3 Ways To Prevent C-Section Adhesions

prevent c-section adhesionsThe best way to avoid C-Section abdominal adhesions is to prevent them from occurring in the first place.

If you’ve had a C-Section recently or expect to have one in the near future there are ways you can help prevent adhesions helping eliminate future complications and pain.

Here are 3 ways to prevent C-section adhesions when having a C-Section.

3 Ways To help Prevent C-Section Adhesions

1. Peritoneal Closure

There was a piece posted on medbioworld from Reuters Health that said closing the peritoneal versus leaving it open can significantly reduce c-section adhesions.

What is a Peritoneal Closure?

The Peritoneal is the tissue lining the inside of the abdominal cavity.  Since your body does not have skin on the inside, think of it as kind of saran wrap lining.

A study done by Dr. Zhongjie Shi from Temple University in Philadelphia compared results after doing 3 cesarean techniques which were:

  • Stark’s Cesarean section  (no peritoneal layer is closed)
  • Modified Stark’s Cesarean section (both peritoneal layers are closed)
  • Classic lower-segment cesarean section  (closes peritoneal layers but leaves more exposure of the uterine lower segment)

According to Dr. Shi, closing both layers of peritoneum during the Modified Stark’s Cesarean section significantly reduces the risk of adhesion formation.

Unfortunately not everyone in the medical community is in agreement, in fact some medical experts feel that closing the peritoneum is not needed at all. However there are doctors that wouldn’t think of not closing the Peritoneum. My doctor did close my peritoneum and I have not problems with adhesions. 🙂

What does this mean for you?

Speak with your doctor if you have concerns about C-Section adhesions and pain.  Closing of the peritoneal layers may be something that can help reduce adhesions from forming. By discussing this with your doctor you can get more information on his/her experience and feedback.

Dr. Shi’s group is also doing future testing on how antiseptic fluids, antibiotics, or other substances might aid in preventing C-Section adhesions as well.

2. Preventing C-Section Adhesions with Abdominal Massage Therapy

You can perform gentle abdominal massage techniques yourself right at home.

These massage techniques include methods of compression, lifting, rolling and what is called cross fiber friction.  Doing this self massage shortly after having a C-section has been proven to helps reduce adhesion formation.

If you expect to have a C-Section in the near future or you’ve had a C-Section recently this would be an excellent time to begin your abdominal self massage therapy to reduce the risk of adhesions and their complications.

3. Preventing C-Section Adhesions with Adhesion Barriers

Adhesions are difficult to prevent completely but there are adhesion barriers that your doctor can insert at the time of surgery that can help prevent the growth of adhesions.

Seprafilm® and  Gynecare Interceed® are both such products that are FDA approved. These are adhesion barriers that the surgeon places inside your abdomen to help prevent adhesions from attaching to other tissues as you heal.

Many surgeons are already using these adhesion barriers on a regular basis so check with your doctor to see if it’s something they use.  If your doctor hasn’t used it, you may want to request that s(he) at least look into it.

C-Section adhesions are a normal part of healing and can’t totally be eliminated, however trying to prevent C-Section Adhesions by thinking proactively and striving to limit their formation will help minimize future complications and pain.


For more on preventing C-Section Adhesions, grab  the Worry Free C-Section.  It’s an excellent resource for advice, personal tips information on all things related to having a C-Section.

Photo courtesy of  arztsamui & Freedigitalphotos.net

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2 thoughts on “3 Ways To Prevent C-Section Adhesions

  1. Elizabeth McGee says:

    Hi Chris,

    I understand completely, it’s overwhelming to know what’s the best product or system. The experience I’ve had with helping women is not so much what system they use but just getting them to do it.

    Doing something on your own in your own home is tough. Most women don’t stick with it which in itself is the problem. I like MUTU because it’s a video and they have have support group. It can still be hard to motivate yourself but turning on a video makes it easier and if you can get online and connect with others in the same boat that’s also a motivator. The program works there’s no debating that, it’s just doing it through the whole 12 weeks that can be the challenge.

    The other side of this is that some women just can NOT lose their C-Section shelf no matter what they do. I’m never quite sure what it is they are doing or not doing but from what they tell me they just can not do it. So I couldn’t guarantee anything except to say diet alone or exercise alone will not work. It’s the combination that works along with core, muscle and posture strengthening. It ALL works together. Also the type of exercise makes a huge difference. Sit-ups and crunches can actually give you a larger pooch making your shelf even worse, so whatever you do stay away from those because they can lead to Diastasis recti.

    It’s a tough thing, I know. I have managed to get rid of my shelf but I also eat well and exercise. Without that, surgery is the only other option but I do encourage women to try exercise and a good diet first. More surgery is never a good thing.

    My Best,
    Elizabeth 🙂

  2. Chris says:

    I took a look at the website.. It seems interesting. I’ve just seen so many post baby workouts. I don’t know which one to choose. I don’t want a tummy tuck. I would rather rid this shelf naturally. My shelf is so bad I don’t know why it’s worse this time. My third C my stomach went down. I just don’t know what to do..

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