Re: [ozmidwifery] Analgesia post LUSCS

Sat, 05 Mar 2005 17:30:51 -0800

I don't think you are a wuss Sue. Looking back 32 yrs I still remember taking heaps of analgesia.
Cheers
Judy

Susan Cudlipp <[EMAIL PROTECTED]> wrote:
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
----- Original Message -----
Sent: Thursday, March 03, 2005 7:41 AM
Subject: Re: [ozmidwifery] Analgesia post LUSCS

Nope. Definately overweight here. I wonder whether labouring helps: my memory is of the labour pain not the c-s pain! Perhaps if you have laboured long and hard the c-s pain doesn't seem so hige? Or maybe it's just different people manage pain differently!
 
Kate
----- Original Message -----
Sent: Wednesday, March 02, 2005 9:29 PM
Subject: Re: [ozmidwifery] Analgesia post LUSCS

My girlfriend found after her caesarean that she didn't need any pain relief but  also like you was hassled so much by staff she ended up having some. I havealways wondered if the size of a woman makes a difference to her pain. My friend is particularly skinny.
 
----- Original Message -----
Sent: Thursday, March 03, 2005 6:49 AM
Subject: Re: [ozmidwifery] Analgesia post LUSCS

As someone said, with any pain it varies between people. I had a LSCS and needed no pain relief within 24 hours. Once I was out of bed, I refused all. Not because I had an issue with analgesia, but because I didn't need it. Pain relief was pushed so hard I finally gave up and took some to get them to stop hassling me - and I told them that was why I was taking it. They were happy with that!
 
Personally, I had more pain and longer recovery from 3rd degree tear in the VBAC than recoving from the c-s!
 
But every woman, and every c-s is different!
 
Kate
3.

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