Abstract
Discussion Forum (0)
Introduction: The opioid epidemic is a serious public health concern that currently affects approximately 2 million Americans. Since cesarean sections are one of the most common surgeries performed in the United States, there have been many studies looking at opioid prescription practices. Prescribing patterns of opioids after cesarean vary widely and there is little information regarding normative patterns of practitioners. This study aims to assess our opioid prescribing practices after cesarean delivery at our hospital.
Methods: This is a prospective cohort study including women between the ages of 18-50 years old who underwent cesarean section. Data was collected through chart review and phone call follow-up after hospital discharge to determine the amount of opioid and oral NSAID medication used during both inpatient stay and after discharge, the number of narcotic pills leftover if applicable, pain score and activity level.
Results: 59 patients were included, 13 were lost to follow-up, and 1 declined participation. 50% of participants had leftover pills, 38% percent never filled a prescription, and 12% percent consumed all pills. One patient required an additional narcotic prescription. Of the six different OB GYN practices, the number of narcotic pills prescribed ranged from 6 to 30 tablets.
Conclusion/Implications: Narcotic use in the hospital can predict narcotic use at home in the first one to two weeks postoperatively. Most patients had unused narcotic pills. Prescribing practices at Stamford Hospital are highly varied among practitioners. Data from our study will help to standardize prescriptions for postoperative pain management after cesarean delivery.
Methods: This is a prospective cohort study including women between the ages of 18-50 years old who underwent cesarean section. Data was collected through chart review and phone call follow-up after hospital discharge to determine the amount of opioid and oral NSAID medication used during both inpatient stay and after discharge, the number of narcotic pills leftover if applicable, pain score and activity level.
Results: 59 patients were included, 13 were lost to follow-up, and 1 declined participation. 50% of participants had leftover pills, 38% percent never filled a prescription, and 12% percent consumed all pills. One patient required an additional narcotic prescription. Of the six different OB GYN practices, the number of narcotic pills prescribed ranged from 6 to 30 tablets.
Conclusion/Implications: Narcotic use in the hospital can predict narcotic use at home in the first one to two weeks postoperatively. Most patients had unused narcotic pills. Prescribing practices at Stamford Hospital are highly varied among practitioners. Data from our study will help to standardize prescriptions for postoperative pain management after cesarean delivery.
Introduction: The opioid epidemic is a serious public health concern that currently affects approximately 2 million Americans. Since cesarean sections are one of the most common surgeries performed in the United States, there have been many studies looking at opioid prescription practices. Prescribing patterns of opioids after cesarean vary widely and there is little information regarding normative patterns of practitioners. This study aims to assess our opioid prescribing practices after cesarean delivery at our hospital.
Methods: This is a prospective cohort study including women between the ages of 18-50 years old who underwent cesarean section. Data was collected through chart review and phone call follow-up after hospital discharge to determine the amount of opioid and oral NSAID medication used during both inpatient stay and after discharge, the number of narcotic pills leftover if applicable, pain score and activity level.
Results: 59 patients were included, 13 were lost to follow-up, and 1 declined participation. 50% of participants had leftover pills, 38% percent never filled a prescription, and 12% percent consumed all pills. One patient required an additional narcotic prescription. Of the six different OB GYN practices, the number of narcotic pills prescribed ranged from 6 to 30 tablets.
Conclusion/Implications: Narcotic use in the hospital can predict narcotic use at home in the first one to two weeks postoperatively. Most patients had unused narcotic pills. Prescribing practices at Stamford Hospital are highly varied among practitioners. Data from our study will help to standardize prescriptions for postoperative pain management after cesarean delivery.
Methods: This is a prospective cohort study including women between the ages of 18-50 years old who underwent cesarean section. Data was collected through chart review and phone call follow-up after hospital discharge to determine the amount of opioid and oral NSAID medication used during both inpatient stay and after discharge, the number of narcotic pills leftover if applicable, pain score and activity level.
Results: 59 patients were included, 13 were lost to follow-up, and 1 declined participation. 50% of participants had leftover pills, 38% percent never filled a prescription, and 12% percent consumed all pills. One patient required an additional narcotic prescription. Of the six different OB GYN practices, the number of narcotic pills prescribed ranged from 6 to 30 tablets.
Conclusion/Implications: Narcotic use in the hospital can predict narcotic use at home in the first one to two weeks postoperatively. Most patients had unused narcotic pills. Prescribing practices at Stamford Hospital are highly varied among practitioners. Data from our study will help to standardize prescriptions for postoperative pain management after cesarean delivery.
Opioid Use After Cesarean Delivery in a Community Hospital Setting
Dr. Valerie Curro
Affiliations:
Stamford Hospital
Stamford Hospital
Abstract
Discussion Forum (0)
Introduction: The opioid epidemic is a serious public health concern that currently affects approximately 2 million Americans. Since cesarean sections are one of the most common surgeries performed in the United States, there have been many studies looking at opioid prescription practices. Prescribing patterns of opioids after cesarean vary widely and there is little information regarding normative patterns of practitioners. This study aims to assess our opioid prescribing practices after cesarean delivery at our hospital.
Methods: This is a prospective cohort study including women between the ages of 18-50 years old who underwent cesarean section. Data was collected through chart review and phone call follow-up after hospital discharge to determine the amount of opioid and oral NSAID medication used during both inpatient stay and after discharge, the number of narcotic pills leftover if applicable, pain score and activity level.
Results: 59 patients were included, 13 were lost to follow-up, and 1 declined participation. 50% of participants had leftover pills, 38% percent never filled a prescription, and 12% percent consumed all pills. One patient required an additional narcotic prescription. Of the six different OB GYN practices, the number of narcotic pills prescribed ranged from 6 to 30 tablets.
Conclusion/Implications: Narcotic use in the hospital can predict narcotic use at home in the first one to two weeks postoperatively. Most patients had unused narcotic pills. Prescribing practices at Stamford Hospital are highly varied among practitioners. Data from our study will help to standardize prescriptions for postoperative pain management after cesarean delivery.
Methods: This is a prospective cohort study including women between the ages of 18-50 years old who underwent cesarean section. Data was collected through chart review and phone call follow-up after hospital discharge to determine the amount of opioid and oral NSAID medication used during both inpatient stay and after discharge, the number of narcotic pills leftover if applicable, pain score and activity level.
Results: 59 patients were included, 13 were lost to follow-up, and 1 declined participation. 50% of participants had leftover pills, 38% percent never filled a prescription, and 12% percent consumed all pills. One patient required an additional narcotic prescription. Of the six different OB GYN practices, the number of narcotic pills prescribed ranged from 6 to 30 tablets.
Conclusion/Implications: Narcotic use in the hospital can predict narcotic use at home in the first one to two weeks postoperatively. Most patients had unused narcotic pills. Prescribing practices at Stamford Hospital are highly varied among practitioners. Data from our study will help to standardize prescriptions for postoperative pain management after cesarean delivery.
Introduction: The opioid epidemic is a serious public health concern that currently affects approximately 2 million Americans. Since cesarean sections are one of the most common surgeries performed in the United States, there have been many studies looking at opioid prescription practices. Prescribing patterns of opioids after cesarean vary widely and there is little information regarding normative patterns of practitioners. This study aims to assess our opioid prescribing practices after cesarean delivery at our hospital.
Methods: This is a prospective cohort study including women between the ages of 18-50 years old who underwent cesarean section. Data was collected through chart review and phone call follow-up after hospital discharge to determine the amount of opioid and oral NSAID medication used during both inpatient stay and after discharge, the number of narcotic pills leftover if applicable, pain score and activity level.
Results: 59 patients were included, 13 were lost to follow-up, and 1 declined participation. 50% of participants had leftover pills, 38% percent never filled a prescription, and 12% percent consumed all pills. One patient required an additional narcotic prescription. Of the six different OB GYN practices, the number of narcotic pills prescribed ranged from 6 to 30 tablets.
Conclusion/Implications: Narcotic use in the hospital can predict narcotic use at home in the first one to two weeks postoperatively. Most patients had unused narcotic pills. Prescribing practices at Stamford Hospital are highly varied among practitioners. Data from our study will help to standardize prescriptions for postoperative pain management after cesarean delivery.
Methods: This is a prospective cohort study including women between the ages of 18-50 years old who underwent cesarean section. Data was collected through chart review and phone call follow-up after hospital discharge to determine the amount of opioid and oral NSAID medication used during both inpatient stay and after discharge, the number of narcotic pills leftover if applicable, pain score and activity level.
Results: 59 patients were included, 13 were lost to follow-up, and 1 declined participation. 50% of participants had leftover pills, 38% percent never filled a prescription, and 12% percent consumed all pills. One patient required an additional narcotic prescription. Of the six different OB GYN practices, the number of narcotic pills prescribed ranged from 6 to 30 tablets.
Conclusion/Implications: Narcotic use in the hospital can predict narcotic use at home in the first one to two weeks postoperatively. Most patients had unused narcotic pills. Prescribing practices at Stamford Hospital are highly varied among practitioners. Data from our study will help to standardize prescriptions for postoperative pain management after cesarean delivery.
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