A lot of women have noticed changes in their lower abdomen after giving birth via a C Section procedure. And one area of concern is the C Section pouch. Also called a mummy belly, C Section pouch refers to a very small belly overhang that lies just above the scar from a major abdominal surgery. It can seem like a stubborn stomach bulge that never gets smaller, no matter how many sit-ups you do.
This is not simply a matter of excess fat, it is a combination of scar tissue, weakened abdominal muscles, connective tissues, and skin that has been stretched. And although it is completely normal with women who have undergone a caesarean section, it can also be a sensitive subject, one that affects confidence and body image. Fortunately, there are ways to control or treat it even after a major surgery.
C Section pouch, Diastasis Recti and Pannus Stomach
These three conditions might appear similar but they are actually quite different.
A C Section pouch is primarily a cosmetic concern of how the excess loose skin and fat drape around the scar after the massive weight loss during the C Section recovery process. This is commonly a result of the way the skin heals, tissue develops and body fat redistributes naturally after pregnancy. It can seem like a pouch or a C Section shelf, and it may decrease in size over time, but it does not disappear on its own.
Diastasis Recti, on the other hand, is an abdominal separation that sometimes requires physical therapy to heal. Pregnancy stretches out the abdominal wall as the baby grows. Sometimes, the two sides of the “six-pack” muscles do not completely return together after delivery. This results in the abdominal area having a gap or dome down the center due to muscle separation. It can be a contributor to a bulging stomach, but it is about muscle, not skin or fat.
Then there is the pannus stomach, which is a larger overhang of skin and fat that can actually hang lower, over the pubic area or even the thighs. It typically occurs following dramatic weight gain, weight loss or multiple pregnancies.
You can also have more than one of these at once. For instance, you may have women with Diastasis Recti and a C Section pouch or small pannus, which you would not be able to differentiate just by looking initially.