Home opioid use following cesarean delivery: How many opioid tablets should obstetricians prescribe?
Payton Schmidt1, Mitchell B Berger1, Lori Day1
1Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.
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.
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