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  5. Common obstetric problems, intrapartum labour ward
  6. Postnatal Oral Analgesia Discharge Prescription (447)
Update your RDS mobile app to v4.7.2 to download toolkits even when website is down.

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. You will see that each toolkit has a small QR code icon in the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively update to the latest release - RDS app version 4.7.1 - to see this improvement.

Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience  arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number.  To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Postnatal Oral Analgesia Discharge Prescription (447)

Please report any inaccuracies or issues with this guideline using our online form

SVD

  • Paracetamol 500mg - 1g oral four times daily with
  • *Ibuprofen 400mg oral three times daily.

Instrumental deliveries

  • Paracetamol 500mg - 1g oral four times daily with
  • *Diclofenac 50mg oral three times daily.

LUSCS or Third/Fourth degree tear

  • Paracetamol 500mg - 1g oral four times daily with
  • *Diclofenac 50mg oral or three times daily with
  • Dihydrocodeine 30mg oral every 4 to 6 hours (max four times daily) for women being discharged on day 1 or 2 if required for moderate pain, there is contraindication to NSAID or existing chronic pain issues.

If patient is ≤ 50kg reduce Paracetamol to 500mg every 4 to 6 hours (Maximum 4 doses per 24 hours) and consider reducing doses of NSAIDs.

*Regimes containing NSAIDs, i.e. Ibuprofen or Diclofenac should not be prescribed for patients who are asthmatic, have G.I. problems or are hypersensitive to NSAIDs.

Editorial Information

Last reviewed: 03/05/2016

Next review date: 31/05/2021

Author(s): June Grant.

Version: 2

Approved By: Obstetrics Clinical Governance Group

Document Id: 447