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Childbirth is a process that changes a woman’s body and soul. However, for those women who have had hernia surgery, the postnatal period is not an easy one. It is therefore important for every mother to understand how childbirth affects the healing process of a hernia. Now it’s time to discuss the factors affecting the recovery period in detail and learn about the ways that can help women manage this period effectively.
Now, to better appreciate the link between childbirth and hernia recovery, let’s first discuss what happens during the typical healing process of hernias in women. A hernia is a condition that arises when an organ or any other tissue protrudes through a hole in the muscle or connective tissue that is covering it. In women, hernias are most frequently seen in the groin or lower abdominal area and are known as inguinal hernias, or near the umbilicus, known as umbilical hernias.
In most cases, hernia surgery is needed to fix the problem and to regain the strength of the abdominal muscles. The time it takes to recover can also be influenced by the type of hernia, the technique used during surgery and the patient’s physical state. In most cases, it may take several weeks to several months for most women to fully recover. As for the patient, they should not engage in activities that cause a lot of strain like lifting heavy objects or engaging in any rigorous exercises to avoid worsening the situation or delay healing.
The female body changes in many ways when a woman is pregnant and some of these changes can definitely hinder the healing process of a hernia. Pregnancy and childbirth exert mechanical forces on the abdominal wall and thus can affect the durability of a hernia repair.
In pregnancy, a woman’s body releases more of the hormone relaxin to prepare the pelvic ligaments for childbirth. Nevertheless, relaxation also influences the elasticity of the muscles and connective tissues of the abdomen. This increase in elasticity can be beneficial and detrimental to hernia surgery results. While it may help during childbirth, it can also put extra pressure on the muscles that were sewn during hernia surgery. This may cause a recurrence of the hernia or slower healing in some cases, though.
The enlarging uterus and the growing baby may exert considerable pressure on the abdominal muscles, as well as on the area around the site of a prior hernia surgery. This pressure can stretch the muscles and tissues thereby causing some sort of pain or hinder the healing process. Moreover, it should be understood that labor and delivery also put a great deal of pressure on the muscles, particularly if forceps or a cesarean section is required.
If a woman has ever had a hernia repair, childbirth may put a strain on the area and slow the healing process. The greater the pressure exerted on the abdominal muscles, the greater the chances of the body finding it difficult to shed off pregnancy weight.
As a result of childbirth, women are faced with a number of physical problems that may hinder their hernia healing process. These challenges are further exacerbated by the need to attend to a newborn which makes achieving personal care a challenge.
Another important issue that may be of interest after childbirth is the possibility of a recurrent hernia. There is pressure during pregnancy and childbirth and this pressure can stretch and weaken the abdominal muscles and thus cause the hernia to reoccur. The risk of developing a seroma should be of particular concern to women who have undergone hernia repair before they give birth.
Some of the complications that may arise include; after childbirth especially after a cesarean section, a woman may be immobile. Bending over to pick up the baby, lifting the baby and performing other household chores may cause pressure on the abdomen and slow recovery. Postnatal women should avoid some kind of activities that may put pressure on their bodies, as this may slow down the healing process and even lead to some complications.
Another postpartum problem that is common is diastasis recti in which the abdominal muscles are pulled apart during pregnancy. This condition can cause the abdominal wall to become flabby and makes the effects of a previous hernia worse. Daughters of hernia patients may also be at risk because their abdominal muscles can take a long time to tighten up after childbirth, which may complicate hernia surgery.
In the postpartum period, the woman is at risk for complications related to her surgery; however, certain measures can be taken that will help in the healing process.
When a woman is done with childbirth it is advisable to return to the exercise regime slowly enrolling in exercises that will tone the stomach muscles without straining them. Kegel exercises and other pelvic floor exercises and core strengthening exercises such as the modified plank may help to build up the tone of the muscles and support the abdominal wall. It is always advised to seek medical advice prior to engaging in any form of exercise so as to determine whether the exercise regime is suitable for you or not.
One has to be careful not to strain the abdominal muscles as the pressure could be reduced by maintaining a good posture. Whenever you are lifting the baby or doing anything else, try to do it with your legs and not with your back or abdominal muscles. Maintain good body posture and avoid twisting that can put pressure on the area that was operated on in hernia repair.
Pregnant women should avoid bending because lifting heavy objects such as your baby’s car seat or other children puts pressure on the abdominal muscles. It is advisable to avoid lifting very heavy things in the first few months after giving birth and to ask for assistance when possible. It is wise to take it easy during this time as this will determine how soon you will be back on your feet.
Nutrition is very important when it comes to the recovery period. It is important to take adequate amounts of proteins, vitamins and minerals for the purpose of repairing the damaged tissues. There is evidence that foods containing vitamin C, zinc and collagen help in the healing of the injuries. It is also important to take fluids in order to be healthy and to support the healing process.
If you're struggling with diastasis recti or finding it difficult to regain abdominal strength, postpartum physical therapy can be incredibly helpful. A specialized therapist can guide you through exercises tailored to your needs, ensuring you heal safely and effectively.
It’s quite natural to experience some pain after childbirth and hernia surgery but there are moments when you should consult your doctor. Any sharp pain, increased size of the swelling or tenderness in the area of the hernia may suggest that the hernia has recurrence or that complications have arisen. Moreover, if you have swelling or feel a mass in the area, it is advised to seek your doctor’s advice as soon as possible.
This is in order to keep a close check with your doctor, especially if you have had a hernia surgery in the past and before getting pregnant. There is always time for the patient to receive further treatment that will help avoid the worsening of their condition and make sure they are recovering properly.
Labour can be a problem to women that have undergone hernia surgery but there are ways that can be adopted to ensure the woman has a smooth recovery period. Thus, the avoidance of physical stress, the adherence to gentle movements and the consultation of a physician in case of complications will allow women to prevent the reoccurrence of a hernia and ensure a proper recovery.
At GEM Hospital we know that childbirth is not easy and the postpartum period can be particularly challenging. If you are planning for childbirth after your hernia surgery, or have questions about how childbirth may affect your hernia, Book Your Appointment with our experts today to learn about your options.
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