Sagging stomach after a C-section: recovery guide

The abdominal skin and supporting muscles have accommodated pregnancy, and the uterus gradually changes after delivery. A shelf-like fold above the incision may be more noticeable because movement is limited while the wound heals. A separation of the abdominal muscles can contribute to softness, weakness or a ridge during effort. Body shape differs widely, so visual appearance is not a reliable measure of recovery or fitness.

Keep the incision clean and dry according to your discharge plan, use comfortable clothing and take short walks if advised. Brace the abdomen with a pillow when coughing, and avoid strenuous lifting until your clinician says it is suitable. After assessment, targeted rehabilitation may address posture, breathing and muscle coordination; [Postnatal Physiotherapy](/treatments/pelvic-floor-and-rehabilitation/postnatal-physiotherapy/) is one option. Do not rely on aggressive dieting, abdominal devices or painful workouts to change the stomach quickly.

Arrange prompt medical advice if the incision separates, leaks, smells unusual, or becomes increasingly tender, red or warm. Fever, worsening bleeding, severe abdominal pain, faintness, breathing difficulty or a swollen painful calf need assessment. Sudden severe headache, visual disturbance or marked swelling should be treated urgently because these may occur with [Pre-eclampsia](/conditions/pre-eclampsia/), including after birth. A new firm lump or a bulge that hurts with coughing should also be examined.

Ask when your wound can be checked, whether your abdominal muscles show separation, how to restart lifting and exercise, and whether pain or pressure suggests a hernia or pelvic-floor problem. Request personalised guidance about [Caesarean Section](/treatments/pregnancy-and-birth-care/caesarean-section/) recovery if your birth or healing has been complicated.