
Your Planned C-Section (Cesarean Section): What to Expect the Day of
Jun 14, 2025So, you're scheduled for a C-section.
I get it - your mind is racing with questions. What will it feel like? How bad will it hurt? Will recovery be awful? What about that scary shelf thing you've seen on other moms' bellies?
Take a deep breath. I've got you.
As someone who's guided thousands of C-section moms through recovery, I'm here to tell you what hospitals often skip over. Because let's be real - they're great at the surgery part, but preparation and recovery? That's where things fall apart.
What ACTUALLY happens during your C-section
First, let's demystify what's about to happen to your body:
A C-section isn't just "one cut" - it's FOUR separate incisions:
- External skin incision (the only one you'll see)
- Myofascial incision (through the "sausage casing" around your muscles)
- Vertical cut through your linea alba (the tendon holding your abs together)
- Uterine incision (to reach your baby)
Understanding these layers helps explain why recovery feels the way it does - and why proper rehab matters so much.
The Hospital Experience: What to REALLY Expect
✅ Day Before Surgery:
- Contact lens wearer? Choose your glasses instead.
- Leave your jewelry at home, including body piercings.
- You'll likely be told not to eat or drink 8 hours before surgery
- Take a shower with the hospital's recommended antibacterial soap.
- Ensure to thoroughly wash all over your abdomen.
✅ Arrival Day:
- Bring your partner/support person (they'll wait while you're prepped)
- You'll change into a hospital gown and get an IV inserted
- Nurses will ask you MANY questions (yes, multiple times)
- You'll sign consent forms and meet your anesthesiologist
✅ During the Surgery, in the OR:
- It's COLD in there
- The spinal/epidural goes in while you're sitting up (quick pinch, then warm feeling)
- They'll lay you down quickly and put up a drape
- Your arms will be secured in a “T”
- You WON’T feel the pain of cutting
- You'll feel pulling, pressure, and "rummaging" (not pain, but strange sensations)
- From the first cut to birthing your baby is often just 5-10 minutes!
✅ After Baby Arrives:
- You'll hear your baby before you see them
- Request skin-to-skin! This ‘first touch’ isn’t reserved for only vaginal birth moms
- While you meet your little one, they'll spend about 30-45 minutes closing you up
- The shakes are NORMAL (many women get uncontrollable shivers from hormones/meds)
- You'll head to recovery for about an hour of monitoring
3 Hospital Hacks Nobody Tells You About
- Ask for your catheter to be removed ASAP (usually 12-24 hours post-op) - moving sooner means less gas pain and faster healing
- Bring your own high-waisted underwear that rises well above your incision - hospital underwear is terrible and makes swelling worse
- Request an abdominal binder before leaving - some American hospitals provide these, but I recommend bringing your own
Your First 24 Hours: How to Manage Pain Like a Pro
That first day is intense, I won't sugarcoat it. But here's how to make it more manageable:
✅ STAY AHEAD of pain - Take your meds on schedule, even if you feel okay. Once pain catches up, it's harder to control.
✅ The pillow trick - Hold a pillow against your abdomen when laughing, coughing, or sneezing to protect your incision from further damage
✅ Walk as soon as you can - This sounds scarier than it is. Ask for help. Don’t walk far or fast. Walking to the washroom and back counts.
✅ Gas pain solution - That shoulder pain isn't your imagination! Research shows that chewing gum actually helps with this.
What Your Hospital Discharge Instructions WON'T Tell You
The standard "don't lift anything heavier than your baby" and "come back in 6 weeks" advice misses SO much:
🔥 You need COMPRESSION from day one - proper support reduces swelling and pain while supporting your core
🔥 Belly breathing can start immediately - this gentle exercise helps wake up your disconnected core muscles
🔥 Scar healing begins before the bandage comes off - your nutrition, hydration, and early movement all impact how your scar forms
Your Prep Checklist: What to Buy NOW
- High-waisted underwear (1-2 sizes up from your pre-pregnancy size)
- Proper compression garment (not just the basic hospital binder)
- Chewing gum (for that gas pain)
- Slip-on shoes (bending will be challenging)
- Pregnancy pillow (still useful for positioning after delivery)
- Grabber tool for reaching items without bending. BBQ tongs work!
The #1 Mindset Shift for Cesarean Birth
Here's what I tell every planned C-section mom:
You're not "taking the easy way out." You're not "failing at birth." You're making a choice that's right for you and your baby.
What you ARE doing is having major abdominal surgery while fully conscious, then immediately becoming responsible for a newborn human. There's nothing "easy" about that.
You are a warrior. Your body is strong. And with the right preparation and recovery plan, you'll heal beautifully.
The Window of Opportunity Most Moms Miss
Here's something hospitals won't tell you: The first 6 months post-surgery are your GOLDEN window for scar tissue remodeling.
During this time, your scar tissue is like Play-Doh - malleable and responsive to massage and movement. After that, it hardens.
This is why I'm so passionate about proper prep and early recovery - what you do in these early days sets the stage for YEARS to come.
If you want to prevent issues like the C-section shelf, core weakness, and chronic pain, preparation starts NOW.
You've got this, mama. And I've got you.
Prep Before Surgery. Recover Faster After. ✨
Did you know proper preparation can reduce your recovery time by WEEKS, even MONTHS?
My Cesarean Recovery Stage 1 program includes prenatal exercises that train your brain-body connection BEFORE surgery, making it easier to "wake up" those muscles after. Don't wait until it's too late - start prep now!
Click here to learn about my "Cesarean Recovery Stage 1" program