Ibuprofen and Acetaminophen Versus Ibuprofen and Acetaminophen Plus Hydrocodone for Analgesia After Cesarean Section

Inclusion Criteria: * English or Spanish speaker women who had a cesarean section Exclusion Criteria: * Inability or refusal to provide informed consent. * Reported current or prior opioid or benzodiazepine use disorder, including urine drug screen positive for a non prescribed opioid or benzodiazepine upon admission or during prenatal care. * Current treatment with methadone, buprenorphine or buprenorphine plus naloxone. * Known alcoholism disorder. * Severe renal or hepatic impairment. * Known creatinine \> 1.5 at the time of delivery or severe proteinuria leading to diagnosis of renal disease prior to delivery. * Severe peptic ulcer disease * Severe asthma (if patient has asthma but has previously tolerated NSAIDS, she will be allowed to participate) * Known CYP450/CY92D6 mutation conferring opioid ultra-rapid metabolizer status. * Allergy to any of the study drugs (anaphylaxis). * Incarcerated or institutionalized patients. * Inability to follow up as outpatient in our outpatient clinic. * wound dehiscence or infection diagnosed prior to discharge from the hospital * wound vac placed prior to discharge from the hospital