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C-Section Shelf (C-Section Pouch): Why It Happens and How to Fix the Lower Belly Bulge Why your stomach may still look pregnant after a C-section and what can be done about it Dr Varun Harish, FRACS Plastic Surgeon First published: Many women notice a persistent lower abdominal bulge, pouch, or shelf after a C-section that does not improve with time, exercise, or weight loss