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Updated: Jun 28, 2025

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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
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Racial/Ethnic Disparities in Peripartum Pain Assessment and Management
Joint Commission Journal on Quality and Patient Safety
|April 9, 2024
Summary
Racial and ethnic minorities experienced disparities in postpartum pain management. Despite reporting higher pain levels, Black and Hispanic patients received less opioid medication than white patients.
Area of Science:
- Obstetrics and Gynecology
- Pain Management
- Health Equity
Background:
- Racial and ethnic disparities in healthcare are a significant concern.
- Effective pain management during the postpartum period is crucial for patient recovery.
Purpose of the Study:
- To investigate racial and ethnic disparities in pain assessment and management during labor and the postpartum period.
- To compare pain scores and opioid medication use across different racial/ethnic groups.
Main Methods:
- Retrospective cohort study of 18,085 births from 2019-2021.
- Analysis of antepartum and postpartum pain assessments, epidural use, pain scores, and opioid medication dosage by race/ethnicity.
- Multivariable regression to adjust for patient factors and non-opioid medication.
Main Results:
- No significant differences in pain assessments or epidural use by race/ethnicity.
- Black and Hispanic patients reported higher maximum postpartum pain scores than white and Asian patients.
- Black and Hispanic patients received lower daily opioid doses than white patients, even after adjustments.
Conclusions:
- Inequities exist in postpartum pain treatment, particularly for minority groups.
- Patients reporting higher pain levels did not receive proportionally higher opioid doses based on race/ethnicity.
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