Analgesia for caesarean section/3rd or 4th degree tear (Obstetrics)
For patients who have had a spinal or epidural with neuraxial opioid
First 24 hours
Paracetamol 1g qds starting in recovery(reduce dose to 500mg qds if body weight <50kg)
Diclofenac 50mg tds starting in recovery
Zomorph 20mg one dose >4 hours after spinal/epidural opioid Reduce to 10mg if body weight <50kg (can be prescribed at the same time as postoperative LMWH).
Zomorph 10mg one dose 12 hours following first dose of zomorph (reduce to 5mg if weight < 50kg)