A C-section, also known as a cesarean section, is a surgical procedure used to deliver a baby. It involves making incisions in the abdomen and uterus to remove the baby. After a C-section, the incision site needs proper care and cleaning to prevent infection and promote healing. An important part of this post-surgical care is using sanitary pads to absorb drainage and bleeding from the incision site.
How often do pads need to be changed after a C-section?
It’s recommended to change the pad at least every 2-4 hours after a C-section. However, this can vary depending on the amount of bleeding and drainage. Here are some general guidelines:
- Change the pad when it becomes soaked through with blood or fluid.
- Change the pad at least every 2-4 hours in the first 1-2 days after surgery when bleeding is heaviest.
- Change the pad every 4-6 hours in the days following as bleeding starts decreasing.
- Change pad immediately if you feel any leakage around the sides.
Keep in mind that bleeding and discharge can be unpredictable and may come in gushes. It’s important to continue using pads until drainage has reduced to light spotting, which typically takes 4-6 weeks after giving birth.
Tips for changing pads after a C-section
Here are some tips to follow when changing sanitary pads after a cesarean delivery:
- Wash hands thoroughly before and after each pad change.
- Use gentle motions and avoid rubbing or irritation around the incision site.
- Carefully clean any blood clots or residue from skin folds.
- Rinse area with warm water or witch hazel pads to soothe discomfort.
- Pat dry before applying a clean pad, not rubbing.
- Change pad position each time to prevent skin irritation.
- Use overnight extra absorbency pads if needed for heavy flow.
- Consider using flushable wipes for quick cleanups or dampened cotton rounds.
- Inspect incision for any signs of complications like infection.
- Wrap used pads in toilet paper before disposing in trash.
Signs that prompt changing pad immediately
In addition to routine pad changes, it’s important to watch for any signs that may indicate a need to change the pad right away. These include:
- Sudden gush or heavy flow of blood into pad
- Feeling wetness or leakage around pad edges
- Noticing a foul odor from drainage
- Severe pain or cramping when standing up
- Dizziness, weakness, or shortness of breath
- Incision area feeling warmer or increasingly tender
- Fresh bright red blood versus old brownish discharge
Any of these could signify that bleeding has increased or an urgent complication like infection, hematoma, or uterine rupture needs evaluation. Contact your OB provider promptly in these cases.
How long should pads be used after a C-section?
It’s recommended to use pads continuously after a C-section for 4-6 weeks until drainage has lightened to minimal spotting. Heavier flow usually lasts for the first 1-2 weeks before tapering gradually. Things that can prolong discharge include:
- Physical activity level
- Breastfeeding
- Number of previous C-sections
- Use of blood thinning medications
- Presence of hematoma or infection
While ultra-thin panty liners may seem convenient after a while, most OBs advise against using them too soon since they may not provide enough absorption as bleeding continues. Tampons should also be avoided until approved by your doctor since they carry infection risk with surgical wounds.
Warning signs to watch out for
While postpartum bleeding and discharge are normal aspects of recovery after a C-section, any concerning symptoms should be evaluated quickly. Seek prompt medical attention if you experience:
- Bleeding that soaks through a pad in an hour or less
- Passing large blood clots bigger than a golf ball
- Foul-smelling discharge from the incision
- Severe or worsening pain and tenderness around incision
- Incision area that feels hot or swollen and looks red or purple
- Fever over 100.4 F
- Chills, dizziness, or rapid heart rate
These can indicate complications like infection, hematoma, or uterine rupture that require urgent treatment. Notify your OB provider promptly about any concerning symptoms post-C-section.
How sanitary pads promote healing after C-section
Using sanitary pads after a C-section supports the healing process in the following ways:
- Absorbs drainage: Pads absorb and collect lochia and blood safely so clothing and bedding are protected.
- Prevents irritation: Pad offers a cushioning barrier between the incision and clothing to prevent friction and discomfort.
- Allows air circulation: Pad lifts incision away from skin versus gauze dressing for ventilation.
- Offers comfort: Pads adapt to body contours more comfortably compared to bulky dressing options.
- Easy to change: Pads can be changed frequently to keep incision clean and inspected.
- Promotes hygiene: Routine pad changes allow gentle cleansing and monitoring of any signs of infection.
- Reduces chafing: Staying dry prevents skin irritation and discomfort from excess moisture.
Sanitary pads are a convenient and effective way to manage drainage while keeping the C-section incision protected as it heals. Choosing the right absorbency and changing as recommended helps prevent complications.
Conclusion
Changing pads regularly after a C-section is crucial for hygiene, healing and monitoring potential complications. The general guideline is to change pads at least every 2-4 hours in the first few days when flow is heavy, then every 4-6 hours as discharge decreases over the next several weeks. However, it’s important to adjust frequency based on your specific needs and factors like bleeding amount, pain, odor and incision appearance. While routine pad changes are key, promptly contacting your provider about any concerning symptoms can prevent more serious problems. With proper care, sanitary pads support the post-surgical healing process after a C-section delivery.