Quote from BETSRN
Why did you guys quit using Duramorph? That's the modern way!! LOL
It amazes me that ANYONE in 21st century OB would still be using Duramorph.
Back in the early 90's our anesthesiologists switched to continuous epidural PCAs for C-section patients with a huge dropoff in complications and a much greater level of statisfaction on the part of patients, nurses, and OBs/CNMs.
Moms get consistently good levels of pain relief, are up and walking by the evening of surgery, have no complaints of itching, and virtually no problems with voiding once their Foleys are removed. They switch easily to po pain meds after 24 hours or so, and I don't ever remember having to give anything IM for breakthrough pain.
If anyone insisted on giving me Duramorph for a C-section, I'd get up and go to another hospital!