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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:
Xjshdvf · 12/04/2023 09:36

Also I only knew to ask for lactulose because it was offered after my first section and the second time they seemed quite surprised as if that wasn’t important.

Merlinsbeard83 · 12/04/2023 09:37

Paracetamol here aswell. First c section I was told to get up and shower within 2 hours . I was covered in blood . Nearly passed out but managed shower and dressed whist crying in pain on my own . Then back to my bed and obs done and doctor called and had 2 blood transfusions. And asked not to make a complaint about the midwifes .

Nevermind31 · 12/04/2023 09:38

I am sorry you had such a bad experience. I gave birth by C-section twice, at a huge London teaching hospital. I had great drugs, was given more on demand, and left with a big stash of them. I had planned sections though. So I wouldn’t say it is not sufficient across the board, but clearly there are trusts where it is. Maybe ask to see your notes, it might give you closure?

WeeOrcadian · 12/04/2023 09:40

I don't have experience of a CS but YADDNBU

I suspect that people who voted 'YABU' are either men or utterly oblivious to the fact that a CS is massive abdominal surgery.

And CS, along with so many other things, would be taken SO much more seriously if they happened to the men folk.

MariaVT65 · 12/04/2023 09:41

OP, very sorry you went through this. YANBU.

I went through a year-long complaint and birth-reflections conversations with my hospital after being treated like an animal before and after my EMCS.

One thing I brought up that some staff only offered me paracetamol/ibuprofen and others offered me dihydrocodeine. On occasions I had to beg from the strong painkiller.

The consultant midwife who dealt with my complaint said there seemed to be an issue with staff just presuming what I needed, without taking the time to actually ask me how I felt and how much pain I was in.

Definitely make a complaint. It’s major surgery and we deserve better.

L3ThirtySeven · 12/04/2023 09:43

It’s to your benefit to not have pain relief strong enough for you to be getting out of bed and being active long before the incision is healed enough for you to do that safely. The pain you felt was telling you that you are hurting yourself further by being too active. You shouldn’t have been getting out of bed 18hrs post c-section. It’s major abdominal surgery.

Boringcookingquestion · 12/04/2023 09:44

I think it’s a postcode lottery. I was lucky and was fine with just paracetamol and ibuprofen, but the midwives did come to check whether I wanted anything stronger a few times. I was also sent home with codeine just in case.

I’m sorry you had such a rubbish experience, being left in pain is never ok.

ChristmasJumpers · 12/04/2023 09:44

I had a planned c section so maybe less pain as a result. I was offered oramorph, paracetamol, ibuprofen and codeine regularly which more or less did the trick between them! I was sent home with codeine and continued to take that with paracetamol and ibuprofen for around a week. Not very helpful as I found that adequate. I was still in pain but expected it after major surgery. I'm not very clued up on medication so not sure what they could offer that could completely get rid of the pain

AmandaHoldensLips · 12/04/2023 09:44

YOU'RE NOT WRONG!!!

Total twat doctor looked me up and down post-op and declared that a CS "isn't that painful" and walked off!

There is lots of research showing that women's pain is dismissed in medical settings.

WellTidy · 12/04/2023 09:45

It’s definitely a postcode lottery, and Trusts differ in the pain relief they offer. I know this as I’ve had two EMCS and after an initial shot of morphine in surgery, it is only paracetamol and ibuprofen (not taken at precisely the same time, you take each at intervals) that you’re given. Whereas NCT friends who’d given birth by EMCS in a neighbouring London borough were given much more than this in hospital as well as additional painkillers to take home. They talked about the magic brown tablet and how effective it was as pain relief, and I was soooooo jealous.

I really struggled with the level of pain after my EMCS especially as there was a very long labour before my first, but only (!) 20 hours or so before my second delivery. I was absolutely knackered and not able to cope well.

I compare this to the level of pain relief that my mum had post hysterectomy and my husband had after a knee op. It is barbaric. Why post CS women have to eat to a stage where they’re screaming in agony I have no idea. It is hugely traumatic. And then you take your baby home, traumatised, exhausted and are expected to provide care.

whatalovelydayontheintergoodlord · 12/04/2023 09:45

With my second they didn't even bring the bloody paracetamol, even though I had reminded them twice. They were busy. Luckily I had packed my own, but then the midwife bollocked me for take this! The aftercare was absolutely shocking, and I discharged myself the next morning.

proppy · 12/04/2023 09:46

I wasn't offered anything stronger or told I could have it. I also had to buy my own paracetamol on the way home 😆

GiltEdges · 12/04/2023 09:46

I had an EMCS and can't really relate you your experience at all. The pain I experienced was never unmanageable and I was discharged from hospital after 24 hours at my own insistence because I couldn't stand being there any longer.

That said, I wasn't a martyr either and took the pain relief that was offered to me for the first week or so. It was dihydrocodeine at my hospital, not paracetamol/ibuprofen. Maybe that was the difference 🤷‍♀️

FourBoysAndAFeline · 12/04/2023 09:46

I haven't had a c-section but my experience of abdominal pain was that ibuprofen oral paracetamol and oramorph were absolutely useless.

But IV paracetamol was an absolute deal breaker.

However this was for appendicitis and not for having many layers of my abdomen cut and torn through to pull a human out.

I bear time and time again that the pain relief after a c-section is woefully inadequate.

ChristmasJumpers · 12/04/2023 09:47

Also I second that the sting from the blood thinning injections was almost unbearable!!! 10 days of them 😖
Out of everything I think the injections and the cannula were the worst parts of the whole c section!!

I'm 3+5 weeks post section now and waiting for the bleeding to stop, has anyone had it last longer than 4 weeks?

proppy · 12/04/2023 09:47

You shouldn’t have been getting out of bed 18hrs post c-section. It’s major abdominal surgery.

I was told to get up before 18 hours?

crimsonpeak · 12/04/2023 09:47

Totally with you on this OP. I couldn’t tolerate oramorph so was given something else in hospital (forgive me, I can’t remember what) but I couldn’t be prescribed it to take home as it causes an increased risk of heart attacks. I was discharged with ibuprofen and paracetamol and even then they ummed and ahhed about ibuprofen as I have asthma - I’ve taken it for aeons without issue. I was incandescent. I called the GP surgery the day I got home and was spoken to AO condescendingly by a male doctor who eventually agreed to prescribe me with something like diclofenac.

Like I said before I left the postlabour ward - they wouldn’t do this shit to men.

Marblessolveeverything · 12/04/2023 09:48

I am so sorry you have had this experience.

When I gave birth I was at the opposite end. I was formula feeding and had a vaginal births but the drugs they gave me knocked me practically unconscious.

I do remember a few women breast feeding who were discussing been given a very low dose of over the counter pain killers - and it appeared to be across those who had c-sections/v-birth. I found that very strange.

Surely there is a safe option of suitable pain relief that can be identified ? This surely must impact on women who wish to breast feed ?

Iwasafool · 12/04/2023 09:49

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.

That is very true and no one explained it to me. On the day I was leaving hospital a physio came on the ward and explained it, I wish I'd seen her 3 days earlier but a lack of staff at Christmas meant no physio, no clean sheets or towels. Amazing as Christmas happens every year and you'd think they'd be prepared.

GiltEdges · 12/04/2023 09:50

L3ThirtySeven · 12/04/2023 09:43

It’s to your benefit to not have pain relief strong enough for you to be getting out of bed and being active long before the incision is healed enough for you to do that safely. The pain you felt was telling you that you are hurting yourself further by being too active. You shouldn’t have been getting out of bed 18hrs post c-section. It’s major abdominal surgery.

You absolutely should. I was practically forced out of bed and into the shower after 12 hours by the midwives on the ward and told how important it was for my circulation to be up and moving.

JustDudeIt · 12/04/2023 09:51

I was given morphine in hospital (pump) and sent home with cocodomol which was really effective.

Horrified that women are being sent home with over the counter pain killers!

proppy · 12/04/2023 09:52

I wonder if it was because I breastfeed after my CS so they assumed I didn't need anything?

Antsinmypantsneedtodance · 12/04/2023 09:53

I think it varies woman to woman. I was one of those annoying women who had a week of paracetmol and Ibobrufin and never anything more. I was up walking around the village by 5 days after...slowly admittedly but doing it. The pain was occasional but nothing major in my perception. The midwives even forgot to give me any pain relief for 12 hours...then got annoyed when i took my own.

Others i know have needed more. But surgeries are different and bodies are different. Women need to be assessed on a case by case basis for what they personally need. Individualised care. I'm not surprised you're angry. Your experi3nce sounds awful an uncaring.

Elcapitano · 12/04/2023 09:55

You're right op.

I just don't think about my 2nd elcs because the after pain was horrendous and only given paracetamol. The consultant got distracted by my bladder and forgot to 'clean the gutters' as he put it. Basically the amniotic fluid wasn't sacked out of my abdominal cavity. Felt like I was on fire once the epidural wore off. Never known pain like it.

gettingoldisshit · 12/04/2023 09:55

Ive had 4 c-sections and after each one was given morphine injections for 3 days then on to codiene tablets! A pp is correct though the pain can vary massively after each one! After num 2+3 I barely had any pain relief and was up and about within a few hours but with nums 1+4 i needed much longer to be up and about and more pain relief.

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