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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:
Blanketpolicy · 15/04/2023 01:49

I had an EMCS under GA with ds(19), and I got adequate pain relief.

It was 19 years ago so cant remember the actual drugs, but during most of the 5 days I was in hospital they regularly came in and injected me with pain killers, it was a bit nippy when they were wearing off but then I'd get another injection. I didnt need to ask for anything. I assumed it was diamorphine or similar as I was that out of it dh had to wheel me to SCBU to see ds.

Then when I got home the Dr came to the house and prescribed something, again I didnt ask for it it was offered (wasn't Ibruprofen, paracetamol or even co-codamil), he said it was stronger but I could only get it for 3 days then to go to Ibruprofen +paracetamol and to let him know if i needed more.

I would never have coped with just normal pain killers in the first week - 10 days, that sounds barbaric!

Invadersmustdie · 15/04/2023 02:11

It's barbaric what us women are expected to tolerate. My biggest fear was c-section. It is major surgery and frankly, you are all tougher women than me. I mean it's major major surgery that we have normalised. I dont want to scare anyone who is having one, I have read about loads of lovely experiences with planned ones and some emergency ones. But, for the third time, it's major surgery! What on earth is paracetamol and ibuprofen going to do to take away pain and aid recovery? That's what pain relief should do after trauma, aid recovery. It doesn't even touch the sides in the vast majority of cases. Why is the NHS so shit at offering decent pain relief to women?

elliejjtiny · 15/04/2023 02:22

Yanbu. It's utterly barbaric. I think the worst thing about a c-section is that you are expected to look after a newborn baby straight away. I remember crying in pain because I had to stand up and wash/sterilize bottles the day after my c-section. Ds has long term problems after being in the nicu and I'm sure they wouldn't have been so bad if I had been given enough pain relief so I could visit him more often and for longer.

calimc83 · 15/04/2023 05:21

@ChristmasJumpers I'm 5 weeks post section...still taking those bastard injections! 😫

Zanatdy · 15/04/2023 05:27

I had 3 vaginal births but having seen many friends suffer after a c section and having had 3 abdominal surgeries where I was given a device where I pressed a button for oxycodone (very strong) with 2 of those (3rd I had keyhole so didn’t get that but certainly had stronger than ibuprofen, even then they gave me injectable morphine in the recovery, pain was because it kicked my pancreas off but they thought it was just post op pain and happy to give it). I don’t understand why new mums are expected to suffer. Not all are bf’ing either, it’s totally unacceptable

Doyouthinktheyknow · 15/04/2023 06:07

So true.

Mine was forceps delivery so slightly different but I was in agony, my first child so no understanding of what was normal and took my packet of paracetamol thinking it would be fine.

It was horrific and only after a few days at home did a midwife get me something stronger and explain the impact of the forceps and expected pain.

To be fair the same happened after my cancer surgery, a packet of paracetamol but at least I’d had 6 days of morphine before they discharged me. My first delivery, I was discharged after 24 hours!

xnyl · 15/04/2023 06:18

Yes it's horrific and I struggled horrendously after my DS was born, a year later I had myvDS2 they gave me adequate pain relief and everything was so much better

Turfwars · 19/04/2023 15:53

proppy · 12/04/2023 12:53

This thread is interesting because I never read a CS one where so many posters have had pain. Normally it's all very "back to normal after 1 day".

I had an excellent recovery but after the post-CS suppository wore off, I was quite sore. I wasn't given any pain meds after day 4 - now that I remember being very sore and needed to stop off at a pharmacist on day 5 who would only give me paracetamol.

A week later I was tender in that area but improved massively. 3 weeks in, felt fully healed but still did nothing different until a full six weeks afterwards.

Scirocco · 19/04/2023 16:05

That sounds like a really difficult experience for you @SillySausage81 and I hope you and your baby are ok now!

Have you asked for a birth debrief, or to see your medical notes from the admission? You have every right to ask why your care varied from what you'd expected and to ask about whether you should have been offered alternatives. It won't change what happened, but it might help you come to terms with things, and/or identify things the hospital should look at changing.

Berklilly · 27/04/2023 03:33

@SillySausage81 just say, thanks for sharing your experience with this post as I had no idea protocols could be so different in other hospitals!
I'm planning for an elective C-section and asked my midwife as I'll be going to a different hospital than for my first, she definitely recommended asking the anaesthetist about pain management protocol and I wouldn't have thought about it without this post!

Missingmyusername · 27/04/2023 03:49

I was told the paracetamol builds up over time to provide relief. Count your blessings you had ibuprofen /codeine I didn’t! 😂
I did have Oramorph at one point as I had a whinge about basically having headache tablets after major surgery- it made my head swim but that was it! I didn’t cry but I did ask for something stronger and was made to feel ashamed so didn’t ask again and stopped taking paracetamol in protest!

It was about five days before the pain subsided. No wheelchair, I had to walk.

Hanna86 · 27/04/2023 06:49

I was given a good stash of dihydrocodeine first time around (emcs), and had a great recovery. Second time at the same trust 2 years later policy appeared to have changed and although they prescribed 2 weeks, they only gave me 3 days, not that helpful when being discharged on a Thursday. Luckily I noticed and went off to the gp on the Friday night! Not ideal tbh, not what I wanted to be doing 3 days after a section, and luckily I was ok to leave my baby twins and toddler with my husband as I wouldn't have got my double buggy up the stairs at the surgery!

its very shit and annoying, at least I got some medication as I definitely needed it

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