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How to deal with low blood pressure after C-section?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I had a C-section a week ago and got out of surgery with low blood pressure and kept it low for a few days. Now, after getting out of the hospital, I still feel the same pressure on my chest.

Also, I feel a horrible pounding headache. It is so hard and I feel the heartbeats vividly. I am scared. Please advise. My pulse rate is between 48 and 50 beats per minute. I am on Cephalexin 500.

Thank you.

Answered by Dr. Rishu Sharma

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

As said by you, a cesarean section was done for you a week ago and during the operation, your BP was on the lower side. I would like to tell you that the amount and volume of blood in a mother increases significantly during pregnancy to support the nutritional needs of the fetus inside her womb. During the period of nine months, the body of the mother gets accustomed to these latest changes.

During C-section and delivery of the baby, a significant amount of blood is lost. The body after nine months of high volume of the blood again within a few hours is left with the normal volume of blood as some blood is lost during surgery. So, the body will again synthesize blood and will adapt to the new situation. And, to make all parameters normal it will take about two to three week's time.

You were taken out of the operation theater in a low BP state. This means that the condition (low pressure and pulse) is related somewhere to the delivery events only. Try to drink as much fluid as you can. Please get your hemoglobin level checked so that in case it has dropped significantly it can be treated.

As of now pressure in the chest, low pulse, headache, and palpitations (feeling your heartbeat) all point more toward anemia. As of now, I would advise you to complete bed rest for two weeks. Keep a regular record of your blood pressure and pulse. Take as much fluid as possible and eat a nourishing diet. Get a hemogram, TLC (total leukocyte count), and an ECG done. In case anemia is seen, then we can start iron therapy. Do not worry too much unless you feel dizzy or unconscious like feeling. These symptoms will go away as the body settles down to the new changes.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

The Probable causes

The probable cause is loss of blood during C-section.

Investigations to be done

Do ECG (electrocardiogram) to check if the heartbeat is normal and hemogram.

Regarding follow up

Revert back with the report to a cardiologist.
Medically reviewed by Dr. K. Shobana
Published At December 4, 2016
Reviewed At May 12, 2026

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

This doctor is not available for online consultations on the platform anymore.

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