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Making birth after Cesarean better

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C-Section Complications You Can Experience Years Later

Published on: March 22, 2021

Updated December 9th, 2023

Since 1970, the United States Cesarean rate has steadily climbed from 5% of births to over 30%, where it has remained since 2005. Unfortunately, C-section complications years later are rarely considered or discussed.

Even though Cesareans have become more common, when considering risks, doctors and parents often only look at the immediate risks. 

Recovering from a Cesarean birth doesn’t happen in days or weeks. For many moms, a C-section means a surgery. That impacts them much longer than the initial physical recovery period. And no one is talking about it. 

It can take years or even a lifetime to process emotional struggles that come with an unplanned C-section. There are also many physical side effects of a C-section related to the pelvic floor, internal scar tissue, uterus, and abdominal muscles that may not manifest until years after surgery. 

The long-term complications after C-section should be discussed and considered when deciding whether to choose a VBAC or repeat Cesarean, because having multiple Cesareans has a higher likelihood of bringing on long-term issues. As always, we recommend discussing the risks and benefits of each delivery method based on your own unique needs with a care provider that you trust. 

This article covers 20+ C-section complications that can happen years after the initial surgery, how C-section can impact future pregnancies, long-term effects on your baby’s health, and what signs to watch for if you are suffering from complications. 

If you are currently experiencing complications or would like more in-depth information on your birth and pregnancy history, we recommend that you consult your health care provider immediately.

c-section complications years later

Side Effects of C-Section

Only 5.2% of Cesareans with first-time moms are planned ahead of time; this means that most parents are often unprepared for even the short-term side effects of having a Cesarean.

Knowing what to expect immediately post birth and in the first few weeks is a necessary first step in becoming familiar with Cesarean complications. 

According to The Mayo Clinic, possible short-term Cesarean side effects include:

  • Breathing problems for the baby
  • Surgical injury to the baby
  • Increased likelihood if NICU admission
  • Infection of the incision site
  • Postpartum hemorrhage
  • Reactions to anesthesia
  • Blood clots
  • Infection of the uterus
  • Surgical injury to the mother, including organ damage and (very rarely) death

These are all important things to be aware of and need medical attention; however, you will likely be in the hospital still if any of the above-listed issues happen. If you are at home, it is crucial to get in touch with a doctor immediately.

Along with the immediate side-effects of a Cesarean, several new studies show that mothers who have Cesareans have a higher chance of long-term health risks later in life. 

In 2018, a systemic review and meta-analysis of long-term risks and benefits of Cesarean for mother, baby, and subsequent pregnancies, including over 30 million parents, was performed. The findings of this analysis are significant and show the undeniable impact that Cesarean births have on both parents and children long-term.

Pregnancy and Fertility Complications After C-Section

Some of the most relevant concerns for new parents delivering by Cesarean are the ability to have more children and what effect Cesarean birth has on their future fertility, pregnancy, and birth options. 

Fertility Issues

This is not to put fear in anyone who is expecting, keep in mind we are sharing risks of CS weeks, months, and even years later. In a 2018 review it showed that mothers who had a C-section have a 17% higher risk for miscarriage and are 27% more likely than those with an unscarred uterus to experience a stillbirth. 

Fertility issues are sometimes caused by the scarring left on the organs and tissues surrounding the uterus as the wound heals. When scar tissue connects to the bladder, uterus, and other organs, it can make getting pregnant harder or even almost impossible or very painful due to less than ideal areas for the fertilized egg to implant in the uterus. 

Basically, there are fewer areas on the uterus for the baby to attach and grow. 

Placenta Issues: Placenta Previa, Placenta Accreta, and Placental Abruption

Having an anterior placenta is not a problem for VBAC, as long as the placenta is not covering the Cesarean scar. However, other placenta issues cause serious complications that need medical attention, usually a repeat Cesarean. These complications increase drastically after just one C-section. 

Placenta Previa happens when the placenta partially or fully covers the cervix. It can cause bleeding during pregnancy, increases the likelihood of placental abruption, and makes vaginal delivery impossible. Parents who have had a cesarean birth are almost twice as likely to have Placenta Previa 0.027% compared to 0.05%.

Placenta Accreta happens when the placenta implants too deeply into the uterus. The risk for Placenta Accreta increases with each Cesarean birth. This is a dangerous condition that threatens both the mother and baby and necessitates an early Cesarean delivery. 

The rate for Accreta has increased drastically since the 1980s, and the increase closely follows the drastic rise in Cesarean rates. The risk for Accreta doubles after just one Cesarean. The risk is still relatively low, going from roughly 0.00029% to 0.0006%. 

Placental Abruption is when the placenta separates from the uterus before birth or during labor. It causes heavy bleeding in the mother and deprives the baby of oxygen and nutrients. Parents with a prior Cesarean are almost twice as likely to have a placental abruption 0.005% to 0.007%.

All three of these issues will require a repeat Cesarean birth. Although these issues are more common for parents who have had a prior Cesarean, doctors can recognize these things quickly and make plans with you to deliver your baby safely in a way that can still leave you feeling supported. 

c section
Image courtesy of Salt City Birth and Newborn

Birth Trauma and Postpartum Depression

No matter how a baby is delivered, there is a flood of emotions surrounding the birth. Some of these emotions can be negative and leave parents feeling lost, alone, and unsupported. 

Birth PTSD affects seven in 100 parents after having a baby, and women who have Cesarean births are at a higher risk for PTSD due to its unexpected nature and drastic change of plans. 

Women who deliver by Cesarean are sometimes told that they should just be grateful that they have a healthy baby. I want to tell you that it is ok to mourn the loss of a birth experience you worked and prepared for and still be happy that you have a beautiful baby in your arms. These two different emotions can exist together in the same space, and it can be complicated. 

While hormone fluctuations and the “baby blues” are normal, signs of postpartum depression include anxiety, extreme sadness, exhaustion, insomnia, and even anger.

Having an emotional outlet is essential for parents after birth, and talk therapy coupled with antidepressants can be especially beneficial when dealing with birth trauma, PTSD, or postpartum depression. 

Fear of Getting Pregnant Again

Recovering from a Cesarean is usually more challenging in physical and emotional ways than recovering from vaginal birth. The recovery process coupled with the trauma they experienced during the birth can cause mothers to fear getting pregnant and having more children.

Due to a traumatic Cesarean experience, some women go from wanting a huge family to deciding that one child is more than enough. According to The New York Times, women with a C-section birth are less likely to want more children when compared to women who had a vaginal birth. 

It is ok to change plans but it can sadden parents who wanted larger families and see the possibility of future C-sections as crushing that dream.

Finding Support in Future Pregnancies

VBAC (Vaginal Birth After Cesarean) is a reasonable option for 90% of parents who have had a C-section. However, if a mother wants to have a VBAC, she might have problems finding a VBAC supportive doctor or VBAC midwife. 

In some parts of the world, providers prefer repeat Cesareans and are not fully supportive of VBAC due to the fear of uterine rupture. 

The emotional struggles that come with that can be overwhelming and make parents feel like they do not have options other than having a repeat Cesarean. 

Repeat C-sections

Most parents who have an initial Cesarean will have Cesareans in subsequent pregnancies due to the lack of VBAC support and simply not knowing that VBAC is possible. 

It is also possible for a TOLAC (Trial of Labor After Cesarean) to end up in a repeat Cesarean for a number of reasons. 

Every C-section a mother has increased her chances of complications in future pregnancies and births and limits the number of children a mother can have. I know of many healthcare providers who recommend not having more than 4 Cesarean deliveries. 

Complications in Future C-Sections

Providers are more likely to restrict the number of Cesareans you have because with each abdominal surgery, it gets more challenging to perform and increases the chance of severe complications. 

Because women often have more than one baby, we are the only surgeons that routinely cut on the same scar over and over again, and that makes surgery technically harder each time. The internal tissue starts to fuse together and can look like a melted box of crayons. C-sections and hysterectomies are two of the most common surgeries performed on women, and those who require both are at significantly higher risk of complications.

Dr. Neel Shah, OBGYN

Long-Term Effects of C-section for Baby

As referenced in the study above, children born via Cesarean are 21% more likely to develop asthma before the age of 12, 59% more likely to become obese by the age of 5, and are linked to other adverse outcomes such as:

  • Type 1 Diabetes
  • Developing allergies
  • Lower academic performance up to the age of 8
  • Lower rates of breastfeeding
  • Impairment of the initial bonding time between mother and baby
  • Decrease immune function up to the age of 7 due to not getting passed through the beneficial gut flora that is in the vaginal canal
father holding new born child
Image courtesy of Salt City Birth and Newborn

Other Common Long-Term Complications After C-Section

Outside of future pregnancies and births, there are other long-term adverse outcomes related to C-section deliveries that can be directly tied back to the birth. Some of these are seemingly unrelated, so it is important to be aware of their ties to your birth history as it might change how your provider cares for you.

Scarred Tissue After C-section and Dense Adhesions

One of Cesarean deliveries’ most common complications is dense adhesions, which is pretty much a fancy way to refer to thicker than normal scar tissue. 

Scar tissue starts to form within days of surgery. Unfortunately, there is no way to tell whether you will have thicker than usual scar tissue; it is just how the body heals and responds to intense changes. 

Dense adhesions can even appear years after the surgery. Sometimes adhesions can grow onto the surrounding organs and restrict blood flow or create blockages on many organs in the pelvic floor area, including the uterus, bladder, and intestines. 

To reduce the chance of developing excess scar tissue after your Cesarean and even reduce it, you can incorporate Cesarean scar massage into your routine or see a pelvic floor therapist. Or check out our friend Janette and her programs for scar massage.

C-section hysterectomy

Women who had at least one Cesarean are 50% more likely to need a hysterectomy later in life than those who only had vaginal births. Cesarean parents are also 16% more likely to have post-operative complications like bleeding and infection. They are also 30% more likely to require reoperation. 

Those who had two or more C-sections are almost twice as likely to need a blood transfusion during the hysterectomy. (Oonagh, et al., 2018).

C-section Scar Infection Months to Even Years Later

In rare cases, the Cesarean incision doesn’t heal properly, which leaves it weakened and vulnerable. It is possible for the scar to develop an infection. Although it is most common for the infection to develop a few months after it can still occur years after having the Cesarean Section.  

The infection can occur in the layers of the skin at the incision site and lead to abscesses if not addressed quickly; this is extremely rare but, it is something to be aware of if you notice something unusual happening on your Cesarean scar. 

Sepsis

Sepsis is the body’s extreme response to an internal bacterial infection. If not handled quickly, it can spread throughout all the organs in the body. This is typically something that would happen weeks vs years later but is still a concern no one mentions. Previous studies have shown that it can varies from 0.48% to 1.12%

Uterine infections can usually be treated with antibiotics before they get to be out of control. Still, it can turn into septic shock if left untreated and is very dangerous and fatal in rare cases. Paying attention to your body as it changes and making sure to be seen by a doctor when you have concerns, especially anywhere in your pelvic area, is important to resolve any issues related to your prior Cesarean before becoming severe. 

Pulled Muscle after C-section and Weaker Abdominal Muscles

Cesarean birth is major abdominal surgery, and the abdominal muscles face a lot of strain and stress during the procedure. For some people, it takes months or even years for their abdominal muscles to regain their full strength.  Some may need physical therapy if the muscles do not heal together properly (diastasis recti). 

…tissues and muscles that have been damaged during a C-section need to be rehabilitated just like any other orthopedic procedure to help regain proper stability and function for women.

Dr. Graham from Finish Line Physical Therapy

Pelvic Floor Issues and Urinary Incontinence

Many people think that delivering a baby by C-section helps you avoid trauma to the pelvic floor that causes urinary incontinence, organ prolapse, and other pelvic floor issues. While the risk of urinary incontinence and pelvic organ prolapse are lower in parents who choose to have a Cesarean, 44% and 71%, respectively, avoiding them altogether is a myth. 

Pregnancy creates a lot of changes in your body and pelvic floor, and it is not unheard of for parents who had a Cesarean, especially those who made significant progress towards a vaginal birth before the surgery, to have pelvic floor issues. 

Having a cesarean creates its own kind of trauma in the pelvic floor. Keep an eye out; a doctor or pelvic floor specialist should address any type of incontinence, bladder cramping, spasms, or other pain in the pelvic floor area. 

Recurrent UTI

Urinary Tract Infections (UTI) can increase because of the weaker pelvic floor caused by pregnancy and Cesarean birth. Weakened pelvic floor muscles can cause the urine to reside in the urinary tract for longer than usual, leading to recurrent infections. 

Watch out for pelvic pain, strong urges to use the bathroom more frequently, fever, and fatigue. These can be signs of a UTI and can lead to a bladder infection if left untreated. 

Caring for the Scar

Having a scar on the abdomen can trigger some parents who don’t want to be reminded of a less-than-ideal birth experience. It can be challenging for some mothers to see the scar as a beautiful symbol of their child’s birth. Some may struggle to view their Cesarean as giving birth at all. 

After the initial 4-6 weeks of physical care for the incision, your scar shouldn’t need much maintenance. Performing Cesarean scar massage can not only prevent adhesions but can help you become more comfortable with it on an emotional level and begin an emotional healing journey. 

Detachment or Attachment Issues

We all want to feel an instant bond and attachment when we hold our babies for the first time. Cesareans make that initial bonding more complicated, primarily due to the absence of immediate skin-to-skin time, more typical with a vaginal birth. 

Some new moms do not feel a complete connection with their babies for weeks or even months after their birth. Some can even feel they are less of a mother for not birthing their baby vaginally. 

I am here to tell you that each mother and baby bonding experience looks different than the next. Some connections happen immediately, and others take time. 

If you are worried about attachment issues, it might help talk to a professional therapist to work through those feelings and connect on a better level with your child. 

Endometriosis

Endometriosis can become an issue for women who have C-sections, even if they didn’t have it prior to birth.

According to the US National Library of Medicine, Endometriosis:

…can be a direct consequence of a Cesarean delivery and chances are 5 to 20-fold increased for women who’ve had Cesarean deliveries.

US National Library of Medicine

Luckily, endometriosis can often be treated and resolved quickly, usually with antibiotics. In rare circumstances, it will need surgery or other forms of treatment. 

Menstrual Complications

After the baby is born, hormones don’t stop pumping through a woman’s body. They continue to make a parent feel emotional and moody and mess with the predictability of the menstrual cycle. A C-section still impacts the reproductive organs; it plays a significant role in how the body reacts to the return of its cycle.

A lot of factors come into play when it comes to the return of a predictable menstrual cycle. Some moms may not have their period for six months or even a year after delivery. 

Though some women see this as a perk to having their baby, it can also be emotionally stressful, leading to difficulty with future pregnancies and regulating those hormones long after the baby has been born.

Fear of Judgement

There are a lot of people with negative views on Cesarean. A new mom who only has family and friends who had vaginal deliveries might feel judged or out of place, even if it was the safest option for her and her baby. 

Other people can make hurtful comments that stick with parents for years afterward and leave them feeling embarrassed or inadequate about the birth.

These emotional stains and feelings linger, especially when tied to such a traumatic event to the body like a Cesarean. It isn’t fair to the mother, her family, or her baby, but, unfortunately, it happens and can impact many of the other complications listed above. 

C-section Complication Symptoms to Be Aware Of

Phew! That was a LOT of stuff to unpack. But don’t worry, most of the time, there are ways to heal from them both physically and emotionally if you know what to look for. 

Here are some signs you might be having Cesarean-related complications and need to be seen by a health care provider. 

C-section Incision Pain Years Later

As nerves regrow around your incision site, you might feel cramps and pain. These c-section complications can manifest even years later. However, it might be a sign of internal damage or scar tissue growing too thick. 

Pay attention to any pain around your incision site, and make sure to bring it up with your doctor. 

Period Pain after C-section

If you have blood clots, increased period pain, or irregular flow patterns during your menstrual cycle, it might be your body adjusting to normal after pregnancy. 

In some cases, those are signs of endometriosis at the site of the incision, which can make periods more painful and affect flexibility in your abdominal area. It is a good idea to address any period abnormalities with your provider. 

Cramps after C-section

Cramping after both C-section and vaginal deliveries is expected. It’s how your uterus returns to normal and prevents excessive bleeding. 

If Motrin or ibuprofen doesn’t reduce the pain, you have a fever, or you notice any unusual discharge, check in with a medical professional.

Abdominal Pain Years after C-section

Tissue damage can be internal, and scar tissue develops internally. Sometimes, this can be a sign of disease or infection. 

If your scar tissue becomes painful or you develop low back pain, pain during sex, along with other unusual symptoms in your pelvic area, it’s time to give your provider a call, or see a pelvic floor therapist. See episode 198 on The VBAC Link Podcast 

Lump Under C-section Scar Years Later

Formations of lumps, an unusual mass, or any type of growth are common symptoms of endometriosis. If you feel a lump or mass around your Cesarean scar, even if it is years later, check in with your medical provider to rule out endometriosis or dense adhesions. 

When to Seek Help after C-section Complications

C-sections happen for many reasons. Some are scheduled, many are unplanned, some are truly life-saving, and some may have been preventable. 

If you consider planning a repeat Cesarean, it is important to consider both the short and long-term risks associated with them in your decision. Only you can decide the right choice for your birth. 

Regardless of how or why your Cesarean happened, being aware of the signs c section complications years later is important to ensure you are in good health. 

As a summary, here are some times it is necessary to check in with your medical provider:

  • Pain around your incision site
  • Redness, swelling, or pus coming from the incision site
  • Excessive bleeding
  • Fever over 101°
  • Chest pain
  • Swelling or redness in your legs
  • Difficulty breathing
  • Unusual vaginal discharge
  • Anytime you feel something’s not quite right

FAQ

Can C-Section cause problems years later?

Recent studies show that moms who give birth by Cesarean have higher chances of facing long-term health and surgical complications, including the need for a hysterectomy, endometriosis, mental health issues, and difficulties in future pregnancies. Babies born by Cesarean also face an increased risk for adverse health outcomes. 

Why does my C-section scar hurt years later?

In some cases, pain from scar tissue is noticeable right away. In others, the pain may come on years later. Sometimes this has to do with nerves that develop after the injury itself heals; however, sometimes, it is a sign of excessive scar tissue interfering with pelvic floor organs or endometriosis. 

What are the long-term side effects of a C-section?

Long-term side effects of Cesarean include long-term gynecological morbidity, intermenstrual bleeding, birth trauma, the likelihood of future abdominal surgeries. Chronic pelvic pain and risk of secondary infertility, scar pregnancy, uterine rupture, placenta previa, and accreta are also increased risks after Cesarean section.

Can your C-section scar get infected years later?

If the C-section scar heals incorrectly, it leaves itself vulnerable to the risk of infection. Bacteria can more easily enter the incision site and cause inflammation, redness, swelling, and pain. If left untreated, it can result in further complications in the abdominal area.

About Julie Francom

Hi, I'm Julie Francom, and my goal is to help you feel educated and informed about birth after Cesarean. As a doula, birth photographer, and co-founder of The VBAC Link, it is my job to keep you in the know about all the current evidence and information related to VBAC. I am a mom of four, computer geek, Army vet, and a small-town girl just trying to change the world!

Credentials:
Certified Labor Doula
Certified Birth Photographer
VBAC Childbirth Educator
Business Owner
Bachelor of Science - Information Technology
Masters Degree in Business Administration

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Reader Interactions

Comments

  1. Liz

    July 27, 2021 at 5:07 pm

    Thank you for this. I’m crying. It’s been ten years since my unplanned c-section and I wish I’d read something like this or… Really…I wish someone had told me all the things. I still suffer.
    Thank you

    Reply
    • JP

      July 19, 2022 at 8:59 pm

      ❤️❤️❤️

      Reply
      • norjanna

        February 24, 2025 at 5:00 am

        i have my chronic back pain, where the anesthesia is inserted, is it also a long term side effect of cs?

        Reply
    • Jasmine A Bruno

      January 23, 2024 at 7:59 pm

      Same. I was 19 and alone and i just trusted the drs were telling me everything. I’m 35 now and am just now trying to connect with my body. it’s so much harder than I realized. I hope your suffering eases

      Reply
    • Ochia Nkechi Mirian

      October 17, 2024 at 6:45 am

      after my first CS I noticed a swallowing above my novel.sometime I feel terrible pains,
      what may be the causes

      Reply
      • thevbaclink

        October 18, 2024 at 12:16 pm

        Hi there – we are so sorry that you’re experiencing some complications. We always recommend checking in with your provider to find out if there is anything serious happening. Sending you all our love, Mama!

        Reply
  2. Gina

    October 19, 2021 at 4:20 am

    I’m 2 years post cesarean and recently while kickboxing I get terrible muscle cramping in my lower right ab muscles. I also get frequent charley horses in that muscle too. Have you heard of his type of symptom post c-section?

    Reply
    • Dawn

      June 24, 2022 at 2:34 pm

      Omg that is what happens to me! It has been nearly 10 years. If I stretch certain normal ways it will cramp and charlie horse. I can physically see the muscles knot up. Today I was doing a super low impact workout with trainer and she had me do simple core exercise that should not bother me at all. I did one and it was uncomfortable but the second time I felt something almost like snapping or shredding, then intense burning pain both sides lower abs. So bad that it made me see black spots. I can stretch and do every thing else but using that core strength that requires the lower abs is literally impossible. This is terrible, I am sorry this is happening to you.

      Reply
      • Michelle

        July 7, 2022 at 2:38 am

        Omg, I have this pain as well and explained it to my husband just how you explained it here. It’d horrible. It’s been 18 years for me and seems to have gotten worse since my partial hysterectomy. Has anyone given you any idea what we can do for relief? Anyone! Please help!?!?

        Reply
        • thevbaclink

          July 21, 2022 at 6:16 pm

          Michelle, We would suggest maybe seeing a PT who does pelvic work. So sorry to hear it has gotten worse.

          Reply
          • Mrs Janice Stanford-Eyre

            December 9, 2024 at 4:37 pm

            I had my 4th c section 28 years ago and still suffer soreness and infection on the scar a few years ago it formed a hole and blood and pus was coming out I still have to sometimes put anti fungal cream on the scar when it gets sore and smelly

          • thevbaclink

            December 10, 2024 at 12:42 pm

            We are sorry you’re experiencing this, Janice. Definitely talk with your doctor to see if there is anything that can help your scar site heal.

        • Mozhgan

          December 10, 2023 at 3:27 pm

          Very thanks ,useful information.
          I had c section 29 years ago because baby was bridge then 5 years later had complicated pregnancy with severe bleeding that was miscarriage at 17 weeks. Still I am upset and emotion about that happening 😞

          Reply
    • Christie Mccrory

      September 13, 2024 at 11:41 am

      I have the same . 6 yrs since C-section. I have the lower right muscle separated with fat stranding it . It’s taking 5 yrs of extreme pain for a surgeon to schedule me for surgery to repair the muscle. Mine knots up and very painful around my cycle time ( they says it’s bc I bloat around that time ) . Mine throbs and feels like a ripping/tearing pain 2 weeks out of the month then it calms down for 2 weeks and it comes back . Recently I’m feeling a cold sensation around my right hip due to it . Please tell me I’m not the only one with this issue.

      Reply
      • thevbaclink

        September 13, 2024 at 11:47 am

        Hi, Christie. So sorry you’re having this experience. I am so glad you’ve been in communication with your provider and have an operation scheduled. Hopefully this will heal the problem. It may also be helpful to see a pelvic floor physical therapist as they may offer suggestions for healing, strengthening and desensitizing the area. Thinking of you!!!

        Reply
      • Mel

        January 20, 2025 at 4:25 pm

        I have the exact same issue which has gradually got worse over the past 3 years. I am booked to have surgery next month. Its on my right side. Please tell me your surgery helped you and your pain?

        Reply
  3. Owana Ownbey

    November 29, 2021 at 5:17 pm

    After my one and only C section, I had problems walking. I needed assistance to get up off the floor. I felt disconnected from my hips to my feet. I thought I was put back together incorrectly. Thirteen years later my back is achy and my hip area hurts when I walk with pain running down my thighs. Kinda wondering if there may be some correlation to the C section.

    Reply
    • Kimberley

      April 18, 2022 at 5:40 pm

      I have the same problem right now. Severe pain in the pelvic hip area. Did you ever get a reason for your issue

      Reply
    • Jennifer

      June 27, 2022 at 12:49 am

      I had that same disconnection! It was bizarre. Felt like my heels were very heavy, and I had to almost relearn how to walk. No information was given. No suggestions of therapy for that or for abdominals, and I now have diastasis recti, pretty severely.

      I had 3 c-sections. They were all emergency c-sections for different reasons. The first one was only necessary because of a nurse’s mistake. The other two were planned c-sections because vbacs were not allowed at my hospital, but became emergency c-sections.

      I didn’t really have a choice in any of them, but it would have been nice to have the resources and knowledge of issues so that I could have avoided diastasis recti (which is hard to deal with when I used to have an 8 pack).

      The numbness around the scar is still weird, and my youngest is 8 years old. Oldest is 18. Leaning up against a cold counter usually has the sensation of white heat.

      Nothing is the same, but it’s more than that. Nothing is really right, even when having expected it to be different.

      Reply
      • Aubrey

        June 30, 2024 at 1:46 pm

        It’s been 23 years for me. My first was 27 years ago. Emergency C-section with a horizontal upper cut(from my bellybutton down). My last cesction (23yrs) I was cut vertically (bikini cut) I have had severe lower back pain and hip pain for years but after getting fit and a personal trainer I’ve discovered my abdominal muscles aren’t working due to massive scar tissue. Like you, I have nerve damage on my left side lower abdomen. I can’t feel anything except when I lean on something cold it feels hot. Super weird. The numb spot protrudes out even though I’m fit and thin. However I still have a ton of loose skin. My back and hip pain is awful!! I’ve tried so many things. I’m getting frustrated. I wish I would have know about the issues that c-sections cause.😞

        Reply
        • thevbaclink

          July 1, 2024 at 12:08 pm

          You are a warrior, Aubrey! Sending you a great big hug and hopes that you’ll find some remedies for the things causing you discomfort! Glad you’re in our community. 🙂

          Reply
        • Scarlett

          August 30, 2024 at 11:34 am

          35 years ago, this month, I had Placenta Previa, and had to have an emergency c-section. Baby girl was born at 27 weeks. She lived for 10 weeks, and died. A week after the c-section, it got infected and opened up a 1 inch place. Since then, it has gotten infected 4 more times. I finally go in two weeks, to have a scar revision done, hoping this will fix it. I am 63, and I shouldn’t have to be dealing with this at my age.

          Reply
          • thevbaclink

            August 30, 2024 at 12:14 pm

            Wow, Scarlett – I am so, so sorry for your loss and all the challenges you’ve had. We truly hope you find healing and relief. Sending you all our love!

    • Liz

      July 12, 2022 at 11:04 pm

      Hi Owana,
      I’m not a professional or expert but I’ve been dealing with the exact same feelings. I also have intense low back pain. I’ve been seeing multiple (10) doctors to try to figure this out. I’ve had a spinal MRI that discovered minor disc degeneration and spinal stenosis (I’m 44 and my unplanned C-section after 22 hours of labor was 11 years ago) but so far the treatments for those are not touching the pain you and I are describing. Just recently, my newest pain doctor brought up the SI (Sacroiliac) Joints. If you’ve not gotten other answers by now, look up SI Joint pain. This coming Monday, I’m trying my first attempt at treatment for the SI Joints and I’m feeling hopeful. Good luck. You’re not alone :).

      Reply
      • Julie Purcell

        July 19, 2022 at 9:02 pm

        I have terrible SI pain sometimes three years after cesarian. What kind of treatments did you get may I ask and were they hopeful?

        Reply
        • thevbaclink

          July 21, 2022 at 6:14 pm

          Sorry to hear that Julie. I went to a pelvic PT and she did scar massage. It helped a ton

          Reply
  4. Layla Smith

    April 23, 2022 at 5:50 pm

    Wow, everything mentioned rings true. It’s 13 years since my last section, I’ve had two pregnancies both children born by emergency. But still get pain in the right side of my scar. As I’m getting older it’s more acute. I’ve been to the GP in the past, they didn’t seem concerned.

    Reply
  5. Sue meek

    May 1, 2022 at 9:36 am

    I had my 4th c-section 19yrs ago n still to this day I have terrible issues with my creation scar,a couple days before I have my period my scar flares up ,weeps,smells n is very painful,I’ve had numerous visits to doctors over the years n I’m told it’s because of the hangover I have but I’m convinced it’s something else ,I’m 48 n my periods are the heaviest ever n last 7 or more days I was also sterilised during my last c section .

    Reply
    • Maria Ball

      January 23, 2023 at 2:27 pm

      This sounds exactly like me in 44yrs old and had 5 c.section and my last was 9 yrs ago and I was sterilised as well

      Reply
    • Carly

      December 11, 2024 at 5:59 am

      I had my c section 38 years ago, then 19 months later a vaginal delivery. The scar has started to be sore and to bleed. My Dr referred to a dermatologist and they don’t want to treat this at all. They just say to use antibiotic cream. I am worried there is a deeper issue. I am insisting that my Dr revisit the issue. Could this be an infection so long after the surgery?

      Reply
      • thevbaclink

        December 11, 2024 at 12:59 pm

        Wow, Carly – this sounds so frustrating! We always think that YOU know best. Trust your intuition about what could be happening and consider getting another opinion. Sending you a big hug!

        Reply
  6. Janis Dyson

    June 21, 2022 at 3:31 pm

    I’ve had two C-Sections, 1974 & 1976. Just recently I found out that I had bacteria in my stomach. I took two prescriptions of antibiotics. I just found out that I have a Belly Button Hernia. ****My incisions go straight down from my belly button**** I was wondering if this could cause my incision to weaken and cause the bacteria.

    Reply
    • Ceri roberts

      November 26, 2022 at 10:41 am

      Hello!! I had my 3rd c section 5 months ago and I also now have an umbilical hernia! I’m seeing a private consultant next week as it’s driving me mad.. my scar is very painful also (although looks fine.) and my belly above the scar is so very tender to touch.. I’m wondering wether could be adhesions! Also suffering from bloating and struggling eating..

      Reply
      • thevbaclink

        January 11, 2023 at 10:41 pm

        Ceri, So sorry we just saw this. I wanted to follow up and see if you were able to detect adhesions or not? I also hope you are feeling better with being able to eat and having less bloat.

        Reply
  7. Kristy Scholl

    August 4, 2022 at 9:45 am

    I had a c-section 28 years ago and had two VBACs afterwards. However, there is nothing in here about the other effects of c-section. Where is the study regarding putting our intestines back and the PAIN, diarrhea, and bowel movement issues? I cannot be the only one who has had these issues. They have affected my jobs, social outings with family and friends.

    Reply
    • thevbaclink

      August 4, 2022 at 10:01 am

      Hi Kristy, You are not alone. We did not go into deep detail but usually, that is caused by the adhesions mentioned. I, too have back pain etc and have to constantly massage my scar and see a pelvic PT to work on that. Check out episode 123 on the podcast with Lynn. She is wonderful and talks more about massage. She also has a video on her YouTube channel

      Reply
      • chantelle

        March 24, 2025 at 9:05 am

        please share a link for this

        Reply
    • Aubrey Hill

      August 4, 2023 at 10:10 am

      I am reading this article a year later. It’s so frustrating to know so many of us have struggled with debilitating symptoms for years. I had a classical uterine incision with my 1st due to placental abruption 26 years ago. I also had a vertical incision 22 years ago along with my tubes being tied. I have struggled with lower back pain for years. It is excruciating! Saw a chiropractor for 3 years with no results. I am healthy and work out everyday but my lower back is making it too difficult to keep up. I am 48 and have suffered from bowel problems, food intolerances, scar sensitivity, nerve damage in my abdomen and hip problems for 26 years. Why don’t the doctors tell you about the complications? This has to be talked about! Thank you for giving people a chance to voice their experiences. I hope we all can get the help we need.

      Reply
    • Mozhgan

      December 10, 2023 at 3:33 pm

      Very thanks ,useful information.
      I had c section 29 years ago because baby was bridge then 5 years later had complicated pregnancy with severe bleeding that was miscarriage at 17 weeks. Still I am upset and emotion about that happening 😞

      Reply
      • thevbaclink

        December 11, 2023 at 3:21 pm

        Sending you so much love and support! We’re glad you’re here!

        Reply
    • Sheba

      July 18, 2024 at 9:02 pm

      thank you for mentioning the bowel issues. I started suffering from painful constipation and bleeding almost regularly after my emergency c section (only one, 5th child) when I never had issues before. urinating is also different now. I don’t have the same sensations and I’m not as sensitive. I’ve been trying to locate studies about these issues but nothing comes up.

      Reply
  8. Gina

    August 11, 2022 at 2:27 pm

    I’m so glad I’m not the only one ! I have a C-section 22 years ago for the birth of my twins and complications that turned into a full hysterectomy,now the numbness is starting to leave and I’m dealing with the skin flap rubbing and I’m trying everything to stop it ,it does go away for a short time and returns and it’s so frustrating.

    Reply
    • Elaine

      September 17, 2022 at 12:41 am

      Oh my days after reading all the reply’s, l am so scared to speak to the doctor. For me it’s been 26 years and the pain is so excruciating especially if l do a lot of stretching!! However l will contact the doctor on Tuesday and take if from there 🙏🏾

      Reply
  9. Wendy geary

    August 20, 2022 at 9:51 pm

    2 C sections, the last was 23 years ago. My scar is huge, and I have a little fat flap that hangs over my scar, occasionally causing an infection where it seeks , smells and burns . Anti fungal cream works after a few days .
    I get serious bladder and kidney infections about once a year that result in sepsis , brutal illness and a hospital stay . Is it possible that the infection on the outside , is also growing on the inside of the scar causing the UTI’s and kidney infections ?

    Reply
  10. Esther Baker

    October 23, 2022 at 3:47 pm

    Ridiculous article 🤣 3 cesareans and the only thing myself and 6 other CSec mothers can identify with were the scar tissue and the incontinence. The rest is just crap.

    Reply
    • thevbaclink

      January 11, 2023 at 10:43 pm

      Sadly there are SO MANY people out there that have a mixture of many of those complications. Sorry that you feel that way.

      Reply
    • Petra

      July 1, 2023 at 11:50 pm

      Esther,
      There is NO WAY you can tell someone what they are or are not experiencing.

      Reply
    • Summer

      May 26, 2024 at 6:39 am

      Ester it’s ok you don’t have to lie otherwise you wouldn’t have googled up the find this article! No one is here to judge your insecurities. We all go through it you are probably going through it yourself bc here you are. 🙂

      Reply
  11. Cierra

    November 3, 2022 at 7:01 am

    I had a c section 8 years ago, my son has issues with staying motivated to exercise… he’s in good health overall. I’ve been having a very hard time getting pregnant and I had a hard time before my son as well. My son was a miracle. I pray I have just one more. I will do whatever it takes if it’s in Gods will..so let it be done.. amen.

    Reply
  12. Ioana Trif

    November 5, 2022 at 2:47 am

    Hi all
    I had my emergency c section 2 years and 4 months ago
    since 6 months ago before bowel movements I always have tremendous pain in lower side of belly..( the place where my scar is).
    I just thought it’s normal but last night was really painful and I noticed now that it’s not just before bowel movements.
    I would appreciate an advice..thanks
    ioana

    Reply
    • Rox

      May 17, 2023 at 7:07 pm

      Hello,
      I had scar tissue from my c section adhere to my colon. I had to have surgery to remove adhesions after the pain sent me to the emergency room.

      Reply
  13. Tracey

    December 2, 2022 at 5:39 pm

    Hi,

    I had my one and only C-section 9 years ago. The surgeon cut through to my baby boy’s skull. My little boy passed away this year. I was doing some gardening working to keep my grief at bay. I moved some garden flags and I have had pain in my c-section area and my breathing has been awful and I feel they are connected even though I am stressed going through grief at the loss of my child.

    Reply
    • thevbaclink

      January 11, 2023 at 10:40 pm

      Tracey, We are so sorry to hear about your loss. You have so much on your plate. The pain could be connected. A pelvic floor therapist may be able to help see if any adhesions could be worked through or be the cause the pain.

      Reply
  14. SarahP

    December 8, 2022 at 3:48 pm

    C-sections are surgery and all surgeries carry risks. I just want to add that I know women who had natural births who now suffer from pudendal neuralgia (nerve damage to the pudendal nerve causing inability to have intercourse or even sit down), my own mother has mild incontinence so I doubt any of the two is 100% safe. Women need to weigh the risks and be informed

    Reply
    • Gemma

      March 7, 2023 at 5:40 pm

      I had a c section 6 years ago never been the same. had a diagnostic lap today to try and find the cause of my kidney pain, convinced it was endo. wrong…. no endo found. guess what I’m now thinking all this scar pain and kidney pain is from the adhesions.

      Reply
  15. A Beatty

    January 13, 2023 at 4:33 am

    Hi,

    I had an emergency C section over 4 years and some complications requiring blood work. Now four years later I get severe pain during inter
    course and this has caused a breakdown in an intimate relationship with my Husband. I have visited the GP numerous times and been referred for an ultrasound to just be told that everything is fine. I never had this pain before and am wondering if it could be scar tissue adhesions?

    Reply
  16. Patricia

    January 13, 2023 at 10:04 pm

    I had my last C-section 39 years ago. Over the last year or so I am having occasional sharp pains in my lower abdomen and recently in the scar area the muscle has started twitching on and off. Weird sensations. No pain with the twitching. I can actually watch while it does it.

    Reply
    • Calandra Lynette Williams

      January 25, 2023 at 10:46 pm

      At 50 years old, I’m experiencing a problem at my scar site and stomach hangs even more. I believe it causing pressure, frequent urinating and leakage.

      Reply
  17. Hope Lloyd

    May 2, 2023 at 4:58 am

    I have had 2 cesareans in the last 5 years, latest being 3.5 years ago, first was an emergency and second was because of unallowed VBAC.
    Now I’m 8 weeks pregnant and I’m experiencing this ripping then burning sensation in my lower abdomen when I cough or lift something heavy, is it normal or a sign of unhealed internal tissue?
    I’m so happy to get my third child but a little concerned that my body is somehow not ready. I have a doctor’s appointment at the 12th week so in 4 weeks, should I try to see a doctor before that?

    Reply
    • Lucy

      July 30, 2023 at 4:37 am

      Hi Hope,
      Sorry to hear of your pain.
      Your post resonated with me as I am now 8 months pregnant with my second (my first was an emergency C-section 2 years ago). I too have the burning / ripping pain in my lower abdomen. Did you ever find any answers?
      Thanks,
      Lucy

      Reply
  18. Jeeper

    May 7, 2023 at 6:12 pm

    Awesome information. I believe you should go back to section about endometriosis. This can not be treated with antibiotics and surgery is likely with this diagnosis.

    Reply
  19. Hurdman Brooke

    May 10, 2023 at 1:54 am

    I sneezed while laying down last night and had horrible pain from my diaphragm to my c section scar. I doubled up on my side and it hurt for several minutes. I’m not in pain today but I feel super off like I feel about a week after surgery. I get papas pain and bladder and cyst pain often. I am 9 years out from my 4th Caesarian. I also had 2 hemorrhages from a soggy uterus one where I was dying and came back.

    Reply
  20. Melissa

    July 2, 2023 at 9:56 pm

    I had my c- section 33 years ago. I went into the hospital around midnight; the old fart on call just wanted to get it over with (my opinion); within an hour, he said I needed an emergency c-section. He kicked my husband out of the room, knocked me completely out, and did an up-and-down cut! It looked like someone took a chainsaw to me. My second delivery was a VBAC, but my third was another C-section. The doctor said she would try and fix the scar. I’m now almost 57 and still haven’t gone into menopause. I have horrible bleeding and have been anemic for years. The doctor said removing my uterus would be difficult because of so much scar tissue. She is as furious as I am at that old fart!

    Reply
  21. Kelly

    July 8, 2023 at 1:49 am

    I had a c-section 3 years ago and have recently had 2 abcesses that have needed drained by my section scar which I feel is far too far down than normal, it is on my pubic bone rather than lower stomach as I would have expected. I also feel that since my section the muscles haven’t repaired themselves correctly as I have been left with a swollen pubic area and my self confidence has completely gone. Can anyone recommend how to get it back to normal?

    Reply
  22. Amber Sherman

    July 17, 2023 at 2:22 am

    Hi all, it’s been 10yrs since my emergency c section and I
    Experience pain in my pelvic region almost like my lower stomach muscles are tearing or pulling the scar tissues. Also the main reason I searched was I am experiencing moderate strain and inability to poop normally. Has this happened to any of you? It’s like my muscles are damaged and won’t work proper.

    Reply
    • Pam

      October 1, 2024 at 8:46 am

      I am 15yr since my last csection and just recently have had a real sharp pain along one of my scars. it is preventing me from carrying out daily tasks as the pain is radiating down my legs too . anyone else?

      Reply
      • thevbaclink

        October 1, 2024 at 12:03 pm

        Hi Pam! So sorry you’re experiencing this. As you probably read, there are definitely complications that can happen years later. We recommend checking with your provider to make sure any and all issues can be resolved if possible! Wishing you the best!

        Reply
      • Rachel Leith

        February 17, 2025 at 1:52 am

        yes! I have had 2 cesarians, 37 and 30 years ago..I had an infected scar after first ceasarian and needed antibiotics twice for that. After my second cesarian I got full blown Mastitis and Sepsis, nearly died, after the Domestos treatment of emergency 8 antibiotics applied into my veins to stem infecrion tgey then opened up the scar again to scrape my womb. stuff had been left behind…my surgeon was a medical student (supposedly) being observed.

        Now at age 62 I developed pain like you described that travelled down my leg about 2 years ago…I went to Drs and they sent me for hip xrays… very mild arthritis in hips but not sufficent to cause the intermmittent but intense burning pain and ache…1 year ago I went to a private Consultant and he straight away duagnised Inguinal hernias on both sides..wbich is really annoying because from the onset of this pain my GP categorically said I did not gave hernias based on her very brief examination of getting me to stand up and cough. Then unnecessary hip xrays which got me nowhere… you may have inguinal hernia

        Reply
  23. Dee

    March 16, 2024 at 1:34 am

    I have had 3 emergency sections which have all been from different doctors . My last one was 9 years ago and now I have leg pain before and after my period. Lower back pain, incontinence, as well as sudden random sharp pains in my lower abdomen that start off mild and intensifies, like a radiating crippling pain. I excessively sweat suddenly as well. I’m scared to go to the doctor because a lot of them don’t care or have the tendency to misdiagnose. They don’t get to the root of the problem or even want too. It’s sad and I find my self getting worse and just dealing with it. My body has definitely not been the same since my 3rd and final c section and it’s sad. My sex drive is zero as well. I’ll be 38 in June. Life or my body shouldn’t be like this at this age and I feel that the c sections are to blame

    Reply
    • thevbaclink

      March 18, 2024 at 12:14 pm

      Hi Dee… we are so sorry that you’re dealing with these latent effects from your c-sections. Please always know that you are worth taking care of and finding the RIGHT providers and support. We’re always cheering for you!

      Reply
    • katrina

      April 17, 2024 at 2:54 pm

      same i had 3 c-sections 14yrs ago was my last and i’ve been experiencing severe pain in my left lower back hip and pelvic area radiating all the way down my leg to the bottom of my foot my newest ob has misdiagnosed me i think as well and doctors too… i’m tired of suffering and them not getting to the base of the problem i’m 43 and a type 1 diabetic on top of all that i had a cyst removed last year around this time and went back because of the pain for my ob to act like it’s nothing knowing a little of my history because he’s not my original ob i’m just so tired and don’t know what to do anymore

      Reply
  24. Val

    June 2, 2024 at 2:17 pm

    I had three c-seconds. My youngest is now 6. My scar is always reopening near the edges and will get small infections throughout and reopen in places. My doctor have tried burning and injecting and nothing seems to be healing it. It’s frustrating. I have to always keep it covered and I have skin that over laps it which I think further complicates it. I have no idea what to do. I wouldn’t trade by kids for anything but I wish I could find someone who could help it stay healed.

    Reply
    • thevbaclink

      June 3, 2024 at 1:44 pm

      Hi Val! Wow, that must be so frustrating – I’m so sorry you have to navigate this. It might be worth asking in either one of our Facebook communities – The VBAC Link or CBAC Support – to find out if anyone else had dealt with this and seen success. Please let us know how we can best support you. <3

      Reply
  25. SCARLETT HARTZOGE

    June 4, 2024 at 9:31 pm

    l am 63 years old, and I had an emergency c-section 35 years ago. I had Placenta Previa, complicated by a staph infection I got in the hospital, before my daughter was born. She was born at 27 weeks, lived 2 and a half months before she died. A week after my c-section , about 1 or 2″ place opened in my inscision. It was infected. Packed the opening every day so it healed from the inside out. Eleven years later, I noticed some leakage from the scar. They found a small pus pocket, took it out, it healed. This past week (6/24), I had been noticing an odor I couldn’t figure out what was causing it. Showers didn’t help. Then a few days ago , I noticed a small amount of blood. I got a mirror and looked at my scar. looked like a tiny hole. I went to the doctor, she looked at it, perscribed a strong antibiotic, and refering me to a plastic surgeon. Don’t know if it’s related or not, but I have had 3 UTIs in the last 3 months. Will this thing ever heal properly!!?

    Reply
    • thevbaclink

      June 6, 2024 at 12:26 pm

      Wow, Scarlett… I am so sorry to hear about this. It must be so frustrating. I wish we could offer a specific answer about the future. It sounds like you are doing all the right things – paying attention to your body and keeping your provider informed. It may be worth trying some scar massage (yes, this can help even years later). Feel free to email us at info@thevbaclink.com for suggestions. Thanks for your comment and wishing you the best!

      Reply
  26. Peta Olson

    June 20, 2024 at 2:55 pm

    Currently in hospital from bowel obstruction, likely cause incisional hernia. Last year I had a bowel perforation and they couldn’t figure why it happened. Please add incisional hernia symptoms and outcomes to the list. This bout is just as painful as the perforation. It’s been almost a week recovering. I will need operation to fix the hernia to avoid this happening again.

    Reply
    • thevbaclink

      June 20, 2024 at 11:52 pm

      Sending you so much love, Peta – we are sorry that you’re dealing with this and wish you a speedy recovery! Thank you for making others aware that this kind of complication can arise. Thinking of you!!

      Reply
    • Ashley Meyer

      November 12, 2024 at 9:32 am

      I suspect that I have a hernia at my incision site. 13 years out from my last C-section. I have a small bulge to my lower left abdomen. Now it’s starting to ache regularly. I’ve always felt sharp pains if I sneeze laying down. Doctor has dismissed my concerns about the bulge.

      Reply
      • Rachel Leith

        February 17, 2025 at 1:58 am

        could be inguinal hernia, I have one each side…and on the right its atrached to my very thick cesarian scar tissue…Im trying to avoid the operations because Im terrified of getting Sepsis again.

        Reply
  27. Cathy

    June 23, 2024 at 7:37 am

    I had my first emergency c-section 32 years ago and a second emergency c-section 35 years ago. Each time I was cut in a different direction. The first c-section my surgery was done horizontally and it is the one I am now having problems with. Trust me the pain is real. I have had many of the symptoms I have read from many of your posts. Since I’ve had the surgery I have never felt like myself. There has always been something I could not quite put my finger on as to how I was really feeling. Today as I speak I am now having some sort of discharge from the scar and it is a terrible feeling. there is no odor. However, there is a shooting pain once in a while in the scar area and I have to take a deep breath to recover from it. I will definitely consult my doctor asap!

    Reply
    • thevbaclink

      June 25, 2024 at 2:53 pm

      Hi Cathy… you’re wise to follow your intuition and get this checked out! There can certainly be complications even though it was many years ago. Wishing you all the best! We’re happy you found us!

      Reply
  28. Dawn

    July 31, 2024 at 6:21 pm

    its been 16 years since my last c section. and since that time have been diagnosed as aneamic. However, yrs passed after having chronic infections inflammation every time. I still have chronic inflammation. with heavy period luckily for 3 days only but it affects my health. pls advise my next step. had an iron infusion in feb this year where sister asked if Ive hurt myself somehow. email me manewildawn800@gmail.com

    Reply
    • thevbaclink

      August 1, 2024 at 7:35 pm

      We are so sorry to hear of these long-lasting complications, Dawn. We do not offer medical advice, so in a case like this, we hope you’ll discuss things with a trusted provider. Wishing you recovery and healing. We’re glad you’re part of our community!

      Reply

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