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RCOG World Congress 2025

June 23 - 25, 2025 | ExCeL London, UK

EP.2246

Clinical perspectives of negative pressure and manual massage on caesarean scar recovery

Part of Topic

Women's health & policies

Clinical perspectives of massage and negative pressure on caesarean section scar recovery

Year-on-year caesarean section rates worldwide are increasing. However, it is well established there is a lack of aftercare and advice given to caesarean mothers.

 

It is well documented that women experience scar pain after caesarean sections and that women with severe scar defects have higher risk of adhesion formation, dysmenorrhea, dyspareunia, and chronic pelvic pain. Scarring can cause other associated problems such as nerve pain and/or tight, red, raised and restrictive scars.

 

Caesarean scar massage has been shown to have several benefits including improving scar quality and reducing pain, decrease scar stiffness and improve scar quality. The ongoing results from our clinical questionnaire, show the positive outcomes of scar therapy intervention on a physical and psychological level; highlighting the need for scar therapy in post-surgical scarring. 

A clinical questionnaire was designed to assess current clinical scar therapy practice. 

We are aiming to recruit >100 participants  from professional governing bodies e.g. Chartered Society Of Physiotherapy, NHS, private sector Subject Matter Experts.


  • 86 responses by (9/6/25)

  • 29% stated that clients contact them for treatment at 7-12 weeks post c-section

  • 44% deliver between 4-6 sessions per client

  • 45% discharge clients after 2-3 months

  • 40% of participants state c-section scarring as the main scarring they treat

  • 31% use a mechanical pressure device in treatment

    • 100% of participants believe that scars can affect an individual on an emotional basis

    • 97% believe scar therapy can help with the psychological impacts of scarring



 

 

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