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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:
BellePeppa · 12/04/2023 12:14

It’s been too long ago for me to remember if I had any. I remember my first c section I was out of bed very quickly after and had no real pain but my second one was a lot more painful after and I struggled to get mobile. Maybe I had adequate pain relief for the first but not the second? I put it down to the stitches as once they were removed from my second the pain reduced massively.

EarlGreywithLemon · 12/04/2023 12:17

My2pence2day · 12/04/2023 12:06

That's because a C section has much worse outcomes for the baby (mother too). Not many seem to bother doing the research unfortunately. Not to mention obstetricians often prefer a C section too as this is much more convenient for them.

Could you show data for this please? I don’t believe c section outcomes are worse for babies and, if the stars are run properly, for mothers either. As it is, vaginal births that go wrong and end in EMCS are counted as c sections, not vaginal births, which obviously skews a lot of stats. https://amp.theguardian.com/lifeandstyle/2022/feb/13/caesareans-or-vaginal-births-should-mothers-or-medics-have-the-final-say

Caesareans or vaginal births: should mothers or medics have the final say? | Childbirth | The Guardian

More babies are born by C-section than ever, causing alarm at the WHO. But some believe the option should always be offered

https://amp.theguardian.com/lifeandstyle/2022/feb/13/caesareans-or-vaginal-births-should-mothers-or-medics-have-the-final-say

Throwncrumbs · 12/04/2023 12:17

18 hours in bed post surgery…don’t make me laugh, I worked on a ward that did major abdo surgery, we got patients out of bed as soon as they got back to the ward from theatre, they had to sit in a chair for two hours…this was major gut surgery not like a Caesarian where muscle is just cut through and down back up. Even the biggest op you can probably have a Whipples patients are out of bed asap!

SillySausage81 · 12/04/2023 12:19

Throwncrumbs · 12/04/2023 10:48

A lot of pain medication cannot be given to new mothers, so paracetomol and ibuprofen are the norm. Codiene based pain relief and oramorph can pass onto baby if you breast feed, do you want to risk your baby being drugged via breast milk? There is also the risk of accidentally harming baby while being afffected by opiods, accidental suffocation is one. I know it’s not ideal but what’s the alternative.

Well my baby was in the NICU so I didn’t need to look after her, and the pain was preventing me from getting to her or expressing breast milk so there was no worry on that count.

OP posts:
elderemo95 · 12/04/2023 12:19

YANBU

I just had a wisdom tooth removed and they gave me ibuprofen, paracetamol, and codeine. When I've had keyhole surgery in the past I was given co-codamol. You've just had 6 layers of skin and muscle cut through, as well as dealing with contractions - I'm horrified by the lack of pain relief you've been given!

I don't understand how they expect you to be able to do anything on such little pain relief, especially at a time when you want to be holding your baby. I hope your recovery is as quick and easy as possible.

cocksstrideintheevening · 12/04/2023 12:22

My section was a good ten years ago, I had diclofenac and paracetamol and it was fine, I was i was and walking around / in the shower the next morning but I think that has been withdrawn.

Paracetamol after abdo surgery is a joke. They offered me paracetamol as pain relief in labour. I laughed at them.

Maria1982 · 12/04/2023 12:24

Sorry you had horrendous experience. I can sympathise. You should have been offered dihidrocodeine, which can be taken while breastfeeding.

I had a baby by c section last year.
Despite being told by the anaesthetist that I would be given dihidrocodeine every 6 hours after c section I had to beg for it repeatedly and kept being offered paracetamol first (which is ok, but shouldn’t have to beg for the other stuff). Grim experience.

Capitulatingpanda · 12/04/2023 12:24

I was given codeine after both of mine but second time decided against taking it because it contributed to the traumatic constipation/impaction last time (no lactulose doesn't help). It was v painful moving around for first few days though.

Housenoob · 12/04/2023 12:24

I have to say I was was fine on just paracetamol and ibuprofen (oromorph was given on the first day) and I never really thought about it much tbh. But I definitely think YANBU, there needs to be stronger options, I think I was very lucky with my recovery and I know others have a horrific time of it.

NewNovember · 12/04/2023 12:26

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?

Yes they are awful I had them daily from 16 weeks pregnant to six weeks postpartum.

Tootsweets84 · 12/04/2023 12:26

I was given naproxen and codydramol with my sections. It was still sore when I moved for the first week or so, but not agony. I also breastfed with all of mine for at least the first few weeks so clearly there was no issue with these passing through to baby. It seems each trust has different guidelines. I really can't understand how anyone can think paracetamol is enough pain relief after any major abdominal surgery, never mind after birth when your uterus will be contracting, causing more pain.

Climbles · 12/04/2023 12:27

I had abdominal surgery privately and they had signs up saying ‘don’t risk a fall call a nurse for help’. They listened, jigged around my drugs and asked about how I was doing constantly. I had an extra night in (no charge) because I wasn’t able to drink lots and I was worried I would become dehydrated. The attitude is completely different because they have enough staff and resources. I feel so sorry for anyone having to work on a NHS maternity ward.

SiobhanSharpe · 12/04/2023 12:28

I had a c-section many years ago. The op was in the evening and I was given a painkilling injection that night, worked like a charm, and I had more opiates in tablet form the next day.
The second night I was also given the pain relief injection. It was absolutely wonderful and on the third night when they said I shouldn't need it any more I was bereft. But it was ok, I managed.
I really think the good pain relief I had was also a real help when they got me out of bed the day after the operation, the pain wasn't too bad although it took me a couple more days before I could stand up straight. I could carry my 10-lb DS fairly easily.
It's truly appalling that women have to fight for effective pain relief after major surgery, which a c-section most definitely is. But a friend (an ex-nurse) who recently had a hip replacement said she had a struggle even to get paracetamol after her op. Frankly if I went into hospital again I'd take my own supplies of analgesics and refuse to surrender them.

Buddythecat1 · 12/04/2023 12:30

Yep I can relate too.
3 c sections and they've all been the same!
I was given oramorph after my 3rd c section, when I asked for a second dose (a day later) they made out like i was a drug addict trying to get a fix
Managed on just paracetamol

Jenjen21 · 12/04/2023 12:31

Hosp I work at give paracetamol, Ibuprofen or difene and oxynorm to post Cs mams.. If this was not adequate then we would have anestethics and obstetrics see the woman again and make a pain management plan.

IceandIndigo · 12/04/2023 12:33

YANBU. I was given dihydrocodeine while in hospital but my section was at 8pm in the evening and they insisted on discharging me the next day with only paracetamol and ibuprofen. It was brutal. I was told they don't like postpartum women taking opiates at home because they worry it will make you drowsy and you'll accidentally suffocate your baby. Which seemed really paternalistic, surely they should make women aware of the risks and let them choose.

RemoteControlDoobry · 12/04/2023 12:34

Is this a new thing? I didn’t have a c section and was given codeine, diclofenac and paracetamol. Twenty years ago.

SiobhanSharpe · 12/04/2023 12:34

I had a knee replacement a couple of years ago, in a private hospital.
They were shit hot with the pain relief, every four hours on the dot during the day -- high dose cocodamol mostly but I was also offered oramorph and diazepam if I needed more.
They also didn't care that I looked after my own prescription meds myself, just asked me if I'd taken them.
Mind you, the surgery, hospital stay (very comfortable) after-care and physio cost my health insurance 16 grand. Via employer.

Bovrillavigne124 · 12/04/2023 12:39

YANBU
Not only is the pain completely disregarded but the lack of help afterwards is just inhumane, after no other major surgery would you be expected to take care of a newborn without help. My baby was also in NICU so it didn't affect me but there was a woman in the bed opposite, vomiting, holding her newborm crying out for someone to help her because she couldn't sit up.
I got a wound infection and the only advice was to put a muslin cloth against the wound to keep it dry, ended up having to be admitted a week after for IV antibiotics with a 40 degree temp. With other surgeries the wound care is much better but postpartum mothers are just expected to "heal thyself" and get on with it, along with taking care of a newborn. Lack of aftercare really disappointing.

SillySausage81 · 12/04/2023 12:40

They kept telling me it was best to get out of bed as soon as possible, and it would help my recovery, but the lack of pain relief made it all but impossible before 18 hours. And when I did manage to start moving around I didn’t feel like the movement made me feel any better - the pulling and rubbing on the incision site just made the pain much worse and I couldn’t wait to get back into bed, although I appreciate there were undoubtedly benefits in terms of blood circulation, lower risk of blood clots and all sorts of other benefits, easing the pain certainly was not one of them. I can’t help but feel it should work the other way around: adequate pain relief in the first place should help you get moving which kicks off a virtuous circle of recovery.

OP posts:
allmyliesaretrue · 12/04/2023 12:42

It's been nearly 20 years since my last (of 3) c-sections and I got pain relief like Smarties! And I was bf'ing. They were always able to give me something else when the pain got too much.

I had abdominal surgery last year and even then I got very effective pain relief, one fast-acting, the other longer lasting.

That is barbaric. I would have been let's say, extremely assertive in demanding pain relief. There's no need to let women suffer like that.

proppy · 12/04/2023 12:44

This is why I don't know why people actively choose a C section, it's major surgery! Some people seem to think it's the easier option which is just bizarre

Mine was because of baby's position but genuinely thought it wouldn't hurt much because there is this myth it's the easy option!

FadedLaurels · 12/04/2023 12:45

2 sections and I also was only given para/ibu. And that was in a dedicated women's hospital!

When I had cancer bowel surgery I was dosed up to the max for several days and was given many weeks worth of very powerful painkillers. Totally opposite experience that has left me really angry about how I was treated when giving birth.

Oatyhobnobs · 12/04/2023 12:49

I was just given paracetamol. I didn’t ask for anything more as that did genuinely seem to cover it for me, but quite glad they didn’t push more and insist on codiene and other things.
From what I remember from having my appendix out was the constipation caused by the codiene made it more painful and uncomfortable than the actual surgery, so in hindsight quite glad it wasn’t suggested.

Really sorry this was your experience. Pals are really helpful in terms of taking things on board in my experience

PissedOffNeighbour22 · 12/04/2023 12:51

Yes, absolute joke. As you said OP, they're bloody headache tablets. I was given only 2 lots of tablets while I was on the ward and left in agony.