Obstetricians' prescribing practices for pain management after delivery

A. Dhanya MacKeen; Richard S. Vigh; Lisa Bailey Davis; Mohamed Satti; Nicole Cumbo; Abigail M. Pauley; Krista S. Leonard; Mark Stephens; Tammy E. Corr; R. W. Roeser; Timothy Deimling; Richard S. Legro; Jaimey M. Pauli; Danielle Symons Downs

doi:10.2217/pmt-2021-0101

Obstetricians' prescribing practices for pain management after delivery

A. Dhanya MacKeen, Richard S. Vigh, Lisa Bailey Davis, Mohamed Satti, Nicole Cumbo, Abigail M. Pauley, Krista S. Leonard, Mark Stephens, Tammy E. Corr, R. W. Roeser, Timothy Deimling, Richard S. Legro, Jaimey M. Pauli, Danielle Symons Downs

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Aim: To examine postpartum opioid prescribing practices. Materials & methods: Obstetricians were interviewed about opioids: choice of opioid, clinical factors considered when prescribing, thoughts/beliefs about prescribing, and typical counseling provided. Inductive thematic analyses were used to identify themes. Results: A total of 38 interviews were analyzed. Several key points emerged. The choice of opioid, dosing and number of pills prescribed varied widely. The mode of delivery is the primary consideration for prescribing opioids. All providers would prescribe opioids to breastfeeding women. Some providers offered counseling on nonopioid treatment of pain. Discussion: At two large tertiary centers in Pennsylvania, the 38 physicians interviewed wrote 38 unique opioid prescriptions. Patient counseling addressed short-term pain management, but not the chronic overuse of opioids.

Original language	English (US)
Pages (from-to)	645-652
Number of pages	8
Journal	Pain Management
Volume	12
Issue number	5
DOIs	https://doi.org/10.2217/pmt-2021-0101
State	Published - Jul 2022

All Science Journal Classification (ASJC) codes

Anesthesiology and Pain Medicine

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10.2217/pmt-2021-0101

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title = "Obstetricians' prescribing practices for pain management after delivery",

abstract = "Aim: To examine postpartum opioid prescribing practices. Materials & methods: Obstetricians were interviewed about opioids: choice of opioid, clinical factors considered when prescribing, thoughts/beliefs about prescribing, and typical counseling provided. Inductive thematic analyses were used to identify themes. Results: A total of 38 interviews were analyzed. Several key points emerged. The choice of opioid, dosing and number of pills prescribed varied widely. The mode of delivery is the primary consideration for prescribing opioids. All providers would prescribe opioids to breastfeeding women. Some providers offered counseling on nonopioid treatment of pain. Discussion: At two large tertiary centers in Pennsylvania, the 38 physicians interviewed wrote 38 unique opioid prescriptions. Patient counseling addressed short-term pain management, but not the chronic overuse of opioids.",

author = "MacKeen, {A. Dhanya} and Vigh, {Richard S.} and Davis, {Lisa Bailey} and Mohamed Satti and Nicole Cumbo and Pauley, {Abigail M.} and Leonard, {Krista S.} and Mark Stephens and Corr, {Tammy E.} and Roeser, {R. W.} and Timothy Deimling and Legro, {Richard S.} and Pauli, {Jaimey M.} and Downs, {Danielle Symons}",

note = "Publisher Copyright: {\textcopyright} 2022 Future Medicine Ltd.",

year = "2022",

month = jul,

doi = "10.2217/pmt-2021-0101",

language = "English (US)",

volume = "12",

pages = "645--652",

journal = "Pain Management",

issn = "1758-1869",

publisher = "CORE Medical Journals",

number = "5",

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TY - JOUR

T1 - Obstetricians' prescribing practices for pain management after delivery

AU - MacKeen, A. Dhanya

AU - Vigh, Richard S.

AU - Davis, Lisa Bailey

AU - Satti, Mohamed

AU - Cumbo, Nicole

AU - Pauley, Abigail M.

AU - Leonard, Krista S.

AU - Stephens, Mark

AU - Corr, Tammy E.

AU - Roeser, R. W.

AU - Deimling, Timothy

AU - Legro, Richard S.

AU - Pauli, Jaimey M.

AU - Downs, Danielle Symons

PY - 2022/7

Y1 - 2022/7

N2 - Aim: To examine postpartum opioid prescribing practices. Materials & methods: Obstetricians were interviewed about opioids: choice of opioid, clinical factors considered when prescribing, thoughts/beliefs about prescribing, and typical counseling provided. Inductive thematic analyses were used to identify themes. Results: A total of 38 interviews were analyzed. Several key points emerged. The choice of opioid, dosing and number of pills prescribed varied widely. The mode of delivery is the primary consideration for prescribing opioids. All providers would prescribe opioids to breastfeeding women. Some providers offered counseling on nonopioid treatment of pain. Discussion: At two large tertiary centers in Pennsylvania, the 38 physicians interviewed wrote 38 unique opioid prescriptions. Patient counseling addressed short-term pain management, but not the chronic overuse of opioids.

AB - Aim: To examine postpartum opioid prescribing practices. Materials & methods: Obstetricians were interviewed about opioids: choice of opioid, clinical factors considered when prescribing, thoughts/beliefs about prescribing, and typical counseling provided. Inductive thematic analyses were used to identify themes. Results: A total of 38 interviews were analyzed. Several key points emerged. The choice of opioid, dosing and number of pills prescribed varied widely. The mode of delivery is the primary consideration for prescribing opioids. All providers would prescribe opioids to breastfeeding women. Some providers offered counseling on nonopioid treatment of pain. Discussion: At two large tertiary centers in Pennsylvania, the 38 physicians interviewed wrote 38 unique opioid prescriptions. Patient counseling addressed short-term pain management, but not the chronic overuse of opioids.

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JO - Pain Management

JF - Pain Management

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ER -

Obstetricians' prescribing practices for pain management after delivery

Abstract

All Science Journal Classification (ASJC) codes

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