Post surgery: signs to contact your doctor & possible complications
Signs Which Indicate You Should Contact Your Doctor
contact your doctor or midwife if you experience a fever of 101F/38.3C, for over 24 hours
Your incision is draining:
if you notice any blood or pus coming from your incision, get it checked out. Some discharge is normal, but it can also be a sign of something that needs treatment
Pain that gets worse, or doesn't go away:
pain in the incision site that doesn't go away, doesn't improve, or gets worse, needs to be checked out by your doctor. If pain is increasing, even with pain medication - contact your doctor immediately
contact your doctor if you experience difficulty breathing. At first it may be hard to take a deep breath, but should go away quickly - if it doesn't, or gets worse, call your doctor
if you soak through a pad every hour for two hours, OR your bleeding never starts, OR your bleeding doesn't diminish, contact your doctor, as these can all indicate that some placenta has been retained in the uterus
Common Cesarean Section Complications
some bleeding is normal, however persistent bleeding is not - if you are soaking through 1 pad an hour, you need to contact your doctor. Bleeding can be a sign of post partum haemmorhage
infections happen in approx 10-20% of cesarean surgeries & can occur in or around the incision site, the urinary tract, and the uterus
during cesarean section surgery, the nerves around the incision site, and uterus are cut, and usually these heal themselves, but sometimes they don't. This can result in loss of sensation in your skin & muscular pain. Nerve injuries can heal themselves, though sometimes require extra surgery/s
Reactions to medications used during surgery/post surgery:
most commonly causes rashes, and/or skin irritation - but rarely, reactions can be fatal - it is important to tell your doctor, if you notice any rashes etc, post surgery
Delayed bowel function:
very common post surgery, if it does happen after your cesarean, you'll be given clear fluids until re-activity begins. Passing wind is the first sign that bowel function is starting to return to normal
after a cesarean blood clots can occur in the vein of the legs, and more often occurs in very overweight patients, or patients that don't move soon enough after surgery. Blood clots after a cesarean, can also move to your lungs, and blood thinners usually work very well to resolve the problem
an adhesion is scar tissue that forms a connection between tissues or organs - can form between the uterus, fallopian tubes, bladder, intestines and other organs, They can cause no problem at all, OR can cause pain, vomitting or severe abdominal, or pelvic pain. Treatment depends on the seriousness of the complications, and may require surgery.
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