Signs of Internal Bleeding After a C-Section: What to Watch For

Internal bleeding can be a rare but severe complication after a cesarean section. Recognising the early signs is essential for getting the prompt medical attention you need. 

This guide will help you understand internal bleeding, how to identify its symptoms, and what steps to take if you suspect it.

What is Internal Bleeding?

Internal bleeding happens when blood leaks from blood vessels into the body, often due to trauma, surgery, or medical conditions. After a C-section, it can result from surgical complications, like incomplete closure of blood vessels or trauma to surrounding tissues. 

Early detection is critical to ensure effective treatment and prevent further complications.

Signs and Symptoms of Internal Bleeding

While symptoms can vary based on the severity and location of the bleeding, there are several key indicators you should be aware of:

Severe Abdominal Pain: 

It could be a red flag if you experience sharp, persistent pain in your abdomen that worsens over time.

Swelling or Bruising: 

Unexplained swelling or bruising around the incision site or abdomen could signal internal bleeding.

Dizziness or Fainting: 

Feeling lightheaded or dizzy, particularly when standing, is a common sign of blood loss.

Rapid Heart Rate: 

A noticeable increase in your heart rate may be your body’s response to losing blood internally.

Weakness or Extreme Fatigue: 

If you're feeling unusually weak or exhausted despite resting, it could be a sign that your body is struggling.

When to Seek Medical Help

If you experience any of the above symptoms, particularly intense abdominal pain or signs of shock (like fainting or rapid heartbeat), don’t wait—seek immediate medical help. 

Early intervention can make all the difference in managing internal bleeding effectively.

Recovery and Care

Recovering from a C-section involves more than just healing the incision—you’ll need to keep an eye on your overall well-being. Here’s how to stay on top of your recovery:

Monitor Your Symptoms: 

Keep track of how you’re feeling daily. If something feels off, contact your healthcare provider.

Follow Your Doctor’s Instructions: 

Carefully adhere to your post-operative care plan, including wound care, activity levels, and follow-up appointments.

Speak Up: 

If you’re unsure or worried about something in your recovery, don’t hesitate to ask for help.

Preventive Measures

While internal bleeding isn’t always preventable, you can reduce your risk by taking these steps:

Stick to Your Recovery Plan: 

Follow all post-operative instructions to the letter, including avoiding activities that strain your body.

Avoid Heavy Lifting: 

Refrain from lifting anything heavier than your baby in the first few weeks.

Stay Hydrated and Eat Well: 

Good nutrition and hydration can help your body heal faster and support your overall recovery.

How common is internal bleeding after a C-section?

Thankfully, internal bleeding after a C-section is relatively rare. However, being informed and aware of the signs can help you quickly detect any issues and get the care you need.

What are the first signs of internal bleeding I should watch for?

The most common early warning signs of internal bleeding include severe abdominal pain, swelling or bruising near the incision, dizziness, a rapid heartbeat, and unusual fatigue. Recognising these signs early allows for quicker intervention and better outcomes.

Can internal bleeding be treated without surgery?

Depending on its severity and cause, internal bleeding can sometimes be treated without surgery. Treatment may involve close monitoring, medications, or blood transfusions. 

However, if the bleeding is significant or doesn’t improve, surgery may be required to address the issue.

Understanding the signs of internal bleeding after a C-section is essential for your safety and well-being. Stay vigilant, communicate openly with your healthcare team, and take the time you need to prioritise your recovery. 

Your health matters—now more than ever!


Written by: Midwife Laura