Post-delivery, pain and medication assessment scoring per UT Medical Center protocol will be performed by the postoperative/postpartum nurses to assess pain control. Patients are currently monitored by the Pharmacy for acetaminophen levels not to exceed 4000 mg/day and this process will continue per hospital protocol. In order to avoid breaking the blind, all study patients will be treated as if they received preop acetaminophen and will then be switched to a non acetaminophen analgesic if a fifth dose of acetaminophen is required. After the first 100 study patients are enrolled, a preliminary study assessment will be performed to see if any significance in study goals (ie: decreased opiate use, length of stay and improved pain scores) is found since statistical differences were seen in other studies with fewer numbers. This information will be collected through chart review by investigators and research assistants which the IRB has approved. If this data collection on the first 100 study patients is found to be significant, the study will be stopped. However, blinding will be maintained until study completion is determined.