Impact of a Clinical Intervention to Decrease Opioid Prescribing in a Post-Cesarean Delivery

被引：1

作者：

Brar, Simrit ^{[1
]}

Aujla, Shanaya ^{[1
]}

Tang, Selphee ^{[1
]}

Thompson, Rob ^{[1
]}

Metcalfe, Amy ^{[1
]}

机构：

[1] Univ Calgary, Foothills Hosp, Calgary, AB, Canada

来源：

JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA | 2022年 / 44卷 / 04期

关键词：

analgesics; opioid; postpartum; cesarean section;

D O I：

10.1016/j.jogc.2021.11.009

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

A quality assurance study was completed following the implementation of a standardized opioid prescribing and education protocol post cesarean delivery. The primary goal was to determine the need for a policy on postpartum opioid prescribing practices and whether the protocol worked. There was a decrease in the number of tablets provided post intervention and no statistically significant maternal or neonatal readmissions for suspected opioid toxicity or pain control. Combination prescribing of Tylenol 3 and/or tramadol and another opioid occurred in both groups. Our results show a need for concise guidelines regarding opioid prescribing following cesarean delivery. (C) 2021 The Society of Obstetricians and Gynaecologists of Canada/La Societe des obstetriciens et gynecologues du Canada. Published by Elsevier Inc. All rights reserved.

引用

页码：398 / 402

页数：5

共 7 条

[1] Alberta Health Services, ALB PAIN STRAT ACH E
[2] Center for Drug Evaluation and Research, FDA DRUG SAFETY COMM
[3] Bias in Before-After Studies: Narrative Overview for Anesthesiologists
Ho, Anthony M. H.
Phelan, Rachel
Mizubuti, Glenio B.
Murdoch, John A. C.
Wickett, Sarah
Ho, Adrienne K.
Shyam, Vidur
Gilron, Ian
[J]. ANESTHESIA AND ANALGESIA, 2018, 126 (05) : 1755 - 1762
[4] Use of a sparse sampling study design to assess transfer of tramadol and its O-desmethyl metabolite into transitional breast milk
Ilett, Kenneth F.
Paech, Michael J.
Page-Sharp, Madhu
Sy, Sherwin K.
Kristensen, Judith H.
Goy, Raymond
Chua, Sebastian
Christmas, Tracey
Scott, Karen L.
[J]. BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2008, 65 (05) : 661 - 666
[5] Delivery type, opioid prescribing, and the risk of persistent opioid use after delivery
Osmundson, Sarah S.
Wiese, Andrew D.
Min, Jea Young
Hawley, Robert E.
Patrick, Stephen W.
Griffin, Marie R.
Grijalva, Carlos G.
[J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2019, 220 (04) : 405 - 407
[6] Rates of New Persistent Opioid Use After Vaginal or Cesarean Birth Among US Women
Peahl, Alex F.
Dalton, Vanessa K.
Montgomery, John R.
Lai, Yen-Ling
Hu, Hsou Mei
Waljee, Jennifer F.
[J]. JAMA NETWORK OPEN, 2019, 2 (07)
[7] Implementation of a Quality Improvement Initiative to Decrease Opioid Prescribing After Cesarean Delivery
Prabhu, Malavika
Dubois, Heloise
James, Kaitlyn
Leffert, Lisa R.
Riley, Laura E.
Bateman, Brian T.
Henderson, Marie
[J]. OBSTETRICS AND GYNECOLOGY, 2018, 132 (03) : 631 - 636

← 1 →