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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Did you have morphine for pain relief after your c section?

138 replies

Cinai2 · 05/08/2024 14:57

I think some hospitals seem to use it, others don’t. Did you have it / needed it / any side effects?

OP posts:
lairyfights9 · 05/08/2024 21:20

They gave me liquid morphine after my first C-section but not after my second, not sure why. I wonder if not having it the second time had anything to do with the insane itching I had from the spinal (I didn't get the itching with the first one) 🤔

I'm not a fan of morphine though because it makes me feel really sick. But I probably would have preferred feeling sick to the hours and hours of intense itching..

OvO · 05/08/2024 21:33

Destiny123 · 05/08/2024 17:38

General anaesthetic csections (rare only if baby is so distressed no time for a spinal or mum has a brain or spinal cord reason to not be allowed one) will get a PCA (patient controlled analgesia device) where it gives iv morphine via a patient controlled button as GA csections are a lot more painful post op than spinal/epidural csections

Thank you for that info. I had 3 planned c-sections under GA and was in a lot of pain when I woke up each time. Reading how many people were fine with nothing or just paracetamol made me feel like I was a wimp!

OlympicsFanGirl · 05/08/2024 21:46

Oramorph - quite a few doses.

Then cocodamol and diclofenic.

UrsulaSings123 · 05/08/2024 21:49

Bloody hell I wish!! Just paracetamol - absolute torture bandits!

Flibflobflibflob · 05/08/2024 22:00

I did, but it was abroad, had a different opiate, not sure what it was as it was a bit of a rush. turns out I metabolise opiates extremely quickly (which was a shame because it was bloody fantastic). They were really good with pain management tbh. Took it very seriously.

Dyra · 05/08/2024 22:01

FlyingHighFlyingLow · 05/08/2024 20:11

I had a c section and was placed in a room with 4 other mums that had c sections and were breastfeeding.

It could be coincidence, but it was very clear that those with morphine had very sleepy babies. I couldn't as I'm allergic so just paracetamol and ibuprofen and my baby was feeding more often and was much more alert, as was another that didn't have it. The other 3 had a lot of issues with needing to wake the babies up, short feeds and were asked to stay another night and 2 were topping up and expressing colostrum to try get stuff into them.

So I'd say if you're bottle feeding go for it. If breastfeeding if you need it you need it, but it may cause baby some feeding issues.

Could just be jaundiced. Both mine were mildly jaundiced. Enough to make them very sleepy, but not enough to need treatment anyway. No post partum opioids involved.

Danfromdownunder · 05/08/2024 22:05

In Australia in private hospitals the epidural is left in place till day 3 so you receive morphine through that it’s a little pump so you can self medicate (to a limit if you push it too many times it stops). Was great. After that went home on Panadol.

Yozzer87 · 05/08/2024 22:06

I did definitely after my third and fourth sections, I can't remember if I did or not for my first 2. I definitely needed it after those last two and it meant I had to stay in an extra night to have it. No side effects other than I had a bit of a lucid dream but I was grateful for the pain relief.

Blue2020 · 05/08/2024 22:11

No I didn’t, I had the spinal then I had paracetamol and ibuprofen for the next 2-3 weeks. I tried stopping them too soon and realised it was a mistake.

The hospital did send me away with stronger pain killers but said only use them if I really needed them. I didn’t need them in the end.

JJathome · 05/08/2024 22:12

Yes and I disliked it intently and asked them to remove the drip. It was a bit of a bun fight and they insisted I needed it. So I refused to push the button to get thr dose. They then removed it snd gave me the suppositories instead, which made the pain melt away. Morphine made me feel dopey and out of it. Like a zombie. The last thing you need with a new baby.

Dyra · 05/08/2024 22:12

Destiny123 · 05/08/2024 20:14

You are "aware" in the sense you are verbally consented for it (can refuse but would be silly to) you just can't feel it.

Some trusts do a 2nd dose when removing the catheter at 12h post op but it's becoming less common now

Absolutely magic stuff. 10/10 would recommend. I've had it 3 times, and found it amazing every time.

A couple of the consultant anaesthetists at my trust use IV diclofenac instead. Not sure if the rest want to adopt the practice, but it is a little more civilised.

FlyingHighFlyingLow · 05/08/2024 22:16

Dyra · 05/08/2024 22:01

Could just be jaundiced. Both mine were mildly jaundiced. Enough to make them very sleepy, but not enough to need treatment anyway. No post partum opioids involved.

Babies get jaundiced because they're not taking enough milk in so not peeing and pooping enough to clear all the byproducts of red cell breakdown out. It's a bad cycle, initial sleepiness and not feeding well will result in jaundice. Those babies not feeling well continue sleepiness.

Like I said, could be coincidence but on my bay, the breastfed babies whose mum's didn't take opiate pain medication did better. They also don't let you have opiate pain relief in labour too close to delivery due to effect on baby (obviously more pronounced because via blood rather than milk). It's not a 'if you accept morphine your baby will become sleeping beauty and be really ill' deal, and if you're in a lot of pain then do what you need to, but you can't pretend it won't affect the baby if you're breastfeeding as it does go into your milk so you are giving your baby opiates too.

Babycatsmummy · 05/08/2024 22:23

stackhead · 05/08/2024 15:11

Had 1 dose and didn't like how it made me feel. I get a little spacey on morphine and so declined anymore. Managed fine on paracetamol and ibuprofen.

Same here! Oramorph made me feel so spaced out and dizzy

zebrapig · 05/08/2024 22:23

With DD I had IV morphine with a push button. Didn't realise how good it was until they were taking it off me! Really missed a trick on that one. Delivery was EMCS after failed induction and I had severe pre-eclampsia which was missed by the community midwife so there was a lot of arse covering going on afterwards. I also had a PICO battery operated vacuum dressing over my scar.

Had EMCS with DS but no morphine and no fancy dressing. I wasn't nearly so ill though and they were very hot on delivering before the PE really took hold.

SquashPenguin · 05/08/2024 22:25

I had oramorph for about two days after mine, but it was an emergency section and they had no time to be careful. Baby was out within about 90 seconds of the spinal block taking effect. I was in agony and couldn't move. Baby was in scbu and I'd never have got into a wheelchair to go and meet her if it wasn't for the morphine.

marmaladeandpeanutbutter · 05/08/2024 22:44

I was given voltarol tablets, which worked very well.

similarminimer · 05/08/2024 23:55

No, not after the spinal wore off. Was fine with paracetamol - 'ouch' if i moved to quickly biut not at all in pain (-and generally i have a low pain threshold)

TheBigStrawberry · 06/08/2024 02:58

lovelysunshine22 · 05/08/2024 17:27

I think its an absolute joke that after major abdominal surgery you are expected to cope with paracetamol and anti inflammatory! Yet if you had your appendix out you would be given more!

I haven't read the full thread but when I had my appendix out I was only given paracetamol and ibuprofen. They gave me some oramorph on the first night as I was complaining about the pain and not able to sleep, it definitely wasn't given as standard though. This was 15 years ago!

Nat6999 · 06/08/2024 04:16

Yes, I was in high dependency & had a port that they kept on putting the morphine in, I was drugged up to the eyeballs, they kept my epidural going for 24 hours to try & get my BP down as it was above even dangerous levels despite being given medication to get it down. I had hellp syndrome & my organs were in danger of failing. Exh said I kept on opening my eyes, saying hello & then drifting off back into my drug induced sleep for the first 36 hours.

Hangingupnow · 06/08/2024 05:16

@TheBigStrawberry were you opened or was it keyhole though?

TheLurpackYears · 06/08/2024 06:10

No, and I didn't feel I needed anything stronger either time.
Came out of surgery with diclofenac suppository in situ then alternating paracetamol and diclofenac for the first few days then just paracetamol.

What make a difference is getting to the loo regularly, keeping very well hydrated and constipation plus surgical wound equals agony and being ontime with the pain killers. Dont leave a gap so it starts to hurt more.

readyforroundthree · 06/08/2024 06:21

I was given quite a lot of morphine during the c section because my spinal started to wear off as I was being stitched back up, so the options were either put me under a GA or keep topping me up with morphine. I had a really bad reaction to it and my skin was itching all over for hours.

On the post natal ward I was fine with paracetamol and ibuprofen, but you can ask for something stronger if you need it. Slight defer off topic but be mindful of the trapped wind pain in the shoulders and chest after c section, go to hospital stocked up with peppermint tea.

TemuSpecialBuy · 06/08/2024 06:27

Flopsy145 · 05/08/2024 15:07

I have had two and no morphine, you get a spinal in most cases which helps with the pain for a while, after that it was paracetamol, ibuprofen and I think a type of cocodomol

same.

I also had a pain relief suppository which I didn’t even know about first time… 2nd time around they were like “do you want a suppository after surgery again?” And I was like 🧐
morphine also can cause constipation which is something to think about.

I had some stronger stuff for the first 48hrs co drymol or something

PurpleChrayn · 06/08/2024 07:01

I was given a couple of doses of oromorph, which was lovely! Otherwise, just ibuprofen and paracetamol.

donkeyleg · 06/08/2024 07:09

I had it prescribed after my first but had to ask for it if I felt I needed it . My other 2 was just paracetamol and ibuprofen, I didn't need anything else. Was also given codiene to take home with me if needed

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