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I was told recently by an Obstetrcian at St T's that they do now offer Pethadine (though they didn't 2 yrs ago whn I was there).


I think it's a bit dramatic to call it "heroin" Many painkillers are opioids including pethadine, morphine, diamorphine co-codamol and heroin, but no one is going to turn into a trainspotting character because they had a shot of pethadine in labour.


Many patients who take these things long term can become addicted, but the additiction is initally psychological - fear of the pain returning if they stop the pills - not really an issue if you're not in labour anymore. (With terminal patients they have to keep increasing the dose as it stops being effective)


Not seen this weeks OBEM but my understanding of it was that they gave these drugs when the birth was still a long way off so the mother could get a bit of rest and a break from the pain, it would then have warn off by the time the baby was born with no lasting effects on either? Without the opioids the alternative is an epidural and all the issues that come with that (or just putting up with it).


Sorry I know people were probably joking when they said heroin but if I had to do another 30+ hour labour and I was offered pethadine this time, I'd like to think I wouldn't be looked down on as being a junky if I took it!


K

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