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J Obstet Gynecol Neonatal Nurs. 2014 Sep-Oct;43(5):554-67. doi: 10.1111/1552-6909.12487. Epub 2014 Aug 14.

Safe management of chronic pain in pregnancy in an era of opioid misuse and abuse.

Abstract

Safe and effective management of chronic pain in pregnancy is challenging. Use of over-the-counter analgesics, opioids, opioid substitution therapies, complementary and alternative therapies, antidepressants, and anxiolytics each have benefits and risks for the mother and neonate that must be considered. Because of their potency, opioids are often used despite associated risks for adverse effects, abuse, diversion, and addiction. Development of a pain management protocol for the counsel and care of pregnant women with pain is necessary.

KEYWORDS:

Opioids; chronic pain; opiates; pain management; preconception care; pregnancy

PMID:
25123962
DOI:
10.1111/1552-6909.12487
[Indexed for MEDLINE]

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