From what I remember of my reading about PCA, patients generally use less
and have better control, which is a good thing.If they are suggesting using
the same drug via PCA as you normally use intermittently, it may actually be
beneificial.

What about PCEA? Do they leave epidurals in where you are? Where I work
epidurals are left in for three days post C/S and PCEA pethidine set up.
Works a treat (says she who has had two C/S and was doing laps of the ward
as soon as she had legs back!) I know when I worked in the USA leaving an
epidural in after C/S wasn't considered an option, and I'm just wondering if
anyone else does it in the rest of Australia and or the world?

Kirsten
>
> What is the objection to Morphine PCA?  It is safer than
Demerol/meperidine,
> and effective for most people.  The IM morphine is painful to inject, and
> not as fast acting.  I have seen it used for more than ten years, and of
all
> the hurdles we deal with, it is not a big breastfeeding problem.
> Lu Bush
> RNC, IBCLC
> Texas
> ----- Original Message -----
> From: "Jennifer James" <[log in to unmask]>
> >
> > I am also having a major problem with our anaesthetics department - they
> > want to trial morphine Patient Controlled analgesia pumps post
caesarean.
> At
> > the moment we use PR voltaren and im morphine prn. I
>

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