Hi All
We used to do this, but have moved to spinal morphine at the CS. The
recovery of the women is significantly quicker and even our women who
require a GA who in the past had a PCA up for 36-48 hours now have that
remove much sooner. We give a planned management of opiate pain relief
for 48 hours.

The recovery is simply phenomenal and the feeding issues significantly
less as the women are so much more independent.

This is from observation but the change was based on research.

If you would like more information please contact me on my email
address

Gwen

Gwen Moody
CNC Postnatal Care
Westmead Hospital
PO Box 533 Wentworthville 2145
Phone: 02 9845 6964, 0422212774
Fax: 02 9845 8340
Page: 02 9845 5555 - 01135
email: [log in to unmask]

>>> [log in to unmask] 16/05/2009 12:23 am >>>
I know that I am fighting a battle That I wil not win however I would
like to 
go down fighting. One of the new anesthesia groups would like to start
using 
PCEA for post c-section pain control. They would leave the catheter in
and 
bolus with Duramorph on day one and day 2 then remove for pain contol.
I am 
having a hard time with this and wonder if anyone else has experience
with it.I 
have Marsha Walkers  book "" Using the evidence" and getting some of
the 
articles about epidurals in general But do any of you have other
suggestions?
our epidural rate is climbing  I see more sleepy babies, uncoordinated
sucking 
efforts,and just people who want to give the baby a bottle rather let
them 
stay with the mother. If you know of any recent articles or studies
could you 
post.If you have experience with this could you share.
Thanks ,
Marilyn

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