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Opioid Use Following Cesarean Delivery: A Pilot Study on Patterns of Use, Storage, and Disposal
Dara Seybold1, Kelly Simmons2, Lesli A Taylor3
1Obstetrics and Gynecology, Institute for Academic Medicine, Charleston Area Medical Center, Charleston, USA.
Cureus
|December 28, 2023
Summary
Many women after cesarean delivery in Appalachia were prescribed opioids. Over 70% did not safely store or dispose of unused opioid medications, indicating a need for patient education.
Area of Science:
- Pain Management
- Public Health
- Pharmacology
Background:
- Cesarean delivery is a common surgical procedure.
- Effective pain management is crucial post-cesarean delivery.
- Opioid use for post-cesarean pain requires careful consideration of safety and disposal.
Purpose of the Study:
- To investigate opioid use and storage practices after cesarean delivery.
- To assess pain management strategies in an Appalachian population.
- To identify gaps in patient education regarding unused opioid medications.
Main Methods:
- Prospective enrollment of women post-cesarean delivery.
- Telephone surveys administered 7 (± 3) days post-discharge.
- Statistical analysis including Kruskal-Wallis H test.
Main Results:
- 92.5% of surveyed women were prescribed opioid medication.
- A significant association was found between pain severity and opioid consumption.
- Over 70% of participants failed to safely store or dispose of unused opioids.
Conclusions:
- There is a critical need for patient education on safe opioid use, storage, and disposal.
- Interventions are necessary to address unsafe medication practices.
- Findings underscore public health concerns related to post-operative opioid management.
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