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What is a C-section Pouch and How Can You Treat It?


What is a C-section Pouch?


A C-section pouch, to put it simply, is a scar tissue "shelf" that may emerge from your stomach following a cesarean delivery. It often develops close to the scar from your incision and is composed of a mixture of body fat, extra abdominal skin, and scar tissue.


Your surgeon will create an incision to remove the placenta and lift out your baby during the procedure. After that, your incision will be covered with a dressing and layers of skin, fat, and muscle will be sewn back together.


A C-section shelf, which manifests as a lump or an intractable bag of tissue, may develop from this incision. Surgery may be necessary to totally remove a postpartum pouch in certain women since these scars cannot be eliminated by diet or exercise alone.


For others, flattening the appearance of this pouch may only need adhering to an exercise regimen and emphasizing core movements. Additionally, following a C-section birth, some women find that strengthening their core muscles with belly bands and compression underwear is beneficial.


🔹Currently there are no guidelines for exercises after cesarean. 


😬If you Google or your tube exercises after cesarean, you will Be overwhelmed by the amount of good information and misinformation. 

📌Working with hundreds of moms after belly birth and being a belly birth mom myself, these are some simple principles I follow👇🏽 


1️⃣ If you have not a regular at exercises, starting with exercises that require a certain level or strength and stability might not be the best idea.


2️⃣I suggest starting at the most basic ones that you feel comfortable and which doesn’t give your any sharp pain at the scar. 


3️⃣ You don’t  have to clench your abs or gluts or jaw or pelvic floor with exercises.


4️⃣ I opt for mobility then stability followed by  strengthening  when it comes to core ( trunk + pelvis)

5️⃣ If you are pushing out on the abdomen or straining then you need to either alter the way you do it or modify the exercise 

6️⃣Remember that everyone’s journey is different in terms of recovery, so not all exercises might work for you. 


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What pelvic floor physical therapy can do for a cesarean shelf:

  • Test for for diastasis recti (which might contribute to the cesarean shelf)

  • Check for any scar tissue restrictions/adhesions

  • Assess Core strength, stability, posture,etc

• Assess pelvic floor

•. Assess bowel and bladder function


Throughout your postpartum recovery, it's crucial to treat yourself with kindness, regardless of how noticeable your pouch may appear. Your body has gone through so much to bring your baby into the world, and you've just experienced delivery, which is one of the most significant experiences a woman can have. When recovering from a C-section, pelvic physical therapy can be quite helpful. Together with enhancing mobility, function, and quality of life, they include assisting in the reduction of pain.


 



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