RCS and question about Morph pump...

caover · June 2013

Hi ladies. I will be having a RCS for DD#3. A brief history: I had 25 week twins in August 2010 and a TAC (transabdominal cerclage) in February of this year. Each time I had the pump. For me, it never seemed to help my pain level. It just made me super loopy and disoriented. The oral pain meds always did the trick. With a FT baby in sight I would like to not be high as a kite and enjoy all those first moments with her. I had a friend who's doctor kept her epidural on for a while after her section and never put her on a pump. Has anyone heard of this? Advice? TIA!

mysticl · June 2013

I honestly don't remember when the epidural came out, neither does my husband. I know feeling was returning before I left the OR so they had at least turned it down. I didn't have a pump. I just had IV ibuprofen and oral narcotics. After a day or so they stopped the IV and switched to oral ibuprofen.

britglenn9 · June 2013

i had a spinal block instead of an epidural, and so when the block wore off i was on percocet's every 4 hrs, i dont think i ever got IV pain meds (or an epidural pump) or any of that. I dont ever remember the pain being unbearable, except when i would try to get out of bed too fast, or had to use my abdominal muscles at all, of course that was sharp pain.

sn2bmamaofthree · June 2013

Weird thing is I've had both a spinal and epidural for both of my cesareans and I don't remember either of them coming out !

MaineMama · June 2013

My first section was with general, and then the morphine pump and I agree- it didnt help the pain, just made me too stupid to say anything.

the rest of my sections have been with a spinal block, and then shots into my iv, Ibuprophen, and percocet. It worked really well for me. Good luck!

stemms8810 · June 2013

I had a spinal so when that wore off I did have a pump afterwards but I don't remember how long. Definitely by the next day I was on oral pain meds.

mommytoconnor · June 2013

Im an OB nurse and we typically don't put you on a PCA(morphine pump). They don't work really well in my opinion. If you have a spinal/epidural for your procedure then we typically administer IV pain meds for the first 24 hours and then once you are eating food again we put you on oral meds, which work a lot better and last a lot longer. Each facility is different so I would check with your doc and express your wishes and see what they say.

mommytoconnor · June 2013

savannah_girl:

mommytoconnor:
Im an OB nurse and we typically don't put you on a PCA(morphine pump). They don't work really well in my opinion. If you have a spinal/epidural for your procedure then we typically administer IV pain meds for the first 24 hours and then once you are eating food again we put you on oral meds, which work a lot better and last a lot longer. Each facility is different so I would check with your doc and express your wishes and see what they say.

Really, because the 3 systems that I worked for did a PCA or a duramorph spinal.

To PP, each please is different with different policies. Your Ob can't really help you with this, call the hospital and ask to speak to the anesthesia department. That Dr will be the one to decide what kind of epi/spinal is available.

We use Duramoph spinals as well but the only instances we do PCA's are for general anesthesia and people who are allergic to the morphine and therefore can't have the duramorph spinal.

AudreyB113 · June 2013

I know that I had almost complete feeling back after about 30 minutes after surgery. They had the morphine pump set up a little later than expected so I was in some pain for a little while. I agree with you on the morphine though. It helped my pain some but it made me SO loopy and tired. I don't even remember some people who came to visit! I hate feeling that way. The oral meds worked the best by far. I may mention it to them and see what they say.

jb2rn · July 2013

I had my baby here in Germany, and it's very different. However, I would just tell them what you want.

My epi was pulled about two hours after my son was born and I was given IV paracetamol (like Tylenol) and Ibuprophen. I had no nausea and was eating right away.

If you feel good, I would start oral meds right away. Just get something in your stomach first.

I am an RN in the states, and yes, we want you do do IV so you can start your oral intake slow, but if you are ok, I would skip the IV meds (which can make you feel that loopy feeling you talk about) and go right to Percocet or whatever.

caover · July 2013

Thanks ladies for all the advice!

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