Opioid prescribing trends in postpartum women: a multicenter study.
| Title: | Opioid prescribing trends in postpartum women: a multicenter study. |
|---|---|
| Authors: | Sanchez Traun KB; Department of Family Medicine, La Crosse, WI. Electronic address: kbsanche@gundersenhealth.org.; Schauberger CW; Department of Obstetrics and Gynecology, Gundersen Health System, La Crosse, WI.; Ramirez LD; Department of Medical Research, Gundersen Medical Foundation, La Crosse, WI.; Jones CW; Department of Obstetrics and Gynecology, University of Minnesota, Minneapolis, MN.; Lindberg AF; Department of Obstetrics and Gynecology, University of Minnesota, Minneapolis, MN.; Molero Bravo RA; Department of Obstetrics and Gynecology, University of Hawaii, Honolulu, HI.; Wright TE; Department of Obstetrics and Gynecology, University of Hawaii, Honolulu, HI.; Traun BD; Department of Family Medicine and Community Health, University of Wisconsin, Madison, WI.; Peterson SE; Department of Obstetrics and Gynecology, Swedish Medical Center, Seattle, WA.; Rudolf VP; Addiction Recovery Services, Swedish Medical Center, Seattle, WA. |
| Source: | American journal of obstetrics & gynecology MFM [Am J Obstet Gynecol MFM] 2019 Nov; Vol. 1 (4), pp. 100055. Date of Electronic Publication: 2019 Oct 10. |
| Publication Type: | Journal Article; Multicenter Study |
| Language: | English |
| Journal Info: | Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101746609 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2589-9333 (Electronic) Linking ISSN: 25899333 NLM ISO Abbreviation: Am J Obstet Gynecol MFM Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [New York, NY] : Elsevier Inc., [2019]- |
| MeSH Terms: | Analgesics, Opioid*/therapeutic use ; Practice Patterns, Physicians'*; United States/epidemiology ; Delivery, Obstetric ; Female ; Humans ; Pain Management ; Postpartum Period ; Pregnancy |
| Abstract: | Background: The postpartum period can be a particularly vulnerable time for exposure to opioid medications, and there are currently no consensus guidelines for physicians to follow regarding opioid prescribing during this period.; Objective: The purpose of this study was to evaluate inter- and intrahospital variability in opioid prescribing patterns in postpartum women and better understand the role of clinical variables in prescribing.; Study Design: Data were extracted from electronic medical records on 4248 patients who delivered at 6 hospitals across the United States from January 2016 through March 2016. The primary outcome of the study was postpartum opioid prescription at the time of hospital discharge. Age, parity, route of delivery, and hospital were analyzed individually and with multivariate analyses to minimize confounding factors. Statistical methods included χ2 to analyze frequency of opioid prescription by hospital, parity, tobacco use, delivery method, and laceration type. An analysis of variance was used to analyze morphine equivalent dose by hospital.; Results: The percentage of women prescribed postpartum opioids varied significantly by hospital, ranging from 27.6% to 70.9% (P |
| Contributed Indexing: | Keywords: cesarean delivery; obstetrics; opioids; postpartum pain management; vaginal delivery |
| Substance Nomenclature: | 0 (Analgesics, Opioid) |
| Entry Date(s): | Date Created: 20201221 Date Completed: 20210624 Latest Revision: 20210624 |
| Update Code: | 20260130 |
| DOI: | 10.1016/j.ajogmf.2019.100055 |
| PMID: | 33345845 |
| Database: | MEDLINE |
Journal Article; Multicenter Study