Quote from redessa
I'm curious, what kind of pain management (if any) do you approve of for "smaller" repairs?
That's already a sensitive area. Add the physical trauma of having just pushed a baby out with the accompanying lacerations and see how much you'd like getting some med-free sutures! Even needle pricks for a local anesthesia are a lot to endure at that point in time. If the mom's already got an IV, why not give the meds through that?
I definitely agree with the OP. I was very anti-medicalized birth. However, as a nurse I did feel safety in delivering in the hospital. I did, however, arm myself with a CNM and doula to try for a "natural" un-medicalized birth. For the most part, I got what I wished for.
Unfortunately, my 8# son decided he wanted to be delivered with his hand alongside his head. Not only did this cause a larger presenting part, but when finally "free" his hand slapped back and gave me a 4th degree laceration. I do remember the pain involved and it was terrible. The lidocaine was not giving much relief. They decided to establish IV access and administer a healthy dose of Stadol.
Unfortunately, this Stadol essentially made me crazy. I could not focus my eyes to see my new son, I became extremely irritable, bordering on hysterical. I was swearing, couldn't appreciate the passage of time, and became extremely PO'd that I was not seeing my son. But then when he was brought to me, I could not focus on his face and became even more hysterical. My first BF attempt was far from magical (at least I don't think since I barely remember it).
He was delivered at 0200 and repairs continued until 0400. We had saved his gender for a surprise, but there didn't end up much fun in that at the time. Then I was too "drunk" to even choose a name. I sent him to the nursery and just told them to reintroduce him to me in the morning.
After trying so hard for a natural and bonding birth, I feel I was robbed by the medication that was administered. On the same note, though, I do not anticipate I could have handled the repairs without additional analgesic. I think the major problem was that an agonist/antagonist was chosen for the medication, which is known to have a more "drunk-like" side effect.
I had been anti-epidural for my birth, but looking back, that would have saved me from the hysteria that followed IV administration of Stadol. I will think long and hard about it next time.
So, I guess that is a different take on the situation.