A Holistic Approach To Healing After C-Section

A woman holds her baby immediately after a c-section birth.

C-section recovery is a gradual process that extends well beyond the six-week mark. In fact, full healing can take months.

Cesarean birth is a major abdominal surgery. Too often, recovery is minimized with most mothers discharged within a few days and given little more than a prescription and a list of activity restrictions. It is important for mothers to realize that healing takes time.


This article offers a holistic approach to C-section recovery, covering everything from incision care and pain relief to postpartum nutrition, core, and pelvic floor healing; breastfeeding after a C-section; and when to call your provider.

What Happens During a Cesarean Birth?

During a C-section, multiple layers of the body are cut or separated: the skin, fat, fascia, abdominal muscles, and uterus. Each layer is then sutured closed after the baby and placenta are delivered (1). While the visible scar may seem minor, the internal healing is substantial.


Important C-section healing facts:

  • Complete tissue healing (especially fascia and uterus) can take up to 6–12 months (2).
  • You may experience postoperative gas pains, constipation, referred shoulder pain, and temporary numbness near the incision (3-5).
  • You can still have perineal strain, pelvic floor dysfunction and/or hemorrhoids after a cesarean birth (6).

Healing During The First Two Weeks Post C-Section

Your sweet bundle of joy is finally here—but you may be surprised by how drained you feel. Your body is recovering from growing a whole human and undergoing major abdominal surgery, as well as experiencing hormonal surges and adjusting to providing your newborn round the clock care and minimal sleep. That is a lot!


Below are some recovery tips for the first few weeks postpartum after a C-section:

Rest & Gentle Movement

  • Rest as much as possible, especially in the first 7–10 days, but do try walking short distances a few times a day to prevent clots and support circulation.
  • Accept help with cooking, chores, and infant care, and be okay with some chores not getting “done” during these early days.
  • Use a belly binder as needed for core stability and to reduce the feeling of “everything falling out.”
A woman lays on her side while sleeping.

Nutrition for Postpartum Tissue Repair

You need protein, zinc, vitamin C, B vitamins, and collagen to rebuild tissue, plus healthy fats to support your hormones and energy levels. This is not a time to worry about “bouncing back,” but rather a time to focus on nourishing your body.


To learn more about the importance of nutrition postpartum, read this article: What Is Postnatal Depletion Syndrome?

Supportive foods for postpartum moms:

For some nourishing postpartum recipes, see this article: Nourishing Postpartum Freezer Meals: Family-Friendly Recipes To Stock Your Freezer

Post C-Section Pain Management

It is important to stay on top of pain management after a C-section—not only for your comfort, but also to support your mobility, reduce stress, and improve your ability to bond and breastfeed. Unmanaged pain can interfere with your sleep, your ability to hold or nurse your baby comfortably, and your body’s natural healing process.

Pain Relief While Breastfeeding: What’s Safe?

Many mothers are concerned about taking pain medication while breastfeeding. Fortunately, most commonly prescribed postpartum pain medications are considered safe in breastfeeding when used appropriately and under supervision. Your doctor may prescribe any or multiple of the following:

  • Acetaminophen (Tylenol): Generally considered safe and often the first-line option.
  • Ibuprofen (Advil, Motrin): A non-steroidal anti-inflammatory that’s compatible with breastfeeding and can help reduce both pain and inflammation.
  • Low-dose opioids (e.g., oxycodone or hydrocodone): Sometimes prescribed in the immediate postoperative period for more severe pain. These are generally safe short-term while nursing but should be used with caution and under your provider’s guidance.

You can learn more about these pain medicines in this article: Are Over-The-Counter Painkillers Safe?


Tip: Taking medications right after nursing may minimize the amount passed to your baby.

Supplements That Support Comfort For Postpartum Moms

In addition to medications, many mothers benefit from complementary and non-pharmacological tools:

  • Arnica montana: May ease bruising, swelling, and general post-surgical soreness (7). Available as homeopathic pellets or topical oil (do not apply on open wounds).
  • Ginger: Supportive of the inflammatory response (8) and may help digestive symptoms.
  • Mother's Nature Profen™: A natural botanical blend that includes turmeric, boswellia, and other herbs that support the inflammatory response.
  • Mother's Peace & Calm✝︎™: Gentle herbs like lemon balm plus l-theanine help ease occasional tension, support sleep, and promote a sense of calm.

Always check with your provider before adding herbs, essential oils, or supplements postpartum—especially while breastfeeding.


To learn more about herbs for pain relief, read this article: Herbs For Pain Relief In Pregnancy & Lactation

Staying Ahead of the Pain

One more tip on pain: don’t wait until the pain is severe—take your doctor ordered pain medication as prescribed for the first few days after your c-section, even if you feel okay. Staying ahead of the pain can prevent unnecessary suffering and allow your nervous system to stay calmer and more balanced.

Hemorrhoids & Perineal Strain After a C-Section

Many parents assume that perineal discomfort does not apply after a c-section, but unfortunately, for many mothers, these symptoms still arise, even after a cesarean birth (6).

  • Hemorrhoids are often caused by pregnancy pressure and increased blood flow, pushing before surgery, or straining with postpartum constipation (6).
  • Perineal strain can come from pushing efforts or pelvic floor tension during pregnancy and labor (6).

Supporting Perineal Comfort Postpartum

If you are experiencing perineal discomfort after your c-section, you have some support options available to you:

To learn more about perineal healing, read this article: Perineal Healing Postpartum: What to Expect & How to Support Recovery, Plus a Recipe for Herbal Healing Pads

A mother uses the football position to breastfeed her newborn.

Breastfeeding After a C-Section

Breastfeeding can feel physically and emotionally challenging after a cesarean birth. Between potential incision pain, limited mobility, exhaustion, and the potential effects of IV fluids or medications, both mom and baby may need extra support to get nursing off to a strong start… Don’t get discouraged if it’s harder than you anticipated. You may experience any of the following:

  • Positioning discomfort due to incision tenderness
  • Delayed onset of milk (especially after long labor or emergency surgery)
  • Maternal fatigue, pain, or emotional overwhelm

Tips for Breastfeeding Comfortably Post-Cesarean:

Below are some breastfeeding tips for moms who are recovering from a c-section birth:

  • Try side-lying or football hold positions to keep weight off your abdomen.
  • Use pillows to support baby and avoid pressure on the incision.
  • Prioritize skin-to-skin contact as often as possible to help support milk production and strengthen the maternal-infant bond.
  • Stay well-hydrated and nourished, and don’t hesitate to ask for help. A lactation consultant can be a valuable resource, even if you’ve breastfed before.

For more nursing tips, read this article: Dr. Green Mom’s Guide to Breastfeeding Basics: Mastering Latch, Supply, & Common Challenges

Post C-Section Recovery: Weeks 3–12

As the initial healing phase begins to settle, the focus remains on nourishing the body, and we also start to create reconnection with the core and pelvic floor. This is still a time for gentleness—you are not “back to normal” just because your incision is closed.

Post C-Section Scar Care & Mobilization

Once your provider has confirmed that your incision is fully healed (usually around 3–4 weeks), you can begin gentle scar massage. This helps prevent adhesions—bands of internal scar tissue that can cause tightness, pulling, and discomfort in the months or even years to come (9).


C-Section Scar Care Tips: 

  • Use natural oils like rosehip seed, castor oil, or vitamin E to hydrate and nourish the skin.
  • Begin with light circular movements, then gradually work into gentle lifting and side-to-side motion over the scar. Some tenderness or sensitivity is okay, but if it hurts, lighten your touch or discontinue the massage.
  • If you experience pulling, discomfort during movement, or painful sex months later, speak to your doctor.
A close-up of a woman

Rebuilding Core Strength & Pelvic Floor Function After a C-Section

During pregnancy, your pelvic floor and deep core muscles have undergone tremendous strain. Supporting their recovery helps prevent issues like back pain, prolapse, and incontinence down the line. Some ways you can support your core and pelvic floor function (once cleared by your doctor) include:

  • Diaphragmatic breathing to re-engage your core from the inside out
  • Gentle exercises like heel slides, pelvic tilts, or bridging (as tolerated)
  • Postpartum yoga or Pilates
  • Pelvic floor physical therapy - especially if you’re experiencing pressure, heaviness, pain, or urinary symptoms

This is not the time for crunches, planks, or high-impact workouts. Focus on reconnecting with your body rather than rushing back into fitness. If you notice coning—a bulging or doming along the midline of your abdomen when you lift your head or strain—it’s a sign that your core is not yet ready for that level of activity and may indicate diastasis recti (abdominal separation).


You may also like this article: Micro Workouts For New Parents

Healing After a C-Section: When to Call Your Provider

Healing from a cesarean birth is a process. Even if things seem to be going well, it's important to stay alert to signs that may indicate complications. Some discomfort is a normal part of healing, but some symptoms may require medical attention. 


Contact your healthcare provider if you notice any of the following:

  • Fever, redness, or discharge from the incision
  • Heavy vaginal bleeding (soaking through a pad in under an hour)
  • Foul-smelling lochia or vaginal discharge
  • New or increasing abdominal or pelvic pain
  • Symptoms of a blood clot (e.g., calf pain, swelling, shortness of breath)
  • Signs of postpartum depression or anxiety that interfere with daily functioning

To learn more about postpartum mood disorders, read these articles: Identifying and Managing Postpartum Depression and Understanding and Managing Postpartum Anxiety

Post C-Section Recovery: After The Third Month

The three-month mark is often seen as the end of the “immediate” postpartum period—but for many mothers, this can be a confusing and even disappointing milestone. You may have expected to feel back to “normal” by now, yet still find yourself struggling with fatigue, tenderness around your scar, emotional ups and downs, or a body that feels unfamiliar.


This is normal. And you are not behind.


Healing from a (cesarean) birth is a long-term process—one that involves not just physical recovery, but also hormonal recalibration and an emotional process.


At any point during the first year or two postpartum, you may still experience the following:

  • Core or pelvic floor weakness (this can be supported through pelvic floor therapy!)
  • Fatigue or disrupted sleep (especially if baby is still waking often)
  • Pain, numbness, or sensitivity around your scar
  • Emotional waves—grief, gratitude, frustration, or vulnerability
  • A desire to return to your old self… while realizing you’ve fundamentally changed

Continue supporting yourself by staying consistent with nourishing foods and targeted supplements. Keep up with gentle movement like walking, low-impact strength training, and when you’re ready, continue to build from there.

And most importantly, be mindful of the pressure to “get your body back”—you haven’t lost it. You’ve done something extraordinary, and it’s okay for your recovery to reflect that.


If you’re still experiencing pain with daily activities, intimacy, or exercise—or if your scar feels tight, stuck, or painful—it may be time to work with a pelvic floor therapist or postpartum rehab specialist. Emotional support is equally important. If you're feeling low, anxious, or emotionally flat, reach out to a provider trained in postpartum mental health.

Summary

C-section recovery is a gradual process that extends well beyond the six-week mark. Full healing can take months. In the first few weeks, focus on rest, pain management, nutrient-dense foods, and gentle movement. As healing progresses, start to increase your physical activity, support your core and pelvic floor, begin scar massage (once cleared), and continue nourishing your body with nutritious meals. It’s normal to experience fatigue, tenderness, or minor emotional ups and downs even after three months, so be gentle with yourself. You’ve got this mama!

PRODUCTS MENTIONED IN THIS ARTICLE

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References:

  1. Hofmeyr GJ, Mathai M, Shah A, Novikova N. Techniques for caesarean section. Cochrane Database Syst Rev. 2008 Jan 23;2008(1):CD004662. doi: 10.1002/14651858.CD004662.pub2. PMID: 18254057; PMCID: PMC8845034.
  2. Dicle O, Küçükler C, Pirnar T, Erata Y, Posaci C. Magnetic resonance imaging evaluation of incision healing after cesarean sections. Eur Radiol. 1997;7(1):31-4. doi: 10.1007/s003300050103. PMID: 9000391.
  3. Adeli M, Razmjoo N, Tara F, Ebrahimzade S. Effect of early post cesarean feeding on gastrointestinal complications. Nurs Midwifery Stud. 2013 Jun;2(2):176-81. doi: 10.5812/nms.10184. Epub 2013 Jun 27. PMID: 25414855; PMCID: PMC4228559.
  4. Cift T, Ustunyurt E, Yilmaz C, Olmez F, Basar B. Shoulder Tip Pain After Cesarean Section. J Clin Diagn Res. 2015 Aug;9(8):QC04-6. doi: 10.7860/JCDR/2015/13841.6314. Epub 2015 Aug 1. PMID: 26436000; PMCID: PMC4576593.
  5. Miovech SM, Knapp H, Borucki L, Roncoli M, Arnold L, Brooten D. Major concerns of women after cesarean delivery. J Obstet Gynecol Neonatal Nurs. 1994 Jan;23(1):53-9. doi: 10.1111/j.1552-6909.1994.tb01850.x. PMID: 8176528; PMCID: PMC3694506.
  6. Bužinskienė D, Sabonytė-Balšaitienė Ž, Poškus T. Perianal Diseases in Pregnancy and After Childbirth: Frequency, Risk Factors, Impact on Women's Quality of Life and Treatment Methods. Front Surg. 2022 Feb 18;9:788823. doi: 10.3389/fsurg.2022.788823. PMID: 35252326; PMCID: PMC8894587.
  7. Iannitti T, Morales-Medina JC, Bellavite P, Rottigni V, Palmieri B. Effectiveness and Safety of Arnica montana in Post-Surgical Setting, Pain and Inflammation. Am J Ther. 2016 Jan-Feb;23(1):e184-97. doi: 10.1097/MJT.0000000000000036. PMID: 25171757.
  8. Ballester P, Cerdá B, Arcusa R, Marhuenda J, Yamedjeu K, Zafrilla P. Effect of Ginger on Inflammatory Diseases. Molecules. 2022 Oct 25;27(21):7223. doi: 10.3390/molecules27217223. PMID: 36364048; PMCID: PMC9654013.
  9. Gilbert I, Gaudreault N, Gaboury I. Exploring the Effects of Standardized Soft Tissue Mobilization on the Viscoelastic Properties, Pressure Pain Thresholds, and Tactile Pressure Thresholds of the Cesarean Section Scar. J Integr Complement Med. 2022 Apr;28(4):355-362. doi: 10.1089/jicm.2021.0178. Epub 2022 Jan 13. PMID: 35426735; PMCID: PMC9051872.
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