C-Section Recovery Program
C-Section Recovery Week by Week: Your Complete C-Section Recovery Guide
C-section recovery is a gradual process that involves healing through six layers of tissue while adapting to life with a newborn. While skin may heal in 6 weeks, deeper tissues take 6–12 months to regain full strength. Recovery timelines vary depending on whether the birth was planned, emergency, or maternal-assisted, as well as your overall health, support network, and aftercare. Gentle movement, scar care, and physiotherapist-guided rehabilitation can optimise healing and long-term strength.
Key Points
- A C-section is major abdominal surgery involving six layers of tissue.
- Skin typically heals in about 6 weeks, but fascia and connective tissue can take 6–12 months to fully remodel.
- Recovery speed is influenced by the type of C-section (planned, emergency, maternal-assisted) and individual health factors.
- Gentle walking can usually begin within days; higher-impact activities like running should wait until strength and control are restored.
- Scar massage may begin around 6–7 weeks, once the wound is fully healed and cleared by your GP or physiotherapist.
- The Empowered Motherhood Program’s C-section Recovery Week-by-Week Program is designed by women’s health physiotherapists to guide safe, progressive healing; covering scar care, pelvic floor and core activation, and gradual return to functional strength.
- Targeted rehab can help prevent complications such as hernias, chronic pain, or pelvic floor dysfunction.
In this article, we'll cover:
How long does it take to recover from a C-section?
Recovering from a C-section isn’t just about healing from surgery. It’s about doing so while learning to care for your newborn, navigating sleepless nights, and processing one of the most life-changing events you’ll ever experience. The truth is, recovery looks different for every mother. The type of C-section you had (planned, emergency, or maternal-assisted), your physical health, and your support network all shape your healing journey.
What is the hardest part of C-section recovery?
For many women, the hardest part of C-section recovery is not just the physical healing, it is doing that healing while caring for a newborn. You are moving through pain, adjusting to sleepless nights, feeding around the clock, and processing one of the most life-changing experiences of your life. Recovery is also influenced by whether your birth was planned, an emergency, or maternal-assisted. Each comes with its own set of physical and emotional challenges, which is why there is no single “hardest” part. For most women, it is a combination of physical, emotional, and practical hurdles that overlap in the first few weeks and months.
Physical healing while parenting
A C-section is major abdominal surgery that involves cutting through multiple layers of tissue: skin, subcutaneous fat, fascia, peritoneum, and the uterus, and separating abdominal muscles. Each layer has its own healing timeline, and deep tissue recovery can take months.
In the first few days, pain often peaks at around 18 to 24 hours after surgery and can make even small movements feel overwhelming. Tasks like getting out of bed, bending to pick up your baby, or coughing while holding them can cause significant discomfort. This is compounded by the fact that you cannot truly “rest” in the traditional sense; newborn care demands lifting, rocking, feeding, and constant attention.
If your C-section followed a long labour or an emergency situation, recovery can be slower because your body has already endured hours of muscular effort, hormonal changes, and possibly more swelling or trauma. Planned or maternal-assisted C-sections often allow for a calmer recovery environment, but the physical healing process remains significant.
Emotional and mental recovery
Birth is not just a physical event. Research from the Australasian Birth Trauma Association shows that one in three Australian women describe their birth as traumatic. An unexpected C-section can trigger feelings of shock, loss of control, disappointment, or even grief over the birth experience you had hoped for.
If you had an emergency C-section, you may also be processing fear from moments where your baby’s health or your own was at risk. Even with a planned or maternal-assisted C-section, the reality of surgery and its recovery can still feel daunting.
The emotional recovery can also be affected by hormones. In the days after birth, levels of oestrogen and progesterone drop sharply, which can heighten feelings of anxiety, irritability, or sadness. Added to this is the pressure many women feel to “bounce back” physically or to instantly bond with their baby, even when exhaustion and pain make this difficult.
Studies show that emotional wellbeing in the early postnatal period can directly influence physical recovery, including wound healing and return to normal function. This is why acknowledging your emotional health is just as important as addressing your physical recovery.
Ongoing physical symptoms
Even months after a C-section, some women experience lingering symptoms such as core weakness, pelvic floor issues, lower back pain, or scar sensitivity. Many are surprised to learn that pregnancy itself, regardless of delivery method, impacts the pelvic floor.
Research shows that pregnancy increases the width of the pelvic floor outlet (levator hiatus) by around 15 to 20 percent, and this change can persist after birth. This means that even women who have not had a vaginal delivery can experience pelvic floor weakness or symptoms like heaviness or leaking.
Back pain is also common. The combination of weakened abdominal support, postural changes from feeding and caring for your baby, and protective movement patterns to avoid scar pain can strain the spine and surrounding muscles. Scar tissue can contribute too — adhesions or tightness in the scar area may limit movement and create compensations elsewhere in the body.
Without targeted rehabilitation, these issues can persist, making everyday tasks or a return to exercise more difficult.
What is the aftercare for a C-section?
C-section recovery begins in hospital and continues at home for many months. The goal is to protect your wound, reduce the risk of complications, and support the healing of all six tissue layers while helping you regain mobility, strength, and confidence. Good aftercare also considers your pelvic floor, core muscles, emotional well-being, and the practical realities of life with a newborn.
Many women don’t realise that the Empowered Motherhood C-Section Recovery Program is designed to be done from birth - with physio-led classes designed to help reduce your pain, improve mobility and optimise your body’s natural healing process.
The Empowered Motherhood C-Section Recovery Essentials video should be watched whilst you are still in hospital as it contains advice for your intial acute C-section recovery.

Wound care and protection
In the hospital, you will receive instructions on keeping your incision clean and dry. Most women can shower within 24 hours of surgery, but baths should be avoided until the wound is fully healed. Pat the area dry gently after washing, or use a hairdryer on a cool setting. When coughing, sneezing, laughing, or getting out of bed, press a pillow or rolled towel to your abdomen for support. Infection is one of the most common early complications. Warning signs include redness, swelling, warmth, discharge, or fever. The risk of infection is slightly higher in C-sections than in vaginal births, especially if the procedure follows a long labour.

Early movement and pelvic floor activation
Once your catheter is removed, usually within 12–24 hours, you will be encouraged to start short walks. These walks improve circulation, help bowel function, and reduce the risk of blood clots. Even if you have not had a vaginal birth, your pelvic floor muscles have been under load for nine months. Research shows that pregnancy increases the width of the pelvic floor outlet by about 15 to 20 percent, and this change often remains after birth.
When women who have given birth by Caesarean section are examined postnatally, there is a clinically significant reduction in pelvic floor strength and also a descent of approximately 4.9mm. This shows that pregnancy itself, rather than the mode of delivery, impacts the pelvic floor, which can be seen in the postnatal period.
Gentle pelvic floor activations can be safely introduced as soon as you feel comfortable. In the Empowered Motherhood Program, we introduce gentle pelvic floor activations as soon as your catheter has been removed. This helps to re-connect the neural pathways and improve blood flow to the region.

Supportive products and tools
- Tubigrip or soft compression bands can reduce swelling, give you a feeling of security, and help support your posture.
- Recovery shorts or tights can offer more structured support to the abdominal wall.
- Scar massage can begin at around six to seven weeks once your GP or physiotherapist confirms your wound is fully healed. This helps prevent adhesions and improve mobility.
C-section recovery week by week
C-section recovery is not a single event but a sequence of healing stages. Each week brings changes in your body’s needs, from managing pain and swelling in the early days to rebuilding strength and function in the months ahead. Understanding these stages can help you pace yourself and avoid doing too much too soon.
For a complete breakdown of your week by week C-Section recovery, please see this article here.
When can I walk and run after a C-section birth?
Walking is one of the first forms of movement encouraged after a C-section, sometimes within 24 hours of surgery. Running, however, is a high-impact activity that requires full healing, restored strength, and stability, which can take months. The timeline is different for every mother and depends on your type of C-section, your healing progress, and your pre-pregnancy and pregnancy activity levels.
Walking in the early days
Your first walks in hospital may be short, such as to the bathroom or along the ward. Walking helps improve blood flow, prevent clots, and encourage bowel movement. At home, start with short, slow walks and gradually increase your distance. Overexertion in the first few weeks can increase swelling or cause discomfort at the scar.
Muscle guarding and fatigue
Running puts up to 2.5 times your body weight through your pelvic floor and abdominal wall. Even after a C-section, pregnancy will have weakened these structures. Returning too soon increases the risk of issues such as pelvic organ prolapse, urinary leakage, or abdominal wall strain. Most women are not ready to run until at least 3 months postpartum, and many benefit from waiting 6 to 12 months, depending on their recovery.

Should I do C-section scar massage after my C-section?
Scar massage can be an important part of C-section recovery. It helps keep the scar tissue mobile, reduces discomfort, and supports better function in your core and pelvic floor. The key is starting at the right time and using the correct technique.
How to do it
We recommend starting scar massage at around 6 to 7 weeks postpartum, once your wound has fully closed, stitches are removed, and no dressing is needed. Always have your GP or women’s health physiotherapist confirm that healing is complete before you begin.
For the first few sessions, you may only feel comfortable lightly touching the skin and gently releasing the tissue above and below your scar. This is perfectly normal.
Scar massage begins at the superficial layer — the skin. Use your fingertips to gently rub along the scar line, feeling for any areas that feel tight, raised, or restricted. If you find a spot like this, pause and work gently on it, aiming to release the collagen fibres that may have healed in a haphazard pattern.
As your comfort grows, you can progress to deeper layers:
- Muscular release: Gentle pressure into the muscles surrounding the scar to improve movement and reduce tightness.
- Visceral release: Targeting the connective tissues around the internal organs to reduce pulling or restriction.
Scar massage can be even more effective when paired with gentle mobility exercises, such as small stretches or postural movements, to help release tight muscles and fascia. If you notice pain, swelling, redness, or any signs of infection, stop and seek professional advice.
All Your Questions, Answered:
When should I start the Empowered Motherhood C-Section Recovery Program?
What is the best C-section recovery program?
How soon can I exercise after a C-section?
Why is a C-section-specific recovery program important?
Is the Empowered Motherhood Program recommended by healthcare professionals?
How do I recover from a C-section if I also have prolapse?
How is C-section recovery different with twins?
How do I recover after a maternal-assisted C-section?
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