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This was reported in the media a few years back. Since that time, and maybe before, our hospital stopped using codeine in new mothers. We use hydromorphone (dilaudid) when narcotics are needed. Mothers who have had c/s are given epidural morphine at time of surgery, then regular doses of naproxen, and tylenol for the next 48 hours. I always used to advocate for epimorph for women who had had forceps too.
One of the problems in BC, and I am not sure about the rest of the country is that any narcotic that is not combined with tylenol and caffeine need to be prescribed on a triplicate prescription form and can not be called into the pharmacy which is why tylenol #3 might be prescribed as most physicians do not carry a triplicate Rx pad with them.
Cordelia Merritt RN BSN IBCLC
> Date: Thu, 21 Oct 2010 08:22:53 -0700
> From: Ingrid Tilstra <[log in to unmask]>
> Subject: Codeine article in CMAJ
>
> A recent CBC interview on the subject prompted me to look this
> up, somewhat
> out of personal curiosity, since when my kids were born, moms
> were given
> codeine - has that changed?
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