Cathy In South Africa for (many years already) C/S mothers are given NSAID meds post C/S. The two drugs used are: Diclofenac(Voltaren) either by suppository or 100mg injection every twelve hours. Voltaren is the mostly commonly used. Indomethecin suppositories are sometimes used as an alternative. (these drugs or similar are often used for major orthopaedic surgery too) The pain relief from Voltaren cannot be compared to Tylenol or Motrin - it is vastly superior. I personally have had 1 x C/S plus two other major abdominal surgeries. On the first one I had pethidine. The next two they used Voltaren. I would vote for the Voltaren any day especially after my hyst it really does work. Women given Voltaren report very positively about their pain relief. PCA morphine mothers are groggy and tired. They have a nurse disturbing them every hour night and day to do obs and do not self-mobilise as fast as mother who are given the Voltaren. When it comes to the breastfeeding side of things I wonder if PCA is all that great? Surely the morphine must transfer into the milk and because it is continuous (even though the dose is low)what is the effect on the baby and breastfeeding? Kind Regards Mandy O'Reilly RnRm *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html