Spinal morph can result in the awful itchies and nausea.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Andrea Quanchi
Sent: Saturday, 25 June 2005 10:04 AM
To: [email protected]
Subject: Re: [ozmidwifery] post LUSCS analgesia


Get your anaesthetists to look into the spinal morph becauses it does 
make a huge difference and seems to have no effect on the babies at 
all. I would say that it has no effect but dont actually know that for 
sure whether it crosses the barrier whereas oral oxycontin would cross 
into the breast milk.  . Our guys put 1 mg into the spinal after the 
local,
Andrea
On 24/06/2005, at 7:20 PM, Nicole Carver wrote:

> I forgot to say that the oxycontin 5mg 2-4hrly is prn. There is a wide 
> variation amongst our patients, as to how much of the prn oxycontin is 
> given. Some manage without any at all, but most have several doses on 
> the first day, and a couple on the second.
>
> However, reading the other responses, it does sound like a lot. 
> Perhaps depends what was used in the spinal in theatre. We don't use 
> morphine in theatre, so that may be the difference.
> We used to use Prolodone supps which we found very effective, but they 
> were replaced by the new regime.
>
> Nicole.
>
>
> -----Original Message-----
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] Behalf Of Ken WArd
> Sent: Friday, June 24, 2005 7:02 PM
> To: [email protected]
> Subject: RE: [ozmidwifery] post LUSCS analgesia
>
>
> seems like a lot. Coming from a unit where im analgesic was heavily 
> used, I was greatly impressed with the voltaren/panadol regime. The 
> women are up and about so much quicker, more alert and caring for 
> their babies sooner.  Maureen
>
> -----Original Message-----
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] Behalf Of Nicole Carver
> Sent: Thursday, 23 June 2005 10:23 PM
> To: [email protected]
> Subject: RE: [ozmidwifery] post LUSCS analgesia
>
>
> Hi Sally,
> We use Oxycontin 10mg-20mg sustained release BD, Oxycontin 5mg-10mg 
> 2-4 hrly, Diclofenac 50mg 8 hrly and Paracetamol 6hrly. After fourty 
> eight hours we cease the oxycontin and commence Panadeine Forte in 
> place of the Paracetamol. However, we have to watch out for 
> constipation. Otherwise it seems to be a good regime.
> Nicole Carver.
>
> -----Original Message-----
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED] Behalf Of sally 
> williams
> Sent: Wednesday, June 22, 2005 5:52 PM
> To: [email protected]
> Subject: [ozmidwifery] post LUSCS analgesia
>
>
> Was wondering what other units use as a pain relief regime for women 
> that
> have had LUSCS. There is much angst in our unit at present, with 
> midwives
> coming from lots of different hospitals used to different regimes. I 
> am in
> the process of initiating a pathway for this so that we can adopt a 
> regime
> that everyone is comfortable with and then putting it to the docs,
> references and all.
>
> Thanks in advance
>
> Sally
>
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