11/21/2025
A C-section isn’t a simple surgery. They cut through about 6-7 layers of tissue: skin, fat, fascia (connective tissue over the muscles), separation of the abdominal muscles, the peritoneum, and then the uterus itself (including the myometrium and often the endometrial lining). If the uterine lining is stitched into the scar, it can increase the risk of adhesions, niche defects (isthmoceles), chronic pelvic pain, abnormal bleeding, endometriosis, and secondary infertility. Because this is deep, layered trauma, the healing process is more complex than most people are told.
Supporting proper healing after a C-section is so important and often overlooked. Mercier Therapy is a form of deep pelvic visceral manipulation that helps release adhesions, restore healthy movement of the reproductive organs, and improve blood and lymphatic flow to the area helping restore function and fertility.
AJOG Expert Review: Uterine closure after cesarean delivery: surgical principles, biological rationale, and clinical implications - First layer for approximation of the endometrium
(A) The suture starts at one end of the hysterotomy with closely spaced, parallel stitches along the endomyometrial junction. Applying gentle tension prevents tearing or strangulation of the tissue. (B) If the tissue appears fragile, a slightly oblique needle angle can be used to incorporate more myometrial fibres and ensure secure approximation. https://ow.ly/Z0iq50Xt5Jv
