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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:
Carriemac · 12/04/2023 09:57

You are so not being unreasonable! I was written up for pain relief by my consultant but the midwives refused to give it to me after by emergency section , first twin vaginally with stickers then second one by section so I was in bits . DH is a doctor and he brought me in pain relief

MrsSiriusBlack1 · 12/04/2023 09:58

I got tramadol iirc, wasn’t bf though.

PippaF2 · 12/04/2023 09:58

I was offered morphine based pain relief regularly but I refused it and opted for paracetamol and ibuprofen - shop bought stuff as well, I asked my DH to bring it in.

They were encouraging me to take the morphine. I was also in agony. But I couldn't function on it. I was spacey, and couldn't keep my eyes open. It made me feel sick and generally really unwell and the ward was really understaffed. I was frightened I was going to pass out or fall asleep and DC would be squashed in the bed bars and no one would notice. I just really felt completely out of it when I took it and the effects lasted ages.

Anyway, not trying to say I was tougher or anything like that - I've never cried so much from pain in my life. I was a wreck.

But it was definitely offered to me and my choice to refuse it.

All the other women in the ward were taking it and it didn't seem to effect them as badly as it did me. I'd definitely raise a complaint/inform your hospital about your experience.

NoNameIdeas · 12/04/2023 10:01

I find it really sad that it is so different in different trusts. I've had two emergency sections, both had different issues and complications (as they do!) but pain relief and after care were great for both of them. Sent home with everything needed including oramorph and lactulose just in case.

Pollywoddles · 12/04/2023 10:01

I had Oxynorm, Paracetamol and Difene and I had no pain, they were really good about making sure I had my doses on time. I was breastfeeding, there was no issue giving me opiates.

WimbyAce · 12/04/2023 10:02

Agree it is a joke! When I asked for more they told me I was coping. Yes I was if I lay still I was fine but trying to move was excruciating. I remember when they made me go to the shower the morning after and remove the plaster and pain was so bad I was wretching. Really awful.

SillySausage81 · 12/04/2023 10:03

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?

My bleeding went on for 4.5 weeks this time, with tiny spotting up to 5 weeks.

And yes, I bloody hate cannulas!!

OP posts:
clocktock · 12/04/2023 10:06

I had a c section with my youngest. The after pain alone put me off having anymore. Like yourself I was given ibuprofen and paracetamol and only got done codeine when I begged in tears. My baby was in scbu and I had to walk there and back in agony. I could hardly lift my baby. Just horrific.

We had a cat spayed recently. She came home from vets with more painkillers than I was!

WimbyAce · 12/04/2023 10:06

Just to add I only had a CS due to breech. With my 2nd I did everything to avoid another CS even though it was offered. I ended up with a 4th degree tear which people kept telling me was awful but compared to the CS recovery it was a breeze. I felt fine and much more mobile straight after.

thejadefish · 12/04/2023 10:07

YANBU. For my first (cat 2) emcs in 2016 I was offered codeine afterwards which made it bearable. For my second (cat 1) emcs in 2022 I was only offered paracetamol & ibuprofen (which weren't strong enough/only gave me relief for maybe an hour at most). On discharge in 2016 I was given codeine to take home. Discharge in 2022 not given anything (other than those sodding injections) , I asked if there was a pharmacy on site so that I could buy some paracetamol etc as I didn't have any at home & was told no (which I was slightly surprised at). I said that it wasn't strong enough & was told that I'd have to ask my GP but I was discharged on Saturday so couldn't ring until Monday. Took ages to get through, was prescribed codeine but the pharmacy had run out, and it ultimately took 4 days for me to get pain relief. My parents told me that I shouldn't be taking any pain relief at all including paracetamol just in case it hurt the baby & that their generation wouldn't take any "drugs" when breastfeeding but that's another story 🙄We're told that its major abdominal surgery but are expected to leave hospital the next day & to sort out pain medication whilst looking after a newborn ourselves. I do wonder if those who have other/"normal" abdominal surgery are expected to shift for themselves like this. I don't know anyone who has had abdominal surgery though so I can't ask!

proppy · 12/04/2023 10:07

I had a VB with one dc & recovery was nothing compared to first few days of CS.

Plilywhite · 12/04/2023 10:08

First section was an emergency pre-pandemic. Couldn’t fault the care in labour and then the emergency that led to section. Aftercare was ok but not great. Was in hospital 4 days and constantly had to remind as meds were always late and by that point you were in agony. Was offered oramorph and laxatives for one day after the section but informed it wasn’t good for baby as I was breastfeeding. After that paracetamol and ibuprofen only.

Second section during later stages of the pandemic no oramorph offered, had to ask for paracetamol and ibuprofen. Aftercare nearly non-existent but not sure if it was due to pandemic staffing or because I was a second time mum and deemed fine to not need support. Luckily was able to discharge a lot sooner after second baby and get on top of the pain by taking meds on time at home.

Either way yanbu. Drives me mad when people go on about c-section being the easy way out. Would like to see them say that after going through major surgery with just a paracetamol to take the edge off.

SillySausage81 · 12/04/2023 10:08

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 ?

From what I’ve read subsequently, there are lots of options that are suitable for breastfeeding, but in any case my lack of pain relief prevented me from breastfeeding or expressing in the first few days anyway so they might as well have given me stuff that wasn’t breastfeeding friendly.

OP posts:
proppy · 12/04/2023 10:09

@thejadefish I had my appendix out years ago, was kept in for days after & on morphine & strong painkillers when discharged.

TheRookie · 12/04/2023 10:09

I was a surgical nurse and after abdominal surgery, my patients would be prescribed regular paracetamol, regular NSAIDs and then breakthrough dihydrocodeine and oramorph/morphine injections. It's barbaric that woman aren't offered good pain relief after csections. I was lucky with mine and did get oramorph for 24 hours after surgery, alongside paracetamol and naproxen, then after oramorph, had dihydrocodeine. Oramorph can take a few doses to build up in your body so is worth taking hourly if needed. The staff should know this though and offer pain relief appropriately.

Viviennemary · 12/04/2023 10:09

Maybe if you are breastfeeding you can't have the stronger pain relief. But they should explain that. Your experience sounds horrific.

Pasithean · 12/04/2023 10:10

The past few years chronic pain patients have lost their access to adequate painkillers , leading to job loss , relationship breakdowns , suicide attempts. It was only a matter of time til the new regulations affected childbirth.

DanceMonkey19 · 12/04/2023 10:10

I had diamorphine during my section and it made me feel so ill, spend the first few hours sweating and vomiting. When I woke in pain in the early hours I found a midwife who immediately offered oramorph but I just wanted paracetamol and ibuprofen so as not to feel ill again. It was enough for me and I discharged myself home 19 hours later. But that's the point isn't it, it was adequate for me, it wouldn't necessarily have been adequate for nother patient, and surely individuals needs should be addressed. I was just lucky, not everyone is the same.

ittakes2 · 12/04/2023 10:12

I also was on blood thinners had an emergency c section for twins and bleed so much I needed 2L of blood transfused. I was kept on a morphine drip for the rest of the day - but I to say even then when they took my catheter out my full bladder and walking to the toilet I still remember the pain 16 years later. So if I felt that way after being on morphine goodness knows how much pain you had been in so you have my sympathy

Silvergreenblue · 12/04/2023 10:14

I was offered oramorph. Had a couple of doses of that. Then afterwards it was diclofenac and paracetamol.had surgery in the morning and it must have been the evening when I was made to get up. Looking back I think it helped being made to get up and move.

Samanabanana · 12/04/2023 10:14

I'm sorry you had such a poor experience and post op care. I had dihydrocodeine (which is absolutely fine for breastfeeding mothers and is a decent painkiller), paracetamol and ibuprofen on a rota and oramorph after CS1 and after CS2, I had the same, plus a suppository of some sort (that was incredible!) but no oramorph because it didn't agree with me. Women absolutely should not be denied pain relief after such a massive op and I'm sorry you were. Hugs to you too, as DC1 ended up in SCBU for a week and I remember the stress of trying to pump and worrying I wouldn't be able to bf. Hope you're feeling better now Flowers

TolerateIt · 12/04/2023 10:15

Agreed. It's terrible.

My last two c sections I've insisted on being given oromorph and naproxen immediately, including being given some to take home, after struggling on nothing but ibuprofen and paracetamol with my first. Following my last c section, the midwife pushed back and started patronisingly telling me that the pain was to be expected and was necessary for healing, until I told her it was my third c section and I knew very well I'd manage better with the stronger drugs.

She quickly backtracked and sorted me out with the meds I asked for, but it made me feel so sad for all the first time mums who don't know that putting your foot down is an option. That goes for all birth choices really, not just pain relief. It took me SO long to recover from the trauma of my first birth because I felt so powerless about it.

Pinkjacket22 · 12/04/2023 10:16

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.

This! So true! I got morphine but only cos I knew to ask for it.

surreygirl1987 · 12/04/2023 10:17

Yes!!! Mine was planned and went really well but the recovery was absolutely horrific. So so much pain.

LolaSmiles · 12/04/2023 10:17

I had dihydrocodeine and oromorph after mine, and was sent home with a pack of dihydrocodeine too.
I felt mine were managed well overall, but it does seem to be a postcode lottery and a lottery of who is on shift.