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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