A 28-year-old female asked:
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please write strongest pain medication, complete drug plan for post c-section pain. i chose c-section with general anesthesia. i don't want spinal or epidural?

4 doctor answers
Dr. Edward Jacobs
45 years experience Obstetrics and Gynecology
A choice: Depending on your hospital policies and procedures, you could have a spinal or an epidural. Those are preferrable to general anesthesia which can get to the baby in just a few minutes and increase the risk to the baby of respiratory distrress. An advantage to the epidural is that it can be left in place for 24 hours after surgery, allowing you significant pain relief in the first post op day.
Answered on Sep 21, 2013
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Dr. Gary-Anthony Lawson-Boucher
21 years experience Anesthesiology
Analgesia: It would not be practical to provide you with rx plan for postop analgaesia without knowing your medical history. You have tied your anesthesiologist's hands by declining spinal/epidural. Both techniques can have opiate adjuvants which diminishes motor blockade whilst maintains sensory blockade. Elective general anesthesia for delivery is dangerous and as an anesthesiologist i wouldn't do that.
Answered on Jun 8, 2013
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2 thanks
Dr. Richard Pollard
29 years experience Anesthesiology
See below: Pain tolerance varies between patients. Some patients in the post-operative period only need motrin, while some need narcotics. General anesthesia for the procedure is not the preferred choice as it increases the risk of death for the mother. Talk to your anesthesiologist before the procedure.
Answered on Apr 24, 2015
Dr. John Wilson
10 years experience Anesthesiology
Get the epidural: Epidural will manage pain better than narcotics. Narcotic can also be injected directly into spinal cord with pain benefits and less side effects. General is dangerous in pregnancy. The airway is very edematous and can be difficult to intubate. I would suggest epidural.
Answered on Jul 6, 2013

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