Perception and satisfaction with the scar in women undergoing cesarean section: Descriptive study

Perception of the post-cesarean scar

Abstract

Background: The high rate of cesarean sections has contributed to an increase in the number of women with abdominal scars, which may impact physical, esthetic, and psychosocial aspects. However, perceptions and satisfaction with the scar remain underexplored in the literature. Objective: To describe women's perceptions of and satisfaction with their scars after cesarean section. Methods: This descriptive, observational, cross-sectional study used a quantitative approach and included 24 women aged 18 to 55 years who had undergone cesarean section at least six months earlier. Data were collected between March and August 2024 through a structured interview and the Patient Scar Assessment Questionnaire (PSAQ-BR), which assesses scar appearance, symptoms, perception, and satisfaction. Data were analyzed using descriptive statistics. Results: Participants reported an overall positive perception of the scar, with greater impact in the appearance and satisfaction-with-appearance domains. Most participants reported low symptom frequency and intensity, with numbness as the most relevant symptom. Regarding esthetic aspects, color, length, and texture were the main factors associated with dissatisfaction. Although 62.5% of women were satisfied with the scar's appearance, 37.5% reported some dissatisfaction. Most participants reported no discomfort and minimal impact on social life, though individual experiences varied. Conclusions: Cesarean section scars affect women’s perception and satisfaction, particularly regarding esthetic aspects. Although physical symptoms are generally mild, scar appearance plays a central role in body image, reinforcing the importance of a clinical approach that considers physical, esthetic, and psychosocial dimensions in postpartum care.