Medical Centric

Postpartum Hernia: Causes, Symptoms, Diagnosis, and How to Treat It

Postpartum Hernia

  • The body goes through a lot of changes during pregnancy and after delivery.
  • Some of these changes go away with time and the body returns to normal.
  • However, some can stick around for a while.
  • One common after-effect of delivery is a bulge in the lower abdomen. This is completely fine and goes away with time.
  • However, if you sense a bulge right above the belly button, that might mean you have a postpartum hernia.
  • Here’s everything you need to know about a hernia after giving birth:

Incidence

  • Hernias are not rare and affect and do now show biases between demographics, but postpartum hernias are a bit rarer.
  • Although they are not very common, they do occur, with the most likely postpartum hernias being:
  1. A ventral hernia occurs right above the belly button and in the middle of the abdomen.
  2. An inguinal hernia occurs further down in the pubic region. It usually occurs as a result of the pressure on the groin region during pregnancy.
  3. Another common area for a postpartum hernia is the belly button. This is known as an umbilical hernia.

Causes

  • A postpartum hernia is caused by some of the effects of pregnancy or delivery still affecting the body.
  • The abdominal walls extend during pregnancy to accommodate the baby, pushing the stomach muscles and making them weak.
  • The muscles can even separate in areas.
  • The inner abdomen pushing against these weak muscles can result in a bump.
  • Furthermore, the belly button area is weaker than the rest of the belly, and the pressure affecting it during pregnancy can result in an umbilical hernia.
  • A C-section can also result in a postpartum hernia that occurs along the incision due to it being weaker than the rest of the belly.

Symptoms

  • Signs and symptoms of a postpartum hernia depend on the type and causes of the hernia.
  • General symptoms include:
  1. Tender skin that hurts
  2. A bulging belly button, or an “outie”
  3. A midline bulge or a bump right above the bellybutton
  4. Raised tissue along the C-section scar that looks and feels bumpy
  • A noticeable sign of these is that they worsen when you:
  1. Laugh hard
  2. Sneeze or cough
  3. Lift something from the ground
  4. Exercise
  5. Climb stairs
  6. Suddenly stand up

Diagnosis

  • Diagnosing a postpartum hernia is simple due to the nature of the symptoms.
  • A medical professional has to notice the placement of the bump and how it affects you to make sure what type of hernia you are dealing with.

Treatment

  • Hernias do go away, but you will need a medical procedure if it is large and causing you pain and other problematic symptoms.
  • Surgeons usually treat postpartum hernias laparoscopically.
  • Also called keyhole surgery, it involves an incision made on top of the hernia and a mesh is placed inside this “keyhole” the patch everything together.
  • For larger hernias, suturing the muscle walls with a larger mesh may be necessary.
  • Care is advised during recovery.
  • Not lifting anything or stretching the muscles extensively is something you must be careful of.