Recovering from a C-section isn’t easy, and while some discomfort is expected, complications can sometimes occur. One such issue, though it’s not super common, is when internal stitches (the ones used to close up the deeper layers like your uterus) tear. It’s not something many talk about, but if it happens, it can cause serious pain and even lead to other complications.
Studies show that 1-3% of women deal with complications during C-section recovery, including issues with the internal stitches. So while it’s rare, it’s definitely worth knowing what to look out for. Here are the 10 symptoms of torn internal stitches after a C-section, plus what you should do if you think something’s gone wrong.
1. Sharp or Growing Abdominal Pain
One of the first signs that your internal stitches may have torn is a sudden, sharp pain around your abdomen. After a C-section, some pain is normal, but if it gets really intense or starts to feel worse over time, it could be a red flag. This type of pain might feel like it’s in the exact spot of your incision, or it could be more generalized. Either way, it’s a sign that something isn’t right and you should call your doctor to check things out.
2. Your C-Section Incision Looks Slightly Open
If you notice your C-section incision looking a little bit open, it could mean the internal stitches have torn. It might seem like the skin around the incision is parting slightly, and while some changes during recovery are normal, a visible gap is not. If you notice this, it’s a good idea to get it checked by a doctor.
3. Heavy Bleeding
Bleeding after a C-section is common, but if it’s a lot more than what you’d expect or it doesn’t seem to slow down, that’s a problem. Excessive bleeding from the incision or inside your body can happen if your internal stitches tear. If you’re soaking through pads quickly or passing large blood clots, this needs immediate attention.
4. An Open C-Section Wound
This one’s serious. If your C-section wound looks like it’s opening up or if there’s fluid leaking out of it, it could mean the stitches inside have torn. You may also observe redness or a feeling of warmth around the wound. An open wound means there’s a higher chance of infection, so don’t hesitate—get in touch with your healthcare provider right away.
5. Swelling or Hardness Around the Incision Site
Some swelling is totally normal after a C-section, but if the area around your incision starts to feel harder or more swollen than usual, that’s not a good sign. It might also indicate an infection or a buildup of blood. If the swelling doesn’t seem to go down after a few days or if it starts hurting more, reach out to your doctor.
6. Fever or Chills
A fever or chills might pop up if there’s an infection. If you’re running a fever (over 100.4°F) or feeling cold and shivery, it could be an infection at the incision site. If you have these symptoms, especially with pain or swelling around the incision, don’t wait, get medical help ASAP.
7. Trouble Moving or Sitting Up
Post-C-section mobility can be limited, but persistent or intense pain during movement may signal a complication. When the stitches tear, it creates pressure and tension in your muscles, making movement more difficult.
8. Tenderness or Pain When Pressing on the Area
Your C-section site is going to feel sore, but if pressing on the area causes significant pain, it might be a sign that your internal stitches have torn. If you gently press on your incision site and it hurts more than you think it should, it’s worth mentioning this to your doctor.
9. Feeling of Pressure or Heaviness in the Abdomen
Do you feel like your belly is really heavy or full, even when you’re not doing anything? This could indicate that there’s an issue with your stitches. This sensation of pressure in your abdomen can be a symptom of a tear, internal bleeding, or a fluid build-up. It’s important to mention this feeling to your healthcare provider to rule out complications.
10. Gastrointestinal Issues (Like Constipation or Bloating)
If you’re dealing with constipation, bloating, or gas pains that weren’t part of your normal recovery, it might be linked to internal stitch problems. If the stitches tear, it can affect your digestive system, causing problems like constipation.
What Should You Do if You Suspect Torn Internal Stitches?
If you notice any of these symptoms or just feel like something’s not right, the best thing you can do is reach out to your doctor. Here’s what to do:
Get in Touch With Your Doctor ASAP
The sooner you get medical attention, the better. If you suspect your internal stitches have torn, it’s crucial to have a healthcare provider examine the area. They’ll assess your situation and may do some tests or imaging to figure out what’s going on. Don’t wait around, if the symptoms are severe or seem to be getting worse, don’t hesitate to call for help.
Take It Easy, Rest and Avoid Straining
While you wait for an answer, it’s important to rest. Steer clear of heavy lifting, strenuous exercise, or any activities that could strain your abdomen. Allow your body the time it needs to fully recover. Taking care of yourself during this time can help prevent complications and make sure you’re doing everything possible to heal properly.
Don’t Ignore It
If you’re feeling worried or noticing signs like heavy bleeding or an open wound, don’t brush it off. Getting medical attention right away can help prevent more serious problems later. Acting early will put you on the fast track to a smoother recovery.
Follow Your Doctor’s Post-Surgery Instructions
Your doctor will likely give you a set of instructions for recovery. These might include caring for your wound, what to avoid, and how to take care of yourself during the healing process. Be sure to follow these steps carefully for a safe and smooth recovery.
Taking Care of Yourself After a C-Section
The road to recovery after a C-section doesn’t stop once the stitches are gone. Your body’s still healing, and it’s important to remember that it’s not just about physical recovery. Emotional healing plays a big role, too. It’s completely normal to feel a mix of emotions, whether that’s frustration with pain, feeling overwhelmed by new motherhood, or just needing some time to adjust. All of that is part of the process.
Don’t forget about your long-term health, either. Even after you’ve recovered from the immediate effects of surgery, things like scar tissue or pelvic floor health can take a bit longer to heal. Staying on top of your checkups, eating well, staying active when you’re ready, and giving yourself the space to heal both physically and emotionally will help you feel stronger in the long run. It’s not about rushing; it’s about taking it one step at a time and being patient with yourself.