I had an emergency c-section with my first, and then a planned c-section with my 2nd. I was not given any choice -- it was never even discussed. I'm sure I had a spinal block with the first and I thought I did with the second. However, there was a HUGE difference between my two experiences.
During my 2nd c-section, they used "Duramorph" as the blocking drug. WOW, what a difference from the first! The day after, I was ready to jump out of bed. Seriously – by 8am, I was beginning to get mad that they weren’t in to remove the catheter so I could get out of bed. I literally jumped right up -- I felt great! With my first, it was much more the “traditional” story you hear – nurses come in to help you sit up and swing your legs over the edge of the bed and they force you to stand up and do a little walking. I can’t believe how easy it was to get up with the Duramorph. To me, it was a miracle compared to whatever I had with the first.
The downsides of the Duramorph was that it makes you feel very, very itchy. I scratched some of the skin off my leg because I was so itchy. (I refused the Benedryl the day of the delivery because I felt so drowsy. I should have taken the Benedryl.) Also, a few hours after the delivery, I got sick to my stomach. The nurses were giving me the anti-nausea medication, but I overheard them complaining that they couldn’t be more aggressive with the dose. (I guess I needed more than the “minimum,” and they were instructed to “work up” to that amount.) I think I also was sick to my stomach after my first c-section, but it's tough to remember.
If I was to ever have another baby, I would insist on Duramorph (assuming it was medically safe for the situation). Plus, I would take the Benedryl and complain about nausea much sooner!