I’m 10 weeks postpartum from my second C-section and have been dealing with a small area of wound separation directly in the center of my incision that doesn’t seem to be healing properly.
My first C-section was uncomplicated, and I had a very easy recovery. This time, I had a different surgeon who uses an older technique of suturing all seven layers, including reapproximating the abdominal muscles, with dissolvable stitches.
Timeline:
September 22: Noticed a small opening in the center of my incision.
October 8: Went to the ER because the wound wasn’t healing. They documented approximately 1 cm of wound separation without surrounding redness. They only measured the surface opening and didn’t assess the depth. I was advised to use antibiotic ointment (the is was the wrong advice) and follow up with my OB
October 10–14: The opening continued to scab over, but it wasn’t fully healing underneath.
October 15: Saw my OB, who recommended dry gauze to absorb moisture because the incision sits within a skin fold. The scab was still intact, so the cavity underneath wasn’t visible. He mentioned that cauterization during surgery could potentially have contributed to the delayed healing.
October 16: While gently patting the area dry, the scab detached, revealing what appears to be a significantly deeper cavity with yellowish tissue and some darker material inside.
The rest of my C-section incision has healed normally. This is the only area that has opened.
I’m experiencing mild stinging and burning at the opening, particularly when the scab falls off and I’m moving around. I’ve noticed occasional clear drainage, although the area was dry when the most recent scab came off. I haven’t noticed obvious widespread redness or signs of infection
I’m concerned that the wound is getting deeper rather than healing from the bottom up. I’m also wondering whether this could be a reaction to a dissolving stitch, tissue damage from cauterization, or something else.
Has anyone experienced something similar or is there a medical professional who has any insight into what may be going on? Progression photos attached - NSFW