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Maternity care after a caesarean section: what's different?

11-09-2026 — Kraamplein

Hospital admission counts toward your hours

With a caesarean section, you usually stay in hospital for a number of days. The hours you spend there count toward the total number of indicated maternity care hours (see How many hours of maternity care do you get? for how that indication is determined) — the longer you stay in hospital, the fewer hours in principle remain for at home. That might feel counterintuitive at first (after all, you need more recovery time), but the hours in hospital already count as care provided.

Extra hours: not an automatic right, but negotiable

There's no fixed, automatic number of extra hours you get "because it was a caesarean section" — every situation is assessed individually. If you come home within ten days of the birth, you can discuss with your maternity care organisation and midwife whether extra hours can be indicated, if medically necessary. So raise this actively, rather than waiting for the offer to come by itself.

Physical recovery often takes longer

Recovering from a caesarean section is a bigger procedure than an uncomplicated vaginal birth and usually needs more time — think weeks to months before you feel fully fit again, sometimes with the abdominal muscles and scar taking even longer to fully heal. In practice that means:

  • Being less able to lift and bend yourself in the first weeks — your maternity carer can pay extra attention to this when giving instructions.
  • More attention to the wound — besides the usual checks, the maternity carer pays extra attention to the scar and signs of a possible infection.
  • More need for help with everyday things like getting out of bed or walking to the toilet, especially in the first days.

What the maternity carer does extra

Besides the usual tasks (see A day in the maternity week), after a caesarean section the maternity carer specifically takes your more limited mobility into account: she helps more actively with lifting and carrying, and keeps an eye on whether the wound is healing as expected.

In short

  • Hospital days after a caesarean section count toward your total maternity care hours — the longer there, the fewer hours in principle remain for at home.
  • Extra hours aren't an automatic right, but are negotiable with your maternity care organisation and midwife.
  • Physical recovery often takes longer than after a vaginal birth.
  • The maternity carer takes this into account: more help with lifting and moving, extra attention to the wound.

Also read Maternity care and your insurance policy: what to check before the baby arrives?

This article is general and informational and may be out of date or incomplete. It is not medical or personal advice; for your situation, what your midwife, GP or maternity care provider says applies. You cannot derive any rights from the content, and Kraamplein accepts no liability for damage arising from its use.

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