I work in a tertiary referral hospital. Our women receive Oxycontin 10mg bd (a long acting opiod tablet) as well as panadol 1g qid, voltaren 50mg tds and prn Endone q4h. Sometimes pr voltaren is given in recovery. Most women opt for spinals which also seems to reduce post-op pain and recovery time compared to GA. Our anaesthetists have moved away from PCA morphine or fentanyl. The above cocktail works well and if there is still pain, the Oxycontin can be increased to 20mg bd. Unfortunately Voltaren (and other antiinflammatories) cannot be given to anyone who is on antihypertensives such in the case of women with PET as it is contraindicated. The other benefit of oral meds compared to PCA is the time factor and the amount of time a woman is disturbed overnight with constant obs (2/24) which doesn't help the sleep deprivation factor of a new mum.
Nicole -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Cheryl LHK Sent: Wednesday, 2 March 2005 09:24 To: [email protected] Subject: [ozmidwifery] Analgesia post LUSCS Not exactly natural birth I know, but can you give me some ideas of what your doctors/obst's order for analgesia days1-2 post LUSCS? Small hospital, and each doctor tends to have his own ideas, and sometimes we end up with all kinds of concoctions!! It doesn't make me very happy when I come onto night-duty, find women teary, in pain with nothing more than Panadol some days! But I'm the first to admit that since I haven't a a LUSCS (three NVB's) I tend to keep up the pain relief because I think it must be very, VERY painful having major abdo surgery then up and learning about a baby as well. Is the LUSCS recovery period any more or less painful than other abdo surgery? Thanks in advance. Cheryl -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
