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Re: ACOG Antepartum Record - Pain Scale? From: Meenan, Anna (annam@uic.edu) Fri Nov 23 16:37:05 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: FRANCES WREN: "Re: ACOG Antepartum Record - Pain Scale?" Previous message: Ibrahim: "USG capture software" In reply to: aditi desai: "Re: ACOG Antepartum Record - Pain Scale?" Next in thread: DMECNM@aol.com: "Re: ACOG Antepartum Record - Pain Scale?" A small percentage of moms (it varies by ethnicity) rapidly metabolize codeine to morphine. I wouldn't say codeine is contraindicated in breastfeeding moms, but needs to be given for only a few days, and if pain continues, the situation needs to be re-evaluated, which is why I have to keep reminding my residents not to send more than 2 or 3 days worth of T3 home with breastfeeding moms and to tell them to call if still having pain requiring narcotics when that runs out. Anna Meenan, MD >In the UK a post Caesarean breast feeding patient kept complaining >of pain (no apparant cause) and was given repeated doses of >codeine.There was a neonatal death on day 15 suspected to be due to >resp.depression.Therefore now is strictly contraindicated in breast >feeding women >Aditi > >>----- Original Message ---- >From: "art fougner, md" <evsono@pipeline.com> >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Sent: Wednesday, 21 November, 2007 5:47:57 PM >Subject: Re: ACOG Antepartum Record - Pain Scale? > >She's Dead, Joe. > >Art > >At Wed, 21 Nov 2007, <mailto:DoctorJoe@aol.com>DoctorJoe@aol.com wrote: > >>You know, (1) you can't trust the patient not to be faking, and (2) you >>don't want to be embarrassed by a lawyer ("Didn't you see, Nurse >>Jones, that when >>you recorded 'asleep' the patient wasn't breathing and his tongue was >>lolling out to the side? The patient was DEAD, Nurse Jones, he was DEAD!!") >> >>Joe P. > >-- >art fougner, md >"May The Wings of Liberty Never Lose a Feather." - Jack Burton > >For ideas on reducing your carbon footprint visit ><http://uk.promotions.yahoo.com/forgood/environment.html>Yahoo! For >Good this month. Next message: FRANCES WREN: "Re: ACOG Antepartum Record - Pain Scale?" Previous message: Ibrahim: "USG capture software" In reply to: aditi desai: "Re: ACOG Antepartum Record - Pain Scale?" Next in thread: DMECNM@aol.com: "Re: ACOG Antepartum Record - Pain Scale?"

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