once you get home, we recommend that you take 2 x 500 mg paracetamol, possibly combined with 2 x 200 mg ibuprofen, no more than four times a day.

When you begin to gradually reduce the dosage of pain-relieving medicine, usually after two days at home, begin with the ibuprofen.

Avoid heavy lifting

To protect your stomach muscles, we recommend that you do not do any heavy lifting while taking pain-relieving medicine. Of course you can carry your child. Make sure to hold your child and other objects close to your body when carrying them.

Caring and protecting your scar

Once the incision has healed and becomes a scar, do not visit a solarium or subject the scar to direct sunlight. The skin around the scar is particularly vulnerable to sunburn and can be darkened by direct sunlight. The dark colour will not disappear with time. We recommend that you keep the scar covered for twelwe months after the operation, and then meticulously use sunscreen with a high SPF. You can also use moisturiser to soften the skin around the scar.

Practicalities

Future Pregnancies
If you gave birth by cesarean section this time, it does not necessarily mean that you will need a cesarean for a future pregnancy. In your next pregnancy, you can discuss your preferred method of delivery with an obstetrician.
After having a cesarean section, we recommend waiting at least one year before becoming pregnant again if you wish to give birth vaginally.

You can find more information about delivery methods after a cesarean on Hvidovre Hospital’s website at: https://www.hvidovrehospital.dk/efterkejsersnit/

Avoid driving

Do not drive until you have stopped taking pain-relieving medication and you feel that it is responsible. Do not drive or ride a bike while taking strong pain-relieving medication or if you still cannot use your body as normal.