A quick note: I wrote this a while ago and have just now gotten around to posting!
With the countdown now less than 60 days until my third c-section, everything is starting to feel very real. I’ve finally typed the date into our shared family calendar. I’ve started mentally mapping out childcare logistics and oh boy, I’m getting nervous. It’s finally hitting me that we’re going to be back in the newborn stage soon.
Even though this will be my third c-section and my second scheduled one, it’s still a pretty big deal. Major abdominal surgery is major abdominal surgery, no matter how many times you’ve done it. And knowing what will come is both a blessing and a burden. On one hand, I feel like something of an expert on the recovery and returning to regular activity. On the other hand, I know exactly what’s ahead.
I do want to quickly say to any mom who might be having mixed feelings about a scheduled or repeat c-section: everything you’re feeling is completely valid. You can feel sadness and gratitude at the same time. You can feel like your body failed you or that you did not give birth “in the right way”. Overtime, I’ve come to love my c-section scars that gave me my babies. But it’s been a journey and I’m still processing my own experience. Give yourself permission to feel all of it.
Also: my birth is not your birth. Please don’t let someone else’s story (especially the dramatic 12-stitches tear birth story) cloud your experience before it’s even happened. Sometimes the most dramatic stories can be the loudest ones.
I come from a very strong science background (Master’s of Science degree and years in clinical research), and I’ve had two previous c-sections. Here’s exactly what I’m doing – physically, practically, and mentally – to give myself the best shot at a smooth surgery, a straightforward recovery, and a relatively sane transition from two kids to three.
Part One: Getting My Body Ready
Why physical prep matters more for a repeat c-section
Physical fitness going into any surgery matters — but for a repeat c-section specifically, each subsequent surgery involves cutting through scar tissue from previous ones, which can make the procedure longer and recovery more complex. Going in as strong as possible gives your body the best foundation to heal from. This is the basis for everything I’ve been doing in my third trimester: training for surgery and recovery, not performance.
I want to acknowledge that being pregnant and trying to stay strong is genuinely hard. I love pushing myself in the gym. I love feeling athletic and capable. Pregnancy has humbled me in every way — I’m weaker, I’ve gained weight (a good thing!), I get winded easily, and my recovery from any workout is significantly slower. Reframing what movement means right now has been huge: it’s not about performance. It’s about preparation.
Posture
Posture becomes critically important in the third trimester as your centre of gravity shifts forward with your growing bump. Poor posture heading into surgery can contribute to back pain during recovery and make it harder to move comfortably in those early post-op days. I’m consciously working on keeping my shoulders back, my ribcage stacked over my pelvis, and not letting my lower back overarch. Simple daily habit: every time I sit down at my desk, I do a quick posture check. Two seconds, real difference.
The big muscles: glutes, back, and core
These three muscle groups are the most impacted by pregnancy and c-section recovery, and the ones I know from personal experience I need most in the postpartum period.
Glutes: Strong glutes support your pelvis, reduce lower back strain, and are essential for the functional movements of early postpartum life — getting in and out of bed, climbing stairs, picking things up from the floor. After a c-section, you won’t be able to engage your core normally, so your glutes become even more important as a primary stabilizer.
Back: Carrying a baby, nursing, and the awkward sleeping positions of late pregnancy all take a toll on your upper and lower back. Building back strength now means you’re heading into the postpartum period with more resilience.
Core (specifically deep core and pelvic floor): Even though you’re having a c-section and not a vaginal birth, your pelvic floor is still under significant pressure from carrying a pregnancy. And your deep core — the transverse abdominis — is the muscle that will be cut and repaired during surgery. Activating and strengthening it before surgery, through breath work and gentle core engagement, has been shown to support faster recovery afterward. I’ve been trialing the Bloom Method for this and finding it really helpful for cues on engaging my deep core without creating intra-abdominal pressure.
Daily movement and nutrition
I’m keeping my workouts to 20–30 minutes, focusing on consistency over intensity. Right now, I’m doing a mix of bodyweight work, light strength training, Pilates-inspired movements, and a weekly swimming session that I’ve completely fallen in love with. (Haven’t read my swimming post yet? Check it out here!)
On the nutrition side, I’m being as specific as I can because I find most c-section prep content glosses over it. Iron matters significantly going into surgery due to blood loss — I’m taking my supplement consistently paired with vitamin C for absorption, and prioritizing iron-rich foods. Protein at every meal supports muscle maintenance and gives my body the building blocks for tissue repair. Hydration — dehydration heading into surgery can affect anaesthesia and recovery. I keep a large water bottle on me at all times and add electrolytes when I have them.
What I’m not stressing about:
The weight gain and the muscle loss. I have the rest of my life to address both, and I know from experience that I came back stronger after my second c-section than I was before my first pregnancy. Right now, my only job is to prepare as well as I can for what’s ahead.
Part 2: Getting My Life Ready
Logistics and childcare
The best thing about a scheduled c-section is that you know the date. That makes logistics infinitely more manageable when you have other children depending on you. I’ve coordinated childcare for my two toddlers for the day of surgery and the days following, with my parents staying nearby to help. If you have older kids, get this locked in as early as possible — it is one of the biggest sources of mental load in the final weeks.
Preparing my toddlers
This has been one of the most intentional parts of my prep. A few things that are working:
Framing the baby as “their” baby. We talk about “our baby” constantly. My toddlers touch my belly, talk to the baby, and we’ve made sure to frame it as something exciting that’s happening for them.
Talking about mommy’s “boo-boo.” I’ve explained in simple terms that mommy will have a boo-boo on her tummy and won’t be able to pick them up for a while. We’ve been practicing walking and holding hands instead, which my youngest has surprisingly embraced during her current independent phase.
More daddy time. I’ve intentionally organized more one-on-one time between my husband and our daughter so she’s comfortable with him as her primary caregiver during my early recovery.
After my second c-section, not being able to lift my firstborn was genuinely one of the hardest parts emotionally. I want to set everyone up better this time.
Setting up for recovery at home
Before I leave for the hospital, I’m setting up my bedroom so I can roll out of bed with minimal core engagement — extra pillows for an inclined sleeping position, a clear path to the bathroom, and everything I need within arm’s reach. I’m also creating supply stations beside the bed and on the couch so I’m not walking to another room for anything in week one. Small setup, enormous difference.
Since I’m taking more time off work before my due date this time, I’m also planning to batch cook and freeze meals while my toddlers are at daycare — simple, nutritious, high in iron and protein, re-heatable.
For the hospital bag, check out my post on my minimalist hospital bag checklist for Ontario moms including a c-section specific section — link here. Short version: you need less than you think.
What I’m not stressing about
Leaving my kids for the hospital stay. After my second c-section I was so anxious to get home to my son that I pushed to leave early — and ended up back in the ER ten hours later with trapped air from the surgery pressing on my diaphragm, struggling to breathe. Talks of emergency surgery with a brand new newborn in my arms is not something I’m in a hurry to repeat. This time I’m staying as long as the hospital will have me. My kids love their grandparents. They will be okay.
Part Three: Getting Myself Mentally Prepared
The strange anxiety of knowing exactly what’s coming
I want to name something undertalked about in the repeat c-section community: the anxiety of knowing. With a first c-section, you’re scared of the unknown. With a repeat, you’re scared of the known. You remember the shaking on the operating table, your arms being strapped down, the pressure and the pulling, the first time you tried to sit up afterward. That is a different kind of anxiety and it deserves to be acknowledged.
Visualization
I’ve been using visualization the way an athlete would before a big competition — closing my eyes and walking through the surgery: the spinal, the pressure, the moment I hear the baby cry. I picture a smooth procedure, a calm operating room, a healthy baby, a recovery that goes as planned. Research on surgical outcomes consistently shows that mental preparation and positive visualization are associated with better recovery experiences. This is not woo — it is evidence-based practice.
Journaling prompts that are actually helping me
- What am I most afraid of, specifically? Is the fear based on something that actually happened before, or is it anticipatory?
- What went well in my previous recovery that I want to repeat?
- What do I wish I’d done differently that I can change this time?
- What does a “good” fourth trimester look like for me and my family?
- What if the best-case scenario happens instead of the worst. What would that look like for me?
- What am I most looking forward to in the hospital? What do I most want to remember about this time?
Leaning on my support system
My parents being nearby after the surgery is something I don’t take for granted. If you have people who have offered to help — let them. Give them specific jobs: a meal, a toddler pickup, a grocery run. People want to help and they do it better when you tell them how.
I’ve also intentionally bought comfortable, high-waisted recovery clothing I actually like (Athleta has been my go-to for cute leisure clothes, but Amazon has been great for cheap finds like these shorts and these tank tops). After my second c-section I wore whatever was around and felt frumpy for weeks. This time I have soft, stretchy pieces that sit above my incision and make me feel like a person rather than a patient. It sounds small. It isn’t.
What I Wish I’d Known Before My Second C-Section
- The scar will likely look the same as your first after it heals — don’t panic in the early weeks
- Sensation loss is common and often temporary — give it a full year before drawing conclusions
- The “misshapen” stomach look in early recovery is swelling — it resolves
- Trapped gas pain can radiate to your shoulder and feel terrifying. Chew gum, walk laps around the ward, and it will pass. Knowing it might happen makes it significantly less scary.
- There is no gold star for going home early from the hospital. Stay as long as they’ll have you.
- You will come out the other side stronger than you went in — I genuinely believe that, because it happened to me
How I’m Feeling: Ready (Mostly)
I’m somewhere between excited and wistful, and I’m letting myself be both.
This is my last pregnancy. I’ve been either pregnant or with a baby since 2021 and there’s something bittersweet about closing that chapter. But there’s also something beautiful about going into it with experience — knowing that the fears I have now will be a memory in a year, that the baby phase moves faster than you can believe, and that the snuggles in those first few weeks are unlike anything else in the world.
I’m ready to meet this baby. I’m ready to see my toddlers become big siblings. And I’m as prepared as I know how to be. 💛
This post is based on my personal experience and research background — it is not medical advice. Always consult your OB, midwife, or healthcare provider about your specific situation.
Related posts: [Ontario Hospital Bag Checklist] | [My Prenatal Swimming Obsession] | [The Living Room Workout I Do With Toddlers Around]