Literature DB >> 29359386

Home opioid use following cesarean delivery: How many opioid tablets should obstetricians prescribe?

Payton Schmidt1, Mitchell B Berger1, Lori Day1, Carolyn W Swenson1.   

Abstract

AIM: To quantify home opioid use after cesarean delivery and identify factors associated with increased opioid use.
METHODS: A convenience sample of women discharged by postoperative day 2 following a term cesarean delivery of a singleton fetus from May 2015 to May 2016 were contacted 2 weeks post-partum and questioned regarding opioid use, pain control and pain expectations.
RESULTS: Among 141 women included in the analysis, the median number of opioid tablets used was 36 (interquartile range 16-45) and the median number prescribed was 60 (interquartile range 42-65). Logistic regression identified operative time ≥59.5 min and number of opioid tablets prescribed as two factors independently associated with opioid use in the top quartile.
CONCLUSION: In the first 2 weeks post-partum, 75% of women used 45 or fewer opioid tablets. Operative time over 1 h and increased number of opioid tablets prescribed are factors associated with higher post-partum opioid use.
© 2018 Japan Society of Obstetrics and Gynecology.

Entities:  

Keywords:  analgesics, opioid; cesarean section; drug prescriptions; postnatal care; practice patterns, physicians’

Mesh:

Substances:

Year:  2018        PMID: 29359386      PMCID: PMC5893418          DOI: 10.1111/jog.13579

Source DB:  PubMed          Journal:  J Obstet Gynaecol Res        ISSN: 1341-8076            Impact factor:   1.730


  15 in total

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3.  Prescription Opioid Dose After Vaginal Delivery and the Risk of Serious Opioid-Related Events: A Retrospective Cohort Study.

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