Umbilical Hernia After Pregnancy

Welcoming your baby to this amazing world and cradling him in your arms is one of the most overwhelming feelings a woman can experience. Now that you have become a mother and your little one is out, you must be relieved mentally, but your body may not be completely alright. You may feel pain because of several reasons, even after your baby is born. One of the reasons for post-delivery pains is a hernia which is also known as a postpartum hernia. A hernia can occur anywhere in the body, for example, the thighs, lower abdomen or groin area. But, if it becomes extremely painful, you need to seek medical attention right away.

What Is an Umbilical Hernia?

An umbilical hernia is when the belly button protrudes outwards post-delivery. It may feel soft and tender to touch, and you may also be able to push it in sometimes. The most common symptom of an umbilical hernia is experiencing strain on the lower abdomen while sneezing and coughing continuously, or even while lifting heavyweights. Along with experiencing strain, protrusion also becomes prominent.

Causes of Post Delivery Umbilical Hernia

An umbilical hernia is caused due to the excessive pressure built-up in the abdomen and pelvic area. A few babies have a pre-existing defect in the umbilical region, which becomes apparent when they grow up and become pregnant themselves leading to umbilical hernia. This condition could also be due to weak abdominal muscles or due to increased abdominal pressure. The major causes of an umbilical hernia are:

• More than one pregnancy: If you have had twins or conceived for two or three times with less time gap in between then your muscles tend to weaken, which also triggers the risk of a hernia.
• Overweight: If you are overweight, the chances of getting an umbilical hernia is more, as it weakens the elasticity of your abdominal muscles.
• Long hours of labour: A prolonged labour del­ivery can also lead to an umbilical hernia, as it strains and stretches the abdominal muscles.
• Weak core muscles: If your core muscles are not strong enough, then it might lead to an umbilical hernia. The core muscles support your spine, waist, lower back, and abdomen. So, it is important that these muscles are strong enough to support the body.
• Accumulation of fluid in the abdominal cavity: Accumulation of fluids in the layers of the abdominal wall and abdominal organs may also lead to an umbilical hernia.
• Excessive strain: Straining due to prolonged coughing, lifting heavy weights, or sneezing continuously can also increase the risk of an umbilical hernia.
• Abdominal Surgery: Previously undergone abdominal surgeries may also lead to umbilical hernia.
• Genetic Predisposition: Individuals with a family history of umbilical hernias may have a genetic predisposition, making them more susceptible to developing a hernia after childbirth.
• Poor Nutrition: Inadequate intake of essential nutrients and vitamins during pregnancy and post-delivery can contribute to weakened abdominal muscles, increasing the likelihood of an umbilical hernia.

Symptoms of Postpartum Umbilical Hernia

Following are the symptoms of an umbilical hernia that you may witness:

• Mild pain and swelling in your lower abdomen. The pain and burning sensation will increase when you are lifting heavy weights, coughing, sneezing or during bowel movements. In the case of a strangulated hernia, which causes rigidness and severe pain in the abdomen, you need to get medical treatment immediately.
• You may see visible skin symptoms as a hernia develops after C-section delivery around your abdomen. This type of hernia is called an incisional hernia. The skin on your belly button becomes loose and bulges out. A hernia restricts your blood flow to the intestines, which causes the skin around the affected area to become reddish blue.
• You may also experience nausea and vomiting when you are affected by a hernia.
• Two of the most severe umbilical hernia after pregnancy symptoms – constipation and the presence of blood during bowel movements may indicate a medical emergency, necessitating prompt medical intervention.

Treatment for Post Pregnancy Umbilical Hernia

A post-pregnancy umbilical hernia can be treated effectively by surgical means. Some doctors, however, may also suggest non-surgery treatments, which basically include exercising and correcting the posture. Let’s find out which of these umbilical hernia after pregnancy treatment options can provide relief from the condition.

1. Surgical Treatment

Surgical treatment will effectively strengthen the weakened muscles of the abdomen and push the tissues back to its place through open surgery. You may also opt for laparoscopic surgery which is less painful and more effective with minimum recovery time. The chances of re-appearance of a hernia are also less in this case. But it is highly recommended that in case your hernia is not severe then you perform physical exercises like yoga to strengthen your core muscles.

2. Non-surgical treatment

The chances of reduction of umbilical hernia are very low by the non-surgical method. However, some doctors may recommend regular exercising like yoga, aerobics, and stretching instead of surgery. Exercising generally strengthens the weaker muscles and could help ease the protrusion back to normal. Performing exercises that do not put excessive pressure on your abdomen and pelvic muscles could give better results. Thus, one may go for breathing exercises, yoga, stretching, cycling, and meditation. Along with regular exercises, maintaining a correct posture is also equally important. You need to be acquainted with how your body functions and come up with stress-relieving techniques. Also, you must refrain from wearing high heels when you are diagnosed with an umbilical hernia as it puts a strain on the lower abdominal muscles. Standing straight, sitting in an upright posture can also help you correct your posture.

Exercises for Minor Umbilical Hernia After Pregnancy

After pregnancy, some women may experience minor umbilical hernias, and incorporating targeted exercises into their routine can be beneficial in managing the condition. It’s essential to consult with a healthcare professional before starting any exercise regimen to ensure it is suitable for individual cases. The following exercises, when done correctly and under supervision, may help strengthen the abdominal muscles and alleviate symptoms associated with minor umbilical hernias.

1. Pelvic Tilts

Start by lying on your back with your knees bent and feet flat on the floor. Tighten your abdominal muscles and gently lift your pelvis off the ground, creating a slight tilt. Hold for a few seconds and then lower your pelvis back down. Repeat this movement, gradually increasing the number of repetitions as your strength improves. Pelvic tilts engage the core muscles without putting excessive strain on the abdominal area.

2. Transverse Abdominis Activation

Lie on your back with your knees bent and feet flat on the floor. Place your hands on your lower abdomen. Inhale deeply, allowing your abdomen to rise, and then exhale completely, pulling your navel toward your spine. Hold this position for a few seconds before releasing. This exercise targets the transverse abdominis, which is crucial for core stability and can be performed with minimal strain on the umbilical hernia.

Things You Should Avoid

When managing an umbilical hernia after pregnancy, certain precautions can significantly contribute to a smoother recovery. Understanding what to avoid is crucial in preventing potential exacerbation of symptoms and ensuring a conducive healing environment. Here’s a closer look at the key factors to avoid for a more comfortable and effective recuperation.

• Avoid lifting heavy objects, as it can strain the abdominal muscles and exacerbate the symptoms of an umbilical hernia.
• Refrain from performing intense abdominal exercises or those that put excessive pressure on the midsection, such as crunches or sit-ups, as they can worsen the hernia.
• Practice proper lifting techniques, ensuring you bend at the knees and not at the waist to minimize strain on the abdominal area.
• Do not ignore any signs or symptoms of an umbilical hernia, such as pain, discomfort, or a noticeable bulge. Promptly consult with a healthcare professional for proper diagnosis and guidance.
• Avoid straining during bowel movements by maintaining a diet high in fiber and staying adequately hydrated to prevent constipation.
• Opt for loose-fitting clothing to avoid unnecessary pressure on the abdominal region, which can aggravate the hernia.
• If you suspect or have been diagnosed with an umbilical hernia, do not skip medical consultations. Seeking professional advice is crucial for appropriate management and guidance tailored to your specific condition.

What If Umbilical Hernia Is Not Treated After Childbirth?

You need to be acquainted with the severity of your hernia. If it is very slight and does not cause much discomfort, then it can be left untreated, but regular exercising is a must. However, if you suffer from a severe hernia, then you require immediate medical attention as it can cause serious effects like uncontrollable abdominal pain, and less blood supply to your intestines. Hence, it is advisable to have an open discussion with the doctor before pursuing any kind of treatment or exercises.

FAQs

1. Can an Umbilical Hernia Go Away on Its Own After Pregnancy?

In some cases, small umbilical hernias may resolve on their own after pregnancy, especially if the abdominal muscles regain strength. However, it’s essential to consult with a healthcare professional for proper evaluation and guidance.

2. Does Postpartum Umbilical Hernia Make Your Stomach Big?

A postnatal umbilical hernia can cause a visible bulge or swelling around the belly button, potentially making the stomach appear larger. This is due to the protrusion of abdominal tissue through the weakened area. However, the severity varies among individuals.

3. What Should You Avoid Eating If You Have an Umbilical Hernia After Pregnancy?

While there’s no specific diet for umbilical hernia, individuals should avoid foods that contribute to constipation, as straining during bowel movements can worsen hernia symptoms. This may include reducing the intake of low-fiber and processed foods and increasing the consumption of fiber-rich fruits, vegetables, and whole grains. However, it’s crucial to consult with a healthcare professional for personalized dietary advice.

An umbilical hernia after childbirth is a serious medical condition with dangerous effects if left untreated. So you need to consult your doctor even if you do not experience severe pain or discomfort. Prevention of a postpartum belly button hernia is always better than cure. Regular exercising post-delivery, and getting back into the correct posture is necessary to keep your body healthy, and fit.

References/Resources:

1. Umbilical Hernia; Johns Hopkins Medicine; https://www.hopkinsmedicine.org/health/conditions-and-diseases/hernias/umbilical-hernia

2. Umbilical Hernia; Cleveland Clinic; https://my.clevelandclinic.org/health/diseases/umbilical-hernia

3. Treating Postpartum Hernia: What New Mothers Should Know; Michigan Medicine; https://www.michiganmedicine.org/health-lab/treating-postpartum-hernia-what-new-mothers-should-know

4. Livingston. E; What Is an Abdominal Wall Hernia?; JAMA Network; https://jamanetwork.com/journals/jama/fullarticle/2569785

5. Maia. R, Salgaonkar. H, Lomanto. D, Loo. L; Umbilical hernia: when and how; Annals of Laparoscopic and Endoscopic Surgery; https://ales.amegroups.org/article/view/5123/html; April 2019

6. Coste. A, Jaafar. S, Parmely. J; Umbilical Hernia; National Library of Medicine; https://www.ncbi.nlm.nih.gov/books/NBK459312/

7. Kulaçoğlu. H; Current options in umbilical hernia repair in adult patients (Turkish Journal of Surgery); National Library of Medicine; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4605112/; September 2015

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Postpartum Oedema
Anemia after Delivery
Joint Pain after Pregnancy
Stomach Pain After Delivery
Hernia After C Section Delivery