Managing Complications in Pregnancy and Childbirth: - IAWG

C-48 Anaesthesia and analgesiaPOSTOPERATIVE ANALGESIAAdequate postoperative pain control is important. A woman who is insevere pain does not recover well.Note: Avoid over sedation as this will limit mobility, which is importantduring the postoperative period.Good postoperative pain control regimens include:• non-narcotic mild analgesics such as paracetamol 500 mg by mouthas needed;• narcotics such as pethidine 1 mg/kg body weight (but not morethan 100 mg) IM or IV slowly or morphine 0.1 mg/kg bodyweightIM every 4 hours as needed;• combinations of lower doses of narcotics with paracetamol.Note: If the woman is vomiting, narcotics may be combined with antiemeticssuch as promethazine 25 mg IM or IV every 4 hours as needed.