Inpatient opioid use after vaginal delivery.

American Journal of Obstetrics and Gynecology
Nevert BadreldinLynn M Yee

Abstract

More than half of patients hospitalized annually receive an opioid during their inpatient hospitalization, which may serve as a first opioid exposure. Although recent research addresses outpatient opioid prescribing following delivery, little is known regarding the extent to which opioids are used during the postpartum hospitalization following vaginal delivery. Our objectives were as follows: (1) to describe the use of opioids during the last 24 hours of postpartum hospitalization in women following vaginal delivery and (2) to identify patient and provider characteristics associated with the use of opioids during this time period. This is a retrospective case-control study of women who underwent vaginal delivery at a single tertiary care center from Dec. 1, 2015, to Nov. 30, 2016. Inpatient, pharmacy, and administrative records were queried for clinical and inpatient prescriber data. Opioid use during the last 24 hours of the postpartum hospitalization was determined. Significant factors on bivariable analysis were assessed in multivariable hierarchical logistic regression with random effects to identify patient and provider factors associated with any opioid use. A subgroup analysis of women who underwent an uncomplicated vag...Continue Reading

Citations

Mar 21, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Matthew J BlitzHarvey Marchbein
Apr 10, 2020·Current Medical Research and Opinion·Nicole N HawkinsAshraf S Habib
Mar 10, 2020·Anesthesia and Analgesia·Carolyn F Weiniger
Apr 7, 2020·The American Journal on Addictions·Nichole NideyKelli Ryckman
Jun 21, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Anghela Z ParedesTimothy M Pawlik
Apr 19, 2021·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Andrew D WieseCarlos G Grijalva
May 29, 2021·American Journal of Obstetrics & Gynecology MFM·Rebecca R RimszaLaura K Vricella
Dec 4, 2021·JAMA Network Open·Lynn M YeeUNKNOWN Pediatric HIV/AIDS Cohort Study
Jan 26, 2022·Journal of Midwifery & Women's Health·Nevert BadreldinLynn M Yee

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