Should you stay in bed during postpartum recovery after a cesarean section?

Nov 11, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In the first 1 to 3 days after cesarean section, the surgical wound is in the initial healing phase and the mother's physical strength is generally weak. Remaining in bed helps reduce tension on the wound, prevents wound dehiscence or increased bleeding due to movement, and allows the body sufficient time to restore basic energy levels, laying the foundation for subsequent activities. At this stage, bed rest is an important part of promoting recovery.

Generally, during the early postpartum recovery period (1–3 days after surgery) following a cesarean section, it is recommended to rest lying down as much as possible to promote wound healing and physical recovery. After three days post-surgery, provided there are no discomforts, prolonged bed rest is not advisable, and light ambulation should be gradually introduced. If in doubt, consult a healthcare provider promptly. Detailed explanations are as follows:

In the first 1–3 days after cesarean delivery, the surgical wound is in the initial healing phase and the mother’s physical strength is generally weak. Resting in bed helps minimize tension on the incision site, reducing the risk of wound dehiscence or increased bleeding due to movement. It also allows the body sufficient time to restore basic energy levels; therefore, bed rest at this stage is an essential part of recovery.

About three days after surgery, if there is no redness, swelling, or discharge from the wound and the mother’s strength has started to improve, prolonged bed rest may impair blood circulation, increasing the risk of lower extremity venous thrombosis. It may also slow gastrointestinal motility—particularly concerning after cesarean delivery, as intestinal function often recovers slowly—and worsen constipation. At this point, the mother should begin brief, slow walks with family assistance, lasting several to ten minutes at a time, to improve circulation and support gastrointestinal recovery, while avoiding strenuous activities.

During the postpartum recovery period after cesarean section, mothers should adjust their balance between rest and activity according to individual recovery progress. If discomfort such as wound pain or dizziness occurs during activity, movement should be stopped immediately and rest taken. Regular follow-up evaluations of wound healing are important, and any abnormalities should be promptly discussed with a physician.