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Slightly tongue-in-cheek here but I have also
observed that women who are smokers tend to require less pain relief as they
seem very keen to get out of bed and go for their first smoke post birth - by
C/S or otherwise!! It certainly seems to be an incentive for them to get
up and moving.
But seriously, we use PCA (for general
anaesthetic) or PCEA (when the woman has had epidural anaesthetic) for
24-48 hours which usually works very well. Then they move on to a range of
alternatives depending upon the prescribing doctor and their level of
need. We can usually offer anything from panadol to pethidine, often also
giving 12 hourly naprosyn of voltaren suppositories for maintenance of good
basic pain control. I do encourage regular analgesia - small and often
works better than leaving it too long and then having something "heavy" I
still remember being kept waiting for pain relief too long after my C/S 20 years
ago and how long it took to take effect once I finally got
it!
Certainly pain relief post C/S or any surgery is
much better these days, which is probably one reason why women think it is the
"easy way" to have a baby - they hear from their friends how little pain was
involved post operatively and think that makes it a better option.....:-(
I needed regular panadol for 2-3 weeks personally....maybe I'm just a
wuss??
Didn't require anything for my 2nd VBAC at all -
labour or afterwards.
Sue
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