I AM LOOKING FOR INFORMATION REGARDING USE OF TOPICAL AFTER EPIS. I HAVE WORKED L&D FOR 6 YEARS-AT THE HOSPITAL I USED TO WORK WE USED TUCKS AND ANNUSOL CREAM-ALONG WITH DERMOPLAST SPRAY AND LOTS OF ICE PACKS. I HAVE RECENTLY STARTED WORKING AT A MUCH SMALLER COMMUNITY HOSPITAL, AND THEY DO NO USE TOPICALS AS OFTEN. MOST OF THE DOCS HAVE TUCKS ON THEIR STANDING ORDERS FOR EPIS-BUT NOT ANY ANNUSOL, AND THE NURSES DON'T EVEN USE THE TUCKS MUCH. THIS IS A MARKED DIFFERANCE TO WHAT I WAS USED TO. I AM GOING TO BE GIVING AN INSERVICE TO STAFF SOON REGARDING POST PARTUM PAIN MANAGEMENT AND WOULD LIKE SOME FEEDBACK ON WHAT OTHER PLACES ARE DOING, ALONG WITH ANY ARTICLES ON THE SUBJECT. I WAS TAUGHT TO HAVE PTS PUT ANNUSOL CREAM ON THE TUCKS PAD, AND PLACE THAT DIRECTLY ON HEMMOHOIDS AND/OR EPIS. WHEN I TOLD THIS TO CURRENT CO-WORKERS THEY WERE SHOCKED. PLEASE SEND ME ANY INFO YOU HAVE, AND YOUR PERSONAL EXPERIENCE OR PREFERANCE. THANK YOU!!!!
