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. 2009 Nov;55(11):1077–1078.
A large number of women are treated for pain following cesarean section or episiotomy.
  • It is important to effectively treat postpartum pain.

  • Codeine is widely used for postpartum pain, mostly in combination with acetaminophen. Tylenol No. 3 is the most common codeine-acetaminophen combination in clinical use.

  • Recent research from Motherisk suggests that codeine might not be safe for all breastfed infants, as in a minority of cases it might cause CNS depression and apnea.

  • A minority of mothers might convert more codeine to morphine in their bodies, putting their babies at risk of side effects or even death.

  • Infants appear to be more sensitive to the effects of narcotic opioids, such as morphine, than older children or adults.

CNS—central nervous system.