Wow compared to some of the responses here our unit provides a lot more meds, sometimes I wonder if that is the problem with our patients not wanting to get up.
CS come over with epidural in place and keep it 1-2 days there have been rare ppl who had it on day 3. I encourage removal as soon as they can tolerate it b/c I really don't see how it helps them a lot, some ppl yes but most of them seem to be ready to be done with it sooner rather than later. CS also have toradol q 6 for about 2 days. They can have percocet in between for breakthrough pain. Vaginal deliveries can have motrin 800 or percocet or both. I try to start out slow, if my patient is complaining of cramping (vaginal) I try a motrin and then if that doesn't help or if they ask for somethign stronger I will try one percocet (we are allowed to do 1 or 2 q 4 hours prn). But I strongly encourage ambulation, especially for cs patients, they really need to get that gas out.
Personal experience, having had a cs as well as a few other surgeries, pca pain management is not good for me, I do better with po meds. I think toradol is good iv though for many pains and I think if I have another child and its a cs delivery I will try to find an alternate route, or have the epi pulled asap. I just don't find the benefit in it and always did better with other methods of pain management. And walking as soon as I could was always helpful!
I am just shocked sometimes at how much time post partum patients spend in bed, I think it really helps to be moving and doing things even if its just within one's room.