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J Obstet Gynaecol Res. 2018 Apr;44(4):723-729. doi: 10.1111/jog.13579. Epub 2018 Jan 23.

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

Author information

1
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.

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.

KEYWORDS:

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

PMID:
29359386
PMCID:
PMC5893418
DOI:
10.1111/jog.13579
[Indexed for MEDLINE]
Free PMC Article

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