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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to be angry about post c-section pain “relief”?

287 replies

SillySausage81 · 12/04/2023 09:06

Did anyone else find post C-section pain relief woefully inadequate?

I had an emergency caesarean 6 weeks ago and now the dust has started to settle I am starting to feel really bloody angry about the “pain relief” (I feel like it’s a joke even calling it that) I was offered in the first few days.

Paracetamol and ibuprofen. Fucking headache tablets. In the first 3 days I’d describe them as “taking the edge off slightly”. Very slightly. Laying down I was mostly OK, but any attempt at movement caused excruciating agony.

My baby then got taken to the NICU and I couldn’t even go and see her for 18 hours because even just trying to get out of bed and into a wheelchair was unbearable agony. Eventually (after 18 hours and a couple of failed attempts) I made a mammoth effort to push through the pain because I really wanted to see her, and I finally managed to get into a wheelchair and see her (no joke, it took nearly 30 minutes just to stand up and sit in the wheelchair).

I gave birth to my first baby vaginally with just gas and air, and I would describe the pain of trying to get out of bed in the first 2 days after my c-section as being worse than the worst pain I felt during that vaginal birth. Every centimetre I moved felt as though I was being cut open again.

The (slight) effect of the paracetamol and ibuprofen wore off after 4 hours but you can only have it 4 times in every 24 hours, which left long gaps where I didn’t have any pain relief at all.

At some point on the second day I was offered oramorph, but only when I was lying on my back crying from the pain and begging for more pain relief - no one suggested it earlier when I was crying out in pain trying and failing to get out of bed to see my sick baby. But anyway, the oramorph did precisely jack shit anyway, didn’t even take the edge off. The paracetamol was more effective (I have since googled it and apparently I’m far from being the only person who is unaffected by oramorph). When I told the midwives the oramorph wasn’t affecting me they didn’t offer any alternatives, just kept offering more oramorph and telling me it’s supposed to be stronger than paracetamol (well that’s by the by if it doesn’t affect me, isn’t it...)

On top of that, the uterine contractions, stinging from those bloody blood thinning injections, plus twinges from the bloody cannula in my hand only made the already unbearable pain from the wound harder to deal with.

Meanwhile I had the NICU nurse keep on at me that I needed to express milk every 3 hours if I didn’t want my milk to dry up (which I really didn’t want it to as I REALLY wanted to breastfeed) but I was simply in too much pain to do it for the first 42 hours. Thankfully I was able to start on the third day and it didn’t affect my supply, but I could have done without that grief, and actual proper pain relief would have removed that problem.

At the time I didn’t know other painkillers existed, but now I’ve done some reading and spoken to other people and found out there are loads of other options, so I don’t understand why they couldn’t offer me them when what I was getting clearly wasn’t enough.

All I keep reading about is women who say they weren’t in any pain at all and were skipping around Tesco’s after 2 days.

But is there anyone else out there who thinks the pain relief was inadequate?

I’ve heard (conflicting) accounts that they can’t give stronger painkillers to breastfeeding mothers, but that would have been by the by given that, without them, I was unable to visit my baby to breastfeed her OR even express colostrum for her anyway, so if that was their reasoning then it was counterproductive.

OP posts:
MissyB1 · 12/04/2023 09:08

Yanbu it’s a joke - just not a funny one! 😡
C section is big surgery and be in no doubt if it was men having that surgery they would be having opiate pain relief.

UnicornMadeOfPinkGlitter · 12/04/2023 09:11

It’s been a long time since my c section but I was given codeine after.
that was very effective and didn’t seem to have any effect on baby or my milk.
the thing with a section is there is a balance between moving enough to not get stiff and not moving too much to allow yourself to recover. I had 3 sections in total.

MMoon23 · 12/04/2023 09:12

YANBU
I really relate to this
I still shudder when I think about that time
Every time trying to get out of bed and being convinced that I had ripped the whole thing open because of the tearing pain.
everyone has a different experience of hospital, different care, a different body, a different healing journey: don’t feel invalidated because of what you read. Many women have also felt the other side as you have!!

HumphreyCobblers · 12/04/2023 09:12

YANBU

I had three c sections and had wildly differing amount of pain after each one. The pain relief offered was not adequate.

lipikar · 12/04/2023 09:13

MissyB1 · 12/04/2023 09:08

Yanbu it’s a joke - just not a funny one! 😡
C section is big surgery and be in no doubt if it was men having that surgery they would be having opiate pain relief.

Oramorph is opiate

CoughForWeeks · 12/04/2023 09:16

After my hysterectomy I had morphine and was then offered paracetamol when the drip was taken down. It's barbaric to offer so little to women in pain from these operations.

FuckoffeeBeforeCoffee · 12/04/2023 09:18

I was sent home without any pain relief at all and was told to get some from my doctor.

I left at half past six - my doctor was closed!

Mutabiliss · 12/04/2023 09:18

I had oramorph and it worked for me, but they were not keen to give it and I had to stand around for two hours (my bed was already taken by someone else) while they found some to discharge me with.

Pain relief after a c section is woefully inadequate.

ShirleyPhallus · 12/04/2023 09:20

I’m really sorry this happened to you. I was very fortunate in that paracetamol and ibuprofen were fine for me but my trust did offer something stronger if needed

I think it’s a difference in trusts (as usual) as to how seriously they take women telling them they’re in pain and what else they offer

Wishiwasatailor · 12/04/2023 09:21

IV paracetamol is as or even more effective than oral morphine (an opiate) I wonder why it’s not used more

Feelingworthless1 · 12/04/2023 09:22

I completely understand and felt exactly the same. I also only had paracetamol and ibuprofen after my c section. I have codeine that I use for another issue but was not allowed to use it as I was breast feeding.

bussteward · 12/04/2023 09:22

I think it’s a real postcode lottery and I’ve been lucky: for both sections, at different hospitals, as well as round the clock paracetamol and ibuprofen I was given oramorph on demand, no need to beg and in fact they told me to ask for it the moment I had breakthrough pain. Plus of course there’s the up the bum painkiller they give you at the end of surgery.

I found the most pain from the injections in the 8-10 day period after surgery, when the rush of birth had worn off, but paracetamol and ibuprofen were adequate by then.

Mrsherdwick · 12/04/2023 09:23

My dd was given paracetamol only. Then they wondered why her BP was 174/114.
She was discharged with dihydrocodeine which was definitely not offered/given to her in the first 48 hours post op.
OTOH 32 years ago when I had a section I was given IM omnopon post-op (opiate injection).

Caiti19 · 12/04/2023 09:23

YANBU. I had near identical experience with first. I wondered after if emergency sections leave a woman in more pain than planned one. I remember it took me 30 minutes to get to nurses station 3 minutes away to beg for painkillers. It's very early days for you still, but you are not being unreasonable to question it and to be angry. It's all too common. When you've experienced the trauma of emergency operation, are separated from your newborn when you didn't expect it, and are generally crazy hormonal is not the time to ration the painkillers. Boils my blood. Dogs and cats get better treatment at the vets. Time is the only healer.

potatowhale · 12/04/2023 09:24

Mine asked if I wanted analgesia I had no idea what that meant so said no and then they left me for 3 days without pain relief as I didn't understand i could ask for it!

proppy · 12/04/2023 09:26

It's a joke! I had my appendix out & was in for a few days on morphine, CS out the next day with paracetamol. Reading on here though some women do get stronger pain relief.

NCgoingdry · 12/04/2023 09:26

That's utterly disgusting. I'm sorry you were treated that way.

I had one c section after previous vaginal births. I felt like someone had tried to murder me. I was in agony.

But - immediately after I was given double strength ibuprofen, paracetamol and dihydrocodeine - I was given the boxes and a chart to note when to take them and unstructured to tell them if I needed anything stronger. And I was breastfeeding.

Like you I was reading threads about women doing gym classes and going skipping two days later and I could barely move without feeling like I was being stabbed to death.

Without that pain relief I probably would have had an actual breakdown.

HollyBerri · 12/04/2023 09:27

I was given diamorphine which was fantastic. The issue was no one told me it would make me horrendously constipated which was sheer agony. I should have been given some mild laxative to be taking alongside and at least warmed about it.
The assumption is you should sail through it with minimum effort (and some people do).
I could barely lift my baby and was in agony for at least a a couple if weeks and didn’t drive for about 2 months. That was with the painkillers too.
DSis was up and about a couple of days after both hers.
i also hate the way you have to buzz for painkillers when they are due like you are begging for them. I stayed in hospital 2/3 days which was definitely needed. I believe now you are sent home the next day.
A friend had trouble with her scar for a ages afterwards - repeated infections & was just dismissed as she was too fat so it was her own fault! (GP’s words not mine).

InAnyOtherLife · 12/04/2023 09:27

Wishiwasatailor · 12/04/2023 09:21

IV paracetamol is as or even more effective than oral morphine (an opiate) I wonder why it’s not used more

I had IV paracetamol after my second section and it was amazing - I was so surprised!

But to the OP, I'm sorry you suffered. Everyone is different and what works for some clearly didn't work for you. Congratulations on your baby though!

riotlady · 12/04/2023 09:29

YANBU. Really annoyed me that before the c-section there was all this scaremongering about how it’s “major abdominal surgery” and then after it’s “here’s some paracetamol, off you pop after 24 hours”! I ended up sending my DH round all the pharmacies to get me some cocodamol

HollyBerri · 12/04/2023 09:29

I had dihydrocodeine not dyamorphine. Just seen in another post & realised my mistake.

Yorkshirepudding1987 · 12/04/2023 09:29

I was offered dihydrocodiene after both my sections (one emergency, one planned). Was also discharged with a pack of them as well.

proppy · 12/04/2023 09:29

I found the first few days really tough & couldn't understand why many on here had said it was fine but then it transpired that many get stronger pain relief &/or stay in longer.

Xjshdvf · 12/04/2023 09:33

I feel quite passionate about this as after my first c section 6 years ago I was given lots of pain relief and there were always options if one wasn’t working. Fast forward to 3 years ago and a different hospital and I was shamed by the midwife for asking for more, left crying in pain for an hour while waiting and again shamed for not being up and about which made me be sick as I was in so much pain. I wish I’d put in a complaint as the midwives who visited me at home after were shocked at what had happened and even the GP could prescribe medication that didn’t impact breastfeeding that helped.
Irs great that some women recovered quickly but I was not one of them either time and it really effected me to be shamed about my recovery

euff · 12/04/2023 09:35

I think everyone has different experiences as advised by people who have had multiple sections. I don't think it's as simple as men not understanding as sometimes women can't understand someone having a different experience to them. I was fortunate, the worst was the gas after my first meal. I wasn't prepared for that! I think I was given codeine tablets which I took for a couple of days and I was given something to make sure bowel movements were gentle. In my case my cs recovery was better than my vaginal recovery.