If you’ve had a caesarean section the wound will have been closed in one of three ways:
- Dissolvable stiches may have been used, in which case there is nothing to be removed.
- Wound staples or a bead stich may have been used. They are normally removed at day five (or occasionally day seven) by the community midwife during a visit.
If you have any of the following signs or symptoms you will need an assessment urgently:
- Abdominal pain, severe enough to need regular painkillers or which does not respond to the usual painkillers that you take
- Raised temperature (over 37.5°C)
- Heavy bleeding, particularly when your loss had begun to settle
- Passing blood clots (over the size of a 50 pence piece)
- Feeling generally unwell/having flu-like symptoms
- Chest pain/shortness of breath
- Diarrhoea and vomiting
- Discharge from your stitches/wound, especially if it smells
- Having a sore throat, particularly if anyone in the family has recently had a sore throat or respiratory infection
- Red lump in breast(s), breast pain with flu like symptoms
- Vaginal loss that smells offensive
If you have any of the symptoms above you are strongly advised to contact one of the following: your community midwife, the assessment unit at your maternity unit, your GP practice or you can call NHS 111 (when it is less urgent than a 999 emergency).
If you are concerned it is important to seek advice early. You may be given advice over the phone or sent to see your GP.