Postpartum Hernias: Why They Happen and How to Treat Them

Welcoming a new baby is exciting, but it can also bring physical challenges. One of these is a postpartum hernia — when part of the intestine or tissue pushes through a weakened spot in the abdominal wall. While not as commonly discussed as other postpartum conditions, hernias can cause real discomfort and require medical attention.

What Causes Postpartum Hernias?

Postpartum hernias are usually the result of pressure and strain during childbirth. Prolonged pushing increases abdominal pressure and may weaken or tear the abdominal wall.

Other common causes include:

• Multiple pregnancies – repeated stretching weakens abdominal muscles
• Diastasis recti – separation of the abdominal muscles during pregnancy
• C-sections – surgical incisions can leave the abdominal wall vulnerable

Symptoms: What Does It Feel Like?

If you have a postpartum hernia, you may notice:

• A visible bulge near the abdomen or groin that gets worse when standing, coughing, or lifting
• Sharp or aching pain at the site, especially during activity
• A sensation of heaviness or pressure in the abdomen

If pain is severe or sudden, seek medical attention immediately — this may indicate a strangulated hernia, which is a medical emergency.

Diagnosis: How Doctors Confirm a Hernia

Diagnosis usually starts with a physical exam, but your provider may order imaging tests such as:

• Ultrasound – to check soft tissues and movement of the hernia
• CT scan – for complex or unclear cases
• MRI – if detailed imaging is needed

Treatment Options for Postpartum Hernias

Treatment depends on the size and severity of the hernia:

Nonsurgical Management:

• Lifestyle adjustments — avoid heavy lifting or straining
• Support garments — hernia belts may temporarily reduce discomfort
• Physiotherapy — core-strengthening exercises under professional guidance

Surgical Repair:

• Open repair – surgeon repositions tissue and stitches or uses mesh
• Laparoscopic surgery – minimally invasive with smaller incisions and quicker recovery

Pain relief with over-the-counter medication (acetaminophen or ibuprofen) may also be recommended. Always check with your provider, especially if breastfeeding.

Prevention Tips for New Moms

Not all postpartum hernias can be prevented, but you can lower your risk with:

• Core strengthening – safe postpartum exercises like bridges and pelvic tilts
• Proper lifting techniques – bend with your knees, not your waist, when picking up your baby or heavy items
• Healthy weight management – balanced diet with fruits, veggies, whole grains, and lean proteins
• Treat chronic cough or constipation – both increase abdominal pressure

Special Considerations

• Mental health – coping with a hernia on top of postpartum changes can add stress. Seek support if needed.
• Future pregnancies – hernias can recur or worsen. Talk with your doctor about timing and surgical repair if planning another pregnancy.

Conclusion

A postpartum hernia can add stress to an already challenging recovery period, but with proper diagnosis and treatment, most women recover well. If you notice a bulge, pain, or pressure in your abdomen after childbirth, don’t ignore it — early care makes a big difference.

At Hernia Innovations, our specialists provide compassionate care and advanced treatments to help new moms heal and return to daily life with confidence. Call us at (925) 940-1025 or book a consultation online today.