What are the causes of periumbilical pain after cesarean section?

Jul 19, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Cesarean section usually refers to a caesarean delivery. Generally, post-cesarean abdominal pain around the navel may be caused by uterine contractions, recovery of intestinal peristalsis, abdominal incisional traction, intra-abdominal adhesions, pelvic inflammatory disease, or other reasons. If discomfort occurs, it is recommended to seek timely medical attention and treatment at a正规 hospital. In daily life, proper wound care is important after cesarean section to avoid infection.

Caesarean section usually refers to a cesarean delivery. Generally, post-cesarean periumbilical pain may be caused by uterine contractions, recovery of intestinal peristalsis, abdominal incision tension, intra-abdominal adhesions, or pelvic inflammatory disease. If discomfort occurs, it is recommended to seek timely medical attention at a qualified hospital. Detailed explanations are as follows:

1. Uterine Contractions

After surgery, the uterus continuously contracts to return to its pre-pregnancy state. The pulling sensation from these contractions may radiate to the periumbilical area, causing pain. Pain can be relieved by resting on one's side or, under a doctor's guidance, gently massaging the lower abdomen to promote uterine recovery. Avoid prolonged standing or sitting to reduce pressure on the abdomen.

2. Recovery of Intestinal Peristalsis

As gastrointestinal function gradually recovers after surgery, intestinal peristalsis may stimulate the peritoneum, causing periumbilical pain. At this time, drinking warm water appropriately and, when physically possible, slowly getting out of bed and moving around can help promote intestinal motility and gas release. Initially, choose liquid foods such as rice broth and lotus root starch, gradually transitioning to semi-liquid and regular foods.

3. Abdominal Incision Tension

During the healing process of the surgical incision, localized tissue growth may cause tension, resulting in periumbilical pain. Keep the incision clean and dry, and avoid pulling on the incision area. Wear loose clothing to reduce friction on the incision and surrounding tissues. If the pain is mild, distraction techniques such as listening to music may help.

4. Intra-abdominal Adhesions

Postoperative adhesions within the abdominal cavity may cause intestinal traction during peristalsis, leading to periumbilical pain. Under medical guidance, medications such as domperidone tablets, mosapride tablets, or simethicone emulsion may be used to promote intestinal motility and alleviate discomfort. Additionally, increase physical activity appropriately and avoid prolonged bed rest.

5. Pelvic Inflammatory Disease

Postoperative infection may lead to pelvic inflammatory disease, with inflammation irritating surrounding tissues and causing periumbilical pain, possibly accompanied by symptoms such as fever. Treatment under medical supervision may involve administration of medications such as ceftriaxone sodium injection, metronidazole injection, or azithromycin capsules. Adequate rest and enhanced nutrition are important during treatment to improve physical immunity.

In daily life, post-cesarean care should focus on wound management to prevent infection, and a light yet nutritionally balanced diet should be maintained to promote recovery. If pain persists or worsens, timely medical attention is necessary.

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What is a cesarean section?

In general, cesarean section refers to a type of surgery used to deliver a baby through an incision in the mother's abdomen. A cesarean delivery is a method of childbirth in which a physician surgically cuts through the abdominal wall and uterus to deliver the baby when the mother is unable to deliver vaginally. The procedure is typically performed in an operating room using either regional or general anesthesia.

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What is the minimum thickness of a scarred uterus that poses a risk?

Under normal circumstances, a scarred uterus is generally considered to be at a higher risk when the thinnest part is less than 3 mm. A scarred uterus refers to the formation of scar tissue beneath the muscular layer of the uterus following a cesarean section, which can significantly reduce the elasticity of the uterine muscle layer. The normal thickness of a scarred uterus is generally 3 mm or more. When the thinnest part of the scarred uterus is less than 3 mm, it is usually considered to be relatively dangerous.