Postoperative Ileus And C-Sections

Chewinggumaftercsection.

What Does That Mean?

This means that the normal movements of a person’s bowels — which squeeze and relax to move food along — slow down or sometimes even stop entirely after a C-Section

Normally, postoperative ileus goes away on its own in about three or four days after an operation, but people can be uncomfortable while the condition lasts

Chewing gum can trick the body into thinking that the person is eating. It gets saliva flowing in the mouth and can help send signals to the gut to start moving again.

Evidence:
Dr. Gabriele Saccone, an OB-GYN at the University of Naples Federico II in Italy and an author of the study, added that chewing gum after a C-section is a simple and inexpensive way for women to help get the gut moving again.

The new meta-analysis adds to a growing body of evidence suggesting that giving women gum after a C-section is a safe and effective way to help bring back gut function after the operation. A 2016 Cochrane review, for example, concluded that “gum chewing in the first 24 hours after a [C-section] is a well-tolerated, simple, low-cost, safe and easy intervention that enhances early recovery of bowel function, improves maternal comfort and potentially reduces hospital costs.”

Study: 

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011562.pub2/abstract

Choose Massage Therapy To Help You Heal After A C-Section

Nicole Nifo RMT

We can say that most women experience similar things in postpartum and adjusting to life with a new baby. When it comes to healing your body after c-section, it’s not realistic to expect everything to heal on its own. You will not be back to normal after eight weeks.

Those of us who have had children realize that our body doesn’t usually go back to its normal state after having kids on its own. It takes a lot of time and effort to support your body while it heals.

Massage Therapy and My Postpartum Healing

Postpartum healing does not have to be complicated. Enlist the help of an experienced health practitioner, like a Massage Therapist. Massage Therapy is a useful tool that will help you feel calm and also aid your body as it adjusts to being postpartum.

Common injuries or strains that a Massage Therapist will treat with a postpartum patient are general muscle pain and tension, mummy thumb (De Quervain’s Tenosynovitis), blocked milk ducts in the breasts, headaches, cesarean scar rehabilitation.

When Can I Start To Heal My Scar Tissue?

After birth, we focus on desensitizing the skin and emotional barriers from birth around the scar. A cesarean delivery can carry some trauma with it. As a massage therapist and cesarean momma myself, I take caution with your c-section scar before I start releasing the layers of tissue around it. Try placing your hand over your scar and breath to connect to it, see if anything comes up.

From two to twelve weeks you can start to desensitize the skin around your c-section scar if it has closed (skin has unionized) and there is no risk of infection. Desensitizing will help to minimize the numbness. Using different textures, you will rub the skin in a downward brushing motion. I like to use a facecloth, drybrush and sponge to help bring back the feeling in the skin around the scar.

What Happens During My Massage Therapy Treatments?

After 12 weeks, we will start working with the skin layer, progressing to the muscle layer and finally the visceral/organ layer. This progression can take a few treatments depending on how you are healing and how you feel during the massage. I go at the pace that you are comfortable with and let you guide me so that you can experience the release of adhesions in the scar without too much discomfort.

The goal is to decrease any pain you have in the abdomen, improve the movement of the soft tissue around your scar and minimize the adhesions that have formed under the scar.

Book a one-hour treatment for your first appointment. In subsequent visits, book 30-45 min sessions if you prefer to focus on the scar work (longer treatments if you want to have other areas of your body worked on).

Your C-Section Scar and How To Heal It

Let’s be honest here, there is little to no guidance on how a woman can help her body heal after giving birth from her primary care medical team. There is even less guidance given to someone who had a cesarean delivery (major abdominal surgery).

Like many of you, I found myself in postpartum after having an unexpected cesarean delivery, not taking care of myself because well… I needed to care for my new baby. I was the last person I thought I needed to care for.

It wasn’t until I was at a professional conference that I met a company that had a product using microcurrent point stimulation for Scar Release Therapy called The Dolphin Neurostim. They offered to test their microcurrent tool on my cesarean scar and I accepted. I was amazed at the improved movement of my abdominal tissue when I stood up and couldn’t help but feel a flow of energy to my scar that had felt like a dead zone for so long!

Adhesions

While a lot of people like to talk about and focus on the look of their scar, we really need to focus on the functionality of the scar and how the tissue around that scar is doing. Adhesions are formed under the scar creating scar tissue. While they’re naturally occurring, they can have adverse effects on our bodies by connecting tissue that shouldn’t be connected, like organs – in fact, women who’ve had a C-section sometimes develop Small Bowel Obstruction, a condition where the intestinal tract is kinked and twisted by adhesions. Adhesions also connect to our fascia, the web-like structure that connects all organs and tissues in our bodies. When they connect to our fascia, they can distort it, pulling muscles and pinching nerves. This limits our ability to move freely and heightens the sensitivity of the autonomic nervous system, which controls our pain.

product-c-section-scars.jpg

How Does The MPS Tool Work?

It’s simple! The Dolphin Neurostim™ is applied to each side of visible scars, transferring gentle, DC microcurrent deep into the tissue of the skin. When the microcurrent enters our body, it helps electrically “repolarize,” or release, the thickened scar tissue, as well as release fascia and muscles impinged by the scarring. Circulation is also increased, which, in turn, helps the lymphatic system remove dead cells from the body and encourages blood flow and healing to the area. All of this helps return mobility, improve appearance, and decrease pain both at the site of the scar and anywhere else in the body that scar may be affecting. In many cases, relief can be felt with one application!

Combined with manual therapy techniques, I use the MPS tool to help women regain mobility, function and overall wellness of their body after having a cesarean by performing scar release therapy.

How Many Treatments Do I Need Before I Can Feel Results?

Because we all heal differently, everyone has a different experience. Some patients feel results after one treatment and others after five. Our treatment goals are important too! Some want to see a visual difference on the scar, others want to feel less pain or discomfort after doing physical activity like long walks or workouts from the scar. Every treatment you come in for we talk about what you felt on day one and we see if there are any changes to compare to.

How Long Are The Sessions?

I always ask patients to book at least an hour for our first visit so I can do a proper assessment and health intake, if we are only focusing our treatments on SRT, then we can book 30 minutes follow up appointments after that.

Feel free to email me any questions you have about how SRT can help you after your cesarean delivery or book online now!