At my local hospital, Duramorph is also used. Women itch like crazy,  
Benadryl given first, then Nubain. Sometimes we can get in first feeding before  
the itching gets intense. Our goal is first feeding within the second hour 
of  birth after an uncomplicated C/S. One babe was nursing 59 min after 
birth, and  my grandson was nursing 65 min after birth!
 
An "On-Q" catheter which is then connected to a pre-loaded ball which  
delivers fentanyl is placed into the incision area, and this delivers good  pain 
control for 2-3 days post-op. Of course most women get  Toradol (Ketorolac 
which is an NSAID-like med) IV every 8 hours for 24  hours, and they can 
also get Percocet or Vicodin by mouth as needed. Lots of  babies who hardly 
ever nurse 6-8X in the first 24 hours, but they sure get a lot  of skin-to-skin 
contact with mom most of the time.
 
Mary-Jane Sackett, RN, IBCLC
Pittsfield, MA
 


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