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.