OBJECTIVE: Guidelines for prescribing opioids following cesarean delivery are vague and recommend
prescribing the lowest dose for the shortest duration of time.
1
Most research on opioid prescribing after cesarean delivery examines patient demographic
or clinical characteristics associated with differential opioid use after hospital
discharge.
2
We understand less about factors influencing clinician prescribing patterns, with
limited direct solicitation of clinicians’ perspectives. To fill this gap, we evaluated
how clinician demographics, attitudes, and practice structure informed opioid prescribing
at discharge after cesarean delivery. We hypothesized that age, years in practice,
and perception of patient satisfaction would influence the number of opioids prescribed
following cesarean delivery.To read this article in full you will need to make a payment
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References
- Pharmacologic stepwise multimodal approach for postpartum pain management: ACOG Clinical Consensus No. 1.Obstet Gynecol. 2021; 138: 507-517
- The risk of serious opioid-related events associated with common opioid prescribing regimens in the postpartum period after cesarean delivery.Am J Obstet Gynecol MFM. 2021; 3100475
Centers for Disease Control and Prevention. CDC File of National Drug Codes for opioid analgesics, and Linked Oral morphine Milligram Equivalent Conversion Factors. 2020. Available at: https://www.cdc.gov/drugoverdose/resources/data.html. Accessed March 7, 2022.
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Article info
Publication history
Published online: December 09, 2022
Accepted:
December 6,
2022
Received in revised form:
November 23,
2022
Received:
September 27,
2022
Footnotes
The authors report no conflict of interest.
A.A.L. and S.S.O. received funding support from the National Institute on Drug Abuse under award numbers K01DA050740 and K23DA047476, respectively. The funding sources were not involved in the research.
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