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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:
Moooooooooooooooooo · 12/04/2023 10:17

It’s not about being a woman and only being given paracetamol and ibuprofen for pain. My husband has just had a lung removed because of lung cancer he too has been given ibuprofen and paracetamol for pain relief (after a day and a half on morphine as per others upthread) as did all the other men on the ward. Yes, we were shocked but he coped perfectly fine on it. I hate how everything is turned into ‘just because we’re women’ because this is a policy thing not a sexist thing.

TolerateIt · 12/04/2023 10:18

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.

The stronger pain relief is most definitely suitable if you're breastfeeding!

eatdrinkandbemerry · 12/04/2023 10:18

I was fine after but the midwives did keep asking if I needed more which I didn't.
I suppose everyone handles pain differently 🤷‍♀️

Porridgeislife · 12/04/2023 10:21

I was incredibly annoyed they wouldn’t give me diclofenac suppositories, something I knew worked very well & is quite low risk as I’d had previous gynae surgeries. They acted like I’d asked for OxyContin. I was sent home with instructions to go to the supermarket and buy ibruprofen and paracetamol on my way home - fortunately I’d done this already!

I was also annoyed that I had to repeatedly hassle for pain relief in the 24 hours post section and the nurses were grumpy with me for it. Again I’d had previous gynae (and a knee) surgeries and you get woken up to take pain relief on time as they are aware that you need to get ahead and on top of pain, it’s much harder to treat pain once you’ve missed doses.

creamyterror · 12/04/2023 10:21

I broke my wrist in 4 places - I had to beg for proper pain relief - they suggested paracetamol

Senorfrijoles · 12/04/2023 10:23

Wow OP that's crap. I was offered a lot more. Paracetamol, ibuprofen and dihydrocodeine for the c section. I also had a post dural.puncture headache (which is it's own special hell) and was given oralmorph on top of the other painkillers.

I barely felt any pain from the c section, but that was probably because the pdph was agony I've never had pain like it. Couldn't even turn my head from side to side.

I was breastfeeding too so that clearly wasn't a barrier to being given the meds.

Workyticket · 12/04/2023 10:24

It's woeful. My baby was in NICU so I was staggering there carrying a catheter bag. I missed the drug trolly because I was down seeing the baby and was climbing the wall in pain on the 2nd night

My husband had a vasectomy recently. 2 tiny incisions and he was given the surgeon's mobile number in case of complications, pain killers and told to rest for a WEEK!

Babyboomtastic · 12/04/2023 10:24

I don't think you are being reasonable or unreasonable, because experiences vary so much.

It is unreasonable though that you were left in pain.

Your experience is totally alien to me - I had some mild after pains, and some gas pains for a few hours, but overall less pain than an average period for me. It was painless to the extent that I was literally googling 'when does a c section start to hurt'.

But that doesn't mean that you didn't have extreme pain, everyone's body reacts differently.
They shouldn't be throwing strong painkillers at everyone, but they should be giving them to those that need them without question.

EL8888 · 12/04/2023 10:25

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.

@Elcapitano that sounds like a nightmare 🙈

Blueey · 12/04/2023 10:28

I agree, I was in agony after mine and they all looked at me like I was making a huge fuss. But when I'd given birth to my first child and had a 3b (so pretty severe) tear and episiotomy and was in way less pain after that.

They gave me paracetamol only and I begged for something else and eventually they said they'd give me oramorph, an hour later another nurse came back all stiff and patronising and said 'you haven't even tried Ibuprofen yet' (I thought they'd given me that with the paracetamol) as though it was somehow my fault that they hadn't bothered to give me anything. I also didn't go down til 5pm and others in the ward had their sections at 9am/10am so I was a few hours behind everyone else which I think at that stage makes a difference. Was treated the same as though I'd already been back 5 hours rather than 30 mins ago.

I wanted to get up and move around ASAP but honestly felt like I was going to split in half but everyone was incredibly dispassionate and short with me. Once I was home it was too painful to lay flat for over a week. My scar now is higgledy piggledy and made up of two lines and criss crossed so I think I was stitched up badly.

I think the other difficult thing is everyone and every section is different, my friend has a very low pain threshold, has numbing cream for blood tests etc but was up and about within a day which I was longing to do. So I think if you have a painful one the staff think you're making a fuss. Which should be beside the point, the pain you feel is the pain you feel, it's not more or less reasonable.

WaltzingWaters · 12/04/2023 10:28

I’m sorry you were in so much pain.
I had an emergency c section after a very long labour and found that I actually felt more achy (albeit very achy) than actually in pain. I was actually offered codeine but didn’t always need it. But of course we’re all different.

What really bothered me after my section was the extreme lack of being able to sleep. The extremely excessive noise, bright lights, and people checking on us all the time (all day and all night) meant I got NO sleep. Obviously I understand my baby and I needed checking, and giving our antibiotics, but EVERY time I got to sleep I was woken immediately after. That meant I couldn’t recover and actually got worse. I was so exhausted after 6 days with no sleep I was having trouble breathing. (Covid restrictions meant visiting hours were very limited also so couldn’t nap when dad came). I couldn’t understand how I was expected to get better after 3 days in labour and major surgery when I couldn’t get ANY rest. (Obviously with a newborn sleep is limited, but I couldn’t even sleep when baby did).

Eranzer · 12/04/2023 10:30

I experienced the same excruciating pain after my CS and I have a very high pain tolerance, was only offered paracetamol around 10 hours later, and then again around 10 hours after that. Somebody eventually offered me Oramorph the next day but I was due to be discharged so I declined as I couldn't be arsed battling sickness (it knocks me sick) as well as speed bumps on the car ride home.

Bluebells1970 · 12/04/2023 10:30

It's a good thing that this is being more seriously after years of irresponsible prescribing of opiates. There is an epidemic of legally prescribed drug addiction - DD is a student in healthcare and she's had quite a few talks on this subject.

KrabiBeach · 12/04/2023 10:31

I was only given paracetamol.

Eranzer · 12/04/2023 10:31

Bluebells1970 · 12/04/2023 10:30

It's a good thing that this is being more seriously after years of irresponsible prescribing of opiates. There is an epidemic of legally prescribed drug addiction - DD is a student in healthcare and she's had quite a few talks on this subject.

I wouldn't really call it irresponsible to prescribe strong pain killers to somebody who's essentially just been sliced in half.

KrabiBeach · 12/04/2023 10:32

And yes it's shit. Post-natal care is utter shit.

Margrethe · 12/04/2023 10:32

Utterly barbaric. I’m so sorry this has happened to you OP as well as to other people.

I wonder why this is. Ignorance? Cost cutting? Belief everyone will become an opioid addict?

crew2022 · 12/04/2023 10:33

It's very upsetting to think women are treated this way. I just don't think men would be after major surgery. Also some midwives can be really unpleasant to new mums who need a bit of care and understanding. Where is their empathy?
I think a big issue is (on top of the NHS trying to save money by cutting back on women's healthcare) midwives don't train as nurses first. They have little understanding of post operative care.

wincywincyspider · 12/04/2023 10:34

I'm sorry you were only given paracetamol and ibuprofen. I gave birth 12 years ago and was sent home with diclofenac which was a huge help so I really can't understand why something like that isn't totally standard across the board.

Flamingogirl08 · 12/04/2023 10:35

I was given oramorph and the ibuprofen suppository which was fab. I was sent home with paracetamol, codeine and naproxen which was actually fine. So my experience was ok actually. The constipation from the codeine was another issue!

Tinylove23 · 12/04/2023 10:35

Dihydrocodeine was brilliant for me but made me very sleepy so couldn't see my baby in NICU as much as I'd like to.
Also, I'd ask for paracetamol and ibuprofen every 4 hours but the ward was so busy it would take an hour to get them from ringing the call button.
I also could barely get in the wheelchair to get down to NICU but got made to feel guilty by the staff for not going to see my baby. Of course I want to see my baby but I was in agony just sitting up in bed!

CornishGem1975 · 12/04/2023 10:37

eatdrinkandbemerry · 12/04/2023 10:18

I was fine after but the midwives did keep asking if I needed more which I didn't.
I suppose everyone handles pain differently 🤷‍♀️

This.

I was given paracetamol, ibuprofen and a bottle of Oramorph, but I honestly didn't feel that much pain so 3 years later the Oramorph is still in my cupboard untouched (should probably throw it away).

I think I have quite a high pain threshold though and I stayed really mobile as soon as I could which I think helps the pain massively.

seratoninmoonbeams · 12/04/2023 10:38

My c sections were 18 and 15 years ago and I was only given ibuprofen and paracetamol too. I was really surprised at how much they worked for me though. Obviously lots of pain but I could really tell when they were wearing off.

GnomeDePlume · 12/04/2023 10:40

When I had DC1 EMCS all I was offered was paracetamol tablets.

When I had DC2 three years later (ELCS same hospital) it was like happy hour in a cocktail bar, all drugs available.

15 months later I was back again for another ELCS for DC3. Flu epidemic so patients had to take themselves to the drugs trolley! I had a chest infection so coughing was agony.

Climbles · 12/04/2023 10:40

Luckily I wasn’t in as much pain as you but I couldn’t even get paracetamol and ibuprofen because they would just bugger off and not bring any. For my second I brought my own. If you read the hospital bag threads it’s often mentioned to bring your own pain relief. WTF does that say about the NHS that you have to bring your own over the counter crap otherwise you may end up with zero pain relief after a major operation. Do people who have their hips replaced not get pain relief? Maternity in this country is a joke.