Obstetricians’ prescribing practices for pain management after delivery-Reference-Cited by-同舟云学术

Obstetricians’ prescribing practices for pain management after delivery

Published:2022-07 Issue:5 Volume:12 Page:645-652
ISSN:1758-1869
Container-title:Pain Management
language:en
Short-container-title:Pain Management

Author:

Mackeen A Dhanya¹,Vigh Richard S¹,Davis Lisa Bailey²,Satti Mohamed¹,Cumbo Nicole³^ORCID,Pauley Abigail M⁴,Leonard Krista S⁴^ORCID,Stephens Mark⁵,Corr Tammy E⁶,Roeser RW⁷^ORCID,Deimling Timothy³,Legro Richard S³,Pauli Jaimey M³,Downs Danielle Symons⁸

Affiliation:

1. Department of Obstetrics & Gynecology, Division of Maternal-Fetal Medicine, Geisinger, Danville, PA 17822, USA

2. Department of Population Health Sciences, Geisinger, Danville, PA 17822, USA

3. Department of Obstetrics & Gynecology, Penn State Health, Milton S Hershey Medical Center, Penn State College of Medicine, Hershey, PA 17033, USA

4. Exercise Psychology Laboratory, Department of Kinesiology, The Pennsylvania State University, University Park, PA 16802, USA

5. Department of Family & Community Medicine, Penn State College of Medicine, University Park, PA 16802, USA

6. Department of Pediatrics, Division of Neonatal-Perinatal Medicine, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, PA 17033, USA

7. Department of Human Development and Family Studies, College of Health and Human Development, Pennsylvania State University, University Park, PA 16802, USA

8. Departments of Kinesiology, College of Health & Human Development, & Obstetrics & Gynecology, Penn State College of Medicine, The Pennsylvania State University, University Park, PA 16802, USA

Abstract

Aim: To examine postpartum opioid prescribing practices. Materials & methods: Obstetricians were interviewed about opioids: choice of opioid, clinical factors considered when prescribing, thoughts/beliefs about prescribing, and typical counseling provided. Inductive thematic analyses were used to identify themes. Results: A total of 38 interviews were analyzed. Several key points emerged. The choice of opioid, dosing and number of pills prescribed varied widely. The mode of delivery is the primary consideration for prescribing opioids. All providers would prescribe opioids to breastfeeding women. Some providers offered counseling on nonopioid treatment of pain. Discussion: At two large tertiary centers in Pennsylvania, the 38 physicians interviewed wrote 38 unique opioid prescriptions. Patient counseling addressed short-term pain management, but not the chronic overuse of opioids.

Funder

NIH Clinical Center

Publisher

Future Medicine Ltd

Subject

General Medicine

Link

https://www.futuremedicine.com/doi/pdf/10.2217/pmt-2021-0101

Reference25 articles.

1. Joint Commission Resources, Inc. Joint commission on accreditation of healthcare organizations: pain standards for 2001 (2001). www.jointcommission.org/-/media/tjc/documents/resources/pain-management/2001_pain_standardspdf.pdf

2. History of The Joint Commission’s Pain Standards

3. Martin J, Hamilton B, Osterman M, Driscoll AK. National vital statistics reports-births: final data for 2018. 68(13), 1–47 (2019).

4. Persistent opioid use following cesarean delivery: patterns and predictors among opioid-naïve women

5. Filled Prescriptions for Opioids After Vaginal Delivery

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