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Feminism: Sex and gender discussions

Asked to provide own painkillers!

163 replies

Insertdeadcatsnamehere · 03/11/2020 15:45

I've got an elective ceasarean booked in a couple of weeks. Have just had the consent form and info through and I've been asked to provide my own painkillers (for on the recovery ward afterwards, I'm still, possibly naively, assuming they'll provide the actual anaesthetic). Absolutely speechless! Just wondering whether anyone has had any comparable (but not female- specific) surgery and has been asked this? Apparently if I forget to bring my paracetamol and ibruprofen I can toddle down to the onsite pharmacy a couple of hours after my major abdominal surgery and purchase some. So that's helpful. No word on whether they'd sell me anything stronger...

OP posts:
QueenPaws · 03/11/2020 18:17

I had spinal surgery and actually took my own paracetamol/ibuprofen after what I've read on here!! Grin have been on here too long and read stuff about pain relief in hospital so made sure I had it with me
Wasn't given anything else, had a couple of my own paracetamol

LoeliaPonsonby · 03/11/2020 18:16

This happened to me after an emergency section - DH kicked up a fuss otherwise I was somehow supposed to get an appointment at my GP, get there and ask for a prescription all whilst recovering and with a newborn. Bet it doesn’t happen to men after abdominal surgery.

rottiemum88 · 03/11/2020 18:15

I'm pretty shocked by this. Had DS almost two years ago (also in a large northern hospital) and was discharged with 10 days worth of dihydrocodeine after my EMCS. I definitely needed them for the first few days too, no way paracetamol or ibuprofen would have been enough.

wellthatsunusual · 03/11/2020 18:14

In fact you should be up and about ASAP.

Definitely, but refusing pain relief is part of what stops people being up and about, so it doesn't even make sense from a safety point of view.

EatTheHamTina · 03/11/2020 18:13

@Whatsnewpussyhat

In the supermarket a paracetamol tablet is about 1p per tablet. On the NHS it's 3p per tablet

Why can't the NHS get them as cheap as supermarkets?

I got told off by the hospital midwife for taking my own paracetamol post birth because they needed to keep notes of any meds taken incase anything happened and they unknowingly exceded dosages.

Not sure 🤷🏻‍♀️
LunaTheCat · 03/11/2020 18:12

No problems OP - just you tube how to do an epidural . You will be fine. Go down to the local dodgy drug dealer and score yourself some morphine.
You will be fine looking after this new tiny human being and yourself.
Sorry to be fascicious but that is ridiculous!
💐

ShowOfHands · 03/11/2020 18:10

@ArabellaScott

Liquid morphine?! Feeling a bit like I was robbed, now!. And yes we were made to get up and get our own breakfast the morning after.
Nothing wrong with getting your own breakfast the next day. In fact you should be up and about ASAP. I had my first emcs at 10pm and went home at 10am the next morning! Of course if you've got uncontrolled pain or complications, it's different but getting your own breakfast the day after a Cs is not a bad thing automatically. I was up, showered and wandering around within 3hrs of both of mine.

We provided the pain relief for my Dad's hip replacement last year. Good job as the ward rounds were constantly delayed. They prescribed anything needed on top of OTC medication.

TikTakTikTak · 03/11/2020 18:07

It is shit to have to provide your own and ridiculous.

If it helps you, my experiences are one EMCS I was fine with only paracetamol and ibuprofen until I got an infection, I had to nag for a dose of oramorph but I did get it and felt fine after the actual infection was dealt with.
With my ELCS I was fine with only paracetamol and ibuprofen after surgery.

Maybe you'll have to provide the scalpel as well...?

BuggerBognor · 03/11/2020 18:05

This reply has been withdrawn

Message from MNHQ: This post has been withdrawn

DryHeave · 03/11/2020 18:02

When I gave birth, baby went to NICU and I missed all the drug rounds. They were horrified I’d been taking paracetamol but only offered codeine.

When I had a much more minor outpatient surgery recently I had fentanyl, oramorph, and was sent home with dihydrocodeine. I also had a proper check up post op, when my post birth checks were woeful and left me with an infected episiotomy (despite following every instruction to the letter).

Veterinari · 03/11/2020 18:02

@feelingverylazytoday

Think this happens quite a lot now, presumably as a cost cutting issue. I don't really see what the problem is, or why it's a feminist issue?
Which major abdominal surgeries for men routinely require patients to provide their own analgesia @feelingverylazytoday ?
wellthatsunusual · 03/11/2020 17:57

Incidentally, it wasn't the doctors who refused pain relief, they were happy to prescribe it. It was the midwives who refused to actually let the patients have it. It was always 'we'll wait an hour and see if you still feel you need it'. Then in an hour 'we'll wait another hour'.

Flamingolingo · 03/11/2020 17:55

I think this is more to do with individual needs not necessarily tallying well with the drug round. My 5yo was taken back into hospital after a tonsillectomy a couple of years ago. The dr forgot to write up ibuprofen for him so he waited some ridiculous number of hours after the paracetamol started to wane to get some brufen. We are talking maybe 3-4 hours of a child crying in pain because it was night time and they couldn’t find a dr to prescribe. So I would actually always take paracetamol and ibuprofen with me, just so I’m not at the mercy of busy people.

wellthatsunusual · 03/11/2020 17:54

I had another surgery just a few months after having a c section. It was a much smaller surgery and I was constantly offered pain relief, which I declined, as I really didn't need it. And I was discharged from hospital with a few heavy duty painkillers 'just in case'. After my cs I had to plead for pain relief, and was told I didn't need it and paracetamol should be sufficient. Couldn't even get ibuprofen.

If paracetamol is all you need, why do they offer stronger pain relief after other surgeries?

Middleagedmidwife · 03/11/2020 17:54

I can’t believe this is happening in nhs hospitals. We don’t send women home with paracetamol but we give it out with ibuprofen and morphine on the ward. Diclofenac is give after the c/s and one more the next day. I think it’s appalling to open up somebody’s abdomen and expect paracetamol to be enough! Plus they’re expected to look after a newborn! There’s no other operation where you’d be given a baby to look after immediately afterwards. I think you need to write to the chief executive and your MP about this.

wonkylegs · 03/11/2020 17:51

@jessstan1
I had an elective c-section but had no choice as whether or not to have one. It just meant it was planned in advance unlike my first one which was an emergency section (turned out ending up needing to come out early, on the day I had an appointment when they were going to book it in as an elective 🙄) . I could not give birth naturally without risking both mine and the babies health.

As I take a lot of medication including pain relief everyday I was told to bring my usual meds in with me. My prescription was also on my file but I was told to ask for additional pain relief on top of this if I needed it. I did with my emergency section but not with the elective one which frankly was a breeze in comparison.
I have had the same request re meds and pain relief when I had a procedure on my hip.

daisypond · 03/11/2020 17:44

Both my DH and I have had operations recently. We were told to get our own paracetamol or ibuprofen on discharge. We didn’t have any, apart from the general anaesthetic, in hospital. But we were both in as day patients. Maybe that was the difference.

ladycarlotta · 03/11/2020 17:35

@jessstan1

Ask your GP to prescribe you just a few strong painkillers in case you need more than a couple of paracetamol.

I would think if you were in severe pain, the hospital would give you necessary analgesia. However you have elected to have a Caesarian.

so the pain will be less...? So she should suck it up because she chose it? sorry, I don't follow.

I had a scheduled C section because my baby was breech. I could have opted to deliver her naturally but it would have been dangerous for us. Should I have put up with crap pain relief for that?

(actually that last bit is a rhetorical q as I was given only ibuprofen and paracetamol too, and was frequently in pain - got a bit of oromorph while in the hospital but I had to actually as for it and then it was hit and miss whether anybody ever brought it to me. Maybe I should have supplied my own, it would have been more efficient.)

Sweetchillichicken · 03/11/2020 17:31

They don’t tend to encourage stronger due to the potential to breastfeed so I imagine being your owns cost saving more than anything. I was provided pain relief on site (including dyhydracodine while ebf) but was told to pick up paracetamol on my way home as they wouldn’t be able to prescribe any, totally fine I got DP to pick up a few boxes.

2Finallypregnant · 03/11/2020 17:24

That’s ridiculous. I recently had c section and was offered paracetamol and ibuprofen. I had to ask a number of times for the stronger stuff, declofen and morphine.

NameChange2PostThis · 03/11/2020 17:21

@Insertdeadcatsnamehere according to NICE guidance you should be offered pain relief in hospital. See attached. Definitely challenge this nonsense.

Asked to provide own painkillers!
Lentilbaby · 03/11/2020 17:13

@SockQueen pretty much summed up what I was going to say.
I had an emergency c-section recently. I was given Paracetamol, Ibuprofen and Morphine on the post-natal ward. On discharge, I was given 7 x Dihydrocodeine tablets and asked to buy my own Paracetamol and Ibuprofen which was fine by me. I am quite surprised you need to provide it as an inpatient.

Incidentally, Dihydrocodeine is prescribed over Codeine if the patient is breastfeeding as Codeine is contra-indicated in lactation.
I did unfortunately have an issue with a 111 GP when I needed some more Dihydrocodeine. She proceeded to tell me that I shouldn't be using it even though I had been discharged on it by the obstetrics team and the anaesthetist. I am a clinical pharmacist so offered to email her links to specialist resources we use for drugs in lactation which backed up its use. She was not willing to accept the evidence I offered but then prescribed me 6 tablets. I can't fathom why she felt 6 tablets were ok considering her very strong 'feelings' towards them!Confused
Thankfully I didn't need the full 6 tablets but pain from wind and constipation on top of the pain from the wound had been quite severe!

PattyPan · 03/11/2020 17:00

I had orthopaedic surgery with paracetamol and ibuprofen afterwards for the recovery. They told me they wouldn’t prescribe it after I left hospital because it was something ridiculous like £7 for them to buy a packet but 30p for me to buy it.

strawberrycherryblossom · 03/11/2020 16:52

Are you sure it's for immediately afterwards? Our trust tells us to have paracetamol at home/with us for when in labour and for when discharged.

They gave me paracetamol after my vaginal birth last year (which was fine). From my experience they want you on as few painkillers as possible, especially if you breastfeed. I've also taken paracetamol + codeine in the past after another operation and it made me incredibly spaced out. I certainly wouldn't want to be looking after a newborn on them.

I'd see how you get on with paracetamol immediately after the birth before you ask for anything stronger, but by all means ask if you're struggling.

lilbee333 · 03/11/2020 16:50

This is just another case of the Americanisation (aka. privatisation) of healthcare here in the UK. Probably standard practice in the States (either that or they charge you through the roof for painkillers). Absolutely abhorrent that they should ask you to use OTC painkillers for major surgery but just another step in the plan to privatise and monetise healthcare. Make no mistake, this will become much more commonplace once the trade deals and no-deal Brexit have gone through.