Hi All We used to do this, but have moved to spinal morphine at the CS. The recovery of the women is significantly quicker and even our women who require a GA who in the past had a PCA up for 36-48 hours now have that remove much sooner. We give a planned management of opiate pain relief for 48 hours. The recovery is simply phenomenal and the feeding issues significantly less as the women are so much more independent. This is from observation but the change was based on research. If you would like more information please contact me on my email address Gwen Gwen Moody CNC Postnatal Care Westmead Hospital PO Box 533 Wentworthville 2145 Phone: 02 9845 6964, 0422212774 Fax: 02 9845 8340 Page: 02 9845 5555 - 01135 email: [log in to unmask] >>> [log in to unmask] 16/05/2009 12:23 am >>> I know that I am fighting a battle That I wil not win however I would like to go down fighting. One of the new anesthesia groups would like to start using PCEA for post c-section pain control. They would leave the catheter in and bolus with Duramorph on day one and day 2 then remove for pain contol. I am having a hard time with this and wonder if anyone else has experience with it.I have Marsha Walkers book "" Using the evidence" and getting some of the articles about epidurals in general But do any of you have other suggestions? our epidural rate is climbing I see more sleepy babies, uncoordinated sucking efforts,and just people who want to give the baby a bottle rather let them stay with the mother. If you know of any recent articles or studies could you post.If you have experience with this could you share. Thanks , Marilyn *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome ______________________________________________________________________________ This electronic message and any attachments may be confidential. If you are not the intended recipient of this message would you please delete the message and any attachments and advise the sender. Sydney West Area Health Service (SWAHS) uses virus scanning software but excludes any liability for viruses contained in any email or attachment. This email may contain privileged and confidential information intended only for the use of the addressees named above. If you are not the intended recipient of this email, you are hereby notified that any use, dissemination, distribution, or reproduction of this email is prohibited. If you have received this email in error, please notify SWAHS immediately. Any views expressed in this email are those of the individual sender except where the sender expressly and with authority states them to be the views of SWAHS. *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome