Janette's Thoughts

New Mom with Cesarean Section

What to Do After a C-Section for a Faster Recovery

c-section scar care c-section shelf cesarean recovery cesarean recovery program postpartum healing Jun 21, 2025

Congratulations on your Birthing Day! 🎉

You’re probably in sleep-deprived bliss with your new bundle of joy - but simultaneously bewildered at the pain and unexpected changes to your body.

The swelling. The ‘C-section Shelf’. The way your stomach feels like a “bowl of jelly” instead of the strong core you once had.

Nothing about this feels “OK”. Isn’t there something you should be doing?

You're not alone. And more importantly - you don't have to accept this as your “new normal”.

 

The Truth About C-Section Recovery Nobody Tells You

 

Here's what makes me absolutely furious as a C-section therapist:

Moms are told to “rest and do nothing” for 6 weeks after having MAJOR ABDOMINAL SURGERY.

Think about that for a second.

🤔 Would you break your leg and not get a cast immediately?
🤔 Would you have hip surgery and skip physical therapy?
🤔 Would you tear your ACL and just... hope for the best?

Of course not.

So why are C-section moms expected to lie around for 6 weeks while their bodies heal any old way?

 

What Happens When You Start Recovery on Day 1

 
Let me show you what's possible when you DON’T wait.
 
 

This is Beth at 2.5 weeks after her hysterectomy. She started gentle belly breathing and proper compression on Day 1. Look at this dramatic reduction in swelling just two weeks after surgery.

 
 

This is Maria, who followed a complete early recovery program. At 8 weeks postpartum, her C-section Shelf was mostly eliminated, and her core was strong enough to start her favourite pilates exercises.

These aren't “lucky” moms with “good genes.”

These are women who understood that the fastest healing happens in the first 6 weeks, not after.

 

The Cost of “Doing Nothing”

 

When moms follow the standard “rest and wait” advice, here's what usually happens:

 
 
  • A distended belly due to weak, untrained core muscles
  • Swelling that is still stuck, needlessly accentuating the ‘C-section Shelf’
  • Pain and tenderness that persists in the scar and surgical area

This description would then be ‘normal’ at 2.5 months postpartum, like this photo. However, in Carrie’s case, she could not do any scar massage due to a stubborn incisional infection. Exercise was minimal due to a baby who didn’t sleep without being held.

Now if Carrie continues to “do nothing” until 6 months postpartum, here’s what she could expect:

  • Persistent C-section shelf that won't change much no matter how much she exercises
  • Core weakness that will make her feel unstable
  • Back pain from compensating for weak abdominal muscles
  • Painful, tight scar tissue that will restrict her movement

…and years later:

  • Chronic pain during exercise
  • Chronic pain with sex due to tight internal scar tissue
  • Leaking when running, jumping, or sneezing
  • Fear of returning to activities and sports she once loved
  • Getting injured easily because her body never learned to move properly again
 

The 6-Week Recovery Window You Can't Get Back

 

Here's the science nobody shares with you:

In the first 6 weeks after surgery, your scar tissue is like Play-Doh - soft, malleable, and responsive to gentle manipulation.

After 6 weeks? It’s much harder. Not like cement, but certainly not like Play-Doh.

This is your golden window of opportunity.

What you do (or don't do) in these crucial first 6 weeks determines the next 6 months:

  • How your scar heals
  • The ease (or difficulty) with which your ‘C-section Shelf’ heals
  • If your core muscles “wake up” properly
  • Your long-term strength and confidence
 

What You CAN Do Starting Today

 

I'm not talking about intense workouts or anything that will hurt you.

I'm talking about simple, safe interventions that are deceivingly effective.

They work WITH your body's natural healing process:

Proper compression - Supporting your healing tissues and reducing swelling

Gentle belly breathing - The safest way to start reconnecting with your core muscles from Day 1

Strategic positioning - How you sit, stand, and sleep affects how your tissues heal

Desensitization techniques - Setting the stage for scar massage before you even touch it

These aren't complicated. They don't require equipment. And they can be done while holding your baby.

But they need to start NOW.

 

It's Never Too Late to Start (But Earlier is Better) 

 

Maybe you're reading this and thinking, “I'm already 4 weeks postpartum and haven't done anything. Did I miss my chance?”

Absolutely not.

Whether you're Day 1 or Week 6 (or Year 10!), your body still has incredible capacity to heal. The key is starting where you are and moving forward with intention.

  • 0-6 weeks postpartum? You're in the perfect window. Execute the suggestions above.

  • 6 weeks to 18 months postpartum? Make dramatic changes with scar massage and targeted exercises.

  • Years postpartum? It's NEVER too late. I've helped moms improve their C-section shelf decades after surgery.

And in Carrie’s case above, she started rehab at 2.5 months. Now at 9 months, she is back to running, yoga, and is happy with her C-section Shelf healing.

 

Your Recovery Starts with One Decision

 

You have a choice right now:

You can follow the outdated advice to “do nothing and hope for the best.”

Or you can take control of your recovery and give your body the support it deserves.

You just ran the ultimate ultramarathon, mama. You deserve a recovery plan that honors the incredible thing your body just did.

Don't wait. Start today.

 

Want to follow a proven self-paced C-section recovery plan that has helped 1000’s of other moms like you? [Click here] and read more about the “Stage 2” Program.