A cesarean section or C-section is an operation performed to deliver a baby. A cesarean section can result in a scar on the mother's abdomen. But did you know that massaging a C-section scar could accelerate the healing process and improve the appearance of the wound?
Types of C-Section Scars
Scars are a normal part of the healing process. Once the skin is cut or damaged, our skin cells begin to grow new tissues to fill the gaps. From there, scar tissue consisting of collagen forms in the skin.
C-section scars are usually about 4-6 inches long. At first, the wound will appear pink and swollen. Over time, the wound will blend with the skin. There are two types of C-section scars, namely:
- Transverse scars
This is the most common type of C-section scar. These scars are located along the lower abdomen, usually along the underwear
- Vertical scars
This type of scar is often used during emergency surgery because caregivers can get the baby out as quickly as possible. The vertical scar runs up and down the lower abdomen.
C-Section Scar Healing Phase
- Inflammation stage
The inflammation stage lasts three to five days after surgery. During this phase, the bleeding has stopped and the scar appears pink and swollen. This phase occurs when platelets and white blood cells travel to the incision site to stop the bleeding and help protect against infection.
- Proliferative phase
The proliferative phase takes about five to 15 days. This stage is when collagen is formed at the incision site. Collagen will hold the edges of the damaged skin together along the incision. During this phase, new blood vessels form and the scar appears thicker.
- Remodeling phase
This is the final stage of the healing process and can take up to a year. During this phase, the scar spreads evenly over the skin and fades in color.
What are the benefits of Post C-Section Massage?
Scar massage is believed to accelerate healing and improve the appearance of scars. Massaging the C-section scar can help flatten and soften the scar over time. Massage can also help reduce pain and itching at the incision site.
This is because mobilizing the skin around the scar helps loosen scar tissue and increase skin firmness. When the scar is massaged, blood flow to the wound area is increased, promoting collagen formation, which in turn helps the scar heal faster
It is important to note that there is very little scientific research showing that massage after a C-section is effective. However, most patients see improvement in the appearance and pain of their scars after the massage.
How to Massage Caesar Scars
Before starting a scar massage, consult with a health expert, such as a doctor or midwife. Most health experts recommend massaging as early as three weeks after a C-section The scab of the scar must be removed before starting the massage.
When you're ready to get started, use a gentle oil like coconut oil, vitamin E oil, or petroleum jelly for the massage. Lubricate your finger with oil and use the pads of your thumb or finger to massage the scar.
Use small circular motions to move the scar. Use enough pressure to move the scar, but not so much so that the massage is not painful. Make sure the pressure you used makes you comfortable.
After massaging the scar itself, push it to the surrounding skin. Gently push the skin in all directions while applying even pressure to loosen the scar from the underlying tissue.
Massage for 10 minutes twice a day for at least six weeks, then massage about three to four times a week until the scar loses its color and becomes flat.
Who should avoid C-Section scar massage?
- Avoid C-section scar massage if the scar is:
- Less than three weeks old
- In the shape of an open incision
- Showing signs of infection, such as increasing pain, redness, or discharge of pus
- Has complications
- The scar is older than two years (massage is probably ineffective at this point)
Other ways to treat C-section scars
To treat scars, the incision area must be kept moist for optimal healing. You can consult with health experts, but in general, it is advisable to regularly apply petroleum jelly or antibiotic ointment after closing the wound
Keep the area clean to protect the scar from infection and to keep the area clean. Change the bandage once a day or whenever the bandage gets wet or dirty. While bathing, wash the scar gently with soap and water; also avoid rubbing the scar area.
Finally, be sure to protect the scar from the sun. Scars are especially susceptible to UV damage during the first 18 months after surgery. Keep the scar covered when you spend time outdoors.
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Source :
Madormo, C. & Sadaty, A. (2022). What to Know About C-Section Massages. Verywell Health. [online]. https://www.verywellhealth.com/c-section-massage-5217455