Improvement needed in ob-gyn opioid prescribing practices

January 3, 2018

(HealthDay)—Improvement in obstetrician-gynecologists' knowledge and prescribing practices regarding opioids is needed, according to a study published online Dec. 4 in Obstetrics & Gynecology.

Annetta M. Madsen, M.D., from Brown University in Providence, R.I., and colleagues conducted a cross-sectional survey of a national sample of American College of Obstetricians and Gynecologists fellows and junior fellows; 179 of 300 sampled members responded. Data were obtained on opioid knowledge and typical prescribing practices, including to four recommended practices.

The researchers found that across all indications combined, respondents reported prescribing a median of 26 pills per patient, with variation by indication for the prescription. Ninety-eight percent prescribed opioids after surgery; 22, 30, 24, and 18 percent, respectively, prescribed opioids for vaginal birth, , endometriosis, and of unknown cause. Nineteen percent of respondents reported adherence to three or more of the four recommended practices. No significant difference was seen in the median number of pills prescribed for those who reported adherence to at least one recommended versus no adherence (25 versus 28; P = 0.58). Eighty-one percent of respondents incorrectly identified the main source of misused opioids, which was via diversion from a friend or family member. Forty-four percent did not know how to dispose of unused prescription opioids correctly.

"This study highlights an urgent need for increased efforts to improve ob-gyns' knowledge of use, misuse, disposal, and best prescribing practices," the authors write.

Explore further: Patients use about half of opioids prescribed after hysterectomy

More information: Abstract/Full Text (subscription or payment may be required)

Related Stories

Patients use about half of opioids prescribed after hysterectomy

November 10, 2017
(HealthDay)—Gynecologists prescribe about twice the amount of opioids than patients use after hysterectomy for benign, nonobstetric indications, according to a study published online Nov. 7 in Obstetrics & Gynecology.

Opioids often overprescribed in patients undergoing surgery

July 17, 2017
(HealthDay)—For patients undergoing common elective procedures, opioids are often overprescribed, according to a study published online July 10 in the Annals of Surgery.

Patients only use about half of opioids prescribed after hysterectomy: study

December 4, 2017
Doctors may be prescribing nearly twice the number of opioids than what the average patient needs after a hysterectomy, a new study suggests.

Doctors prescribing too many opioids after nose jobs

November 9, 2017
(HealthDay)—Could some patients recovering from a nose job get a problem they didn't bargain for?

Amount of opioids prescribed after hospital discharge varies

December 13, 2017
(HealthDay)—For postoperative patients there is considerable variation in the amount of opioids prescribed at hospital discharge, according to research published online Dec. 13 in JAMA Surgery.

U.S. doctors still writing too many opioid prescriptions

August 1, 2017
(HealthDay)—More than one out of three average Americans used a prescription opioid in 2015, despite growing concerns these medicines are promoting widespread addiction and overdose deaths, according to a study published ...

Recommended for you

New technology can keep an eye on babies' movements in the womb

July 19, 2018
A new system for monitoring fetal movements in the womb, developed by Imperial researchers, could make keeping an eye on high-risk pregnancies easier.

Why baby's sex may influence risk of pregnancy-related complicatations

July 12, 2018
The sex of a baby controls the level of small molecules known as metabolites in the pregnant mother's blood, which may explain why risks of some diseases in pregnancy vary depending whether the mother is carrying a boy or ...

Study analyzes opioid overdose risk during and after pregnancy among Massachusetts women

July 11, 2018
A study of women giving birth in Massachusetts found a higher level of opioid use disorder than have studies conducted in other states. In a paper published in the journal Obstetrics & Gynecology, the research team—consisting ...

High blood pressure in pregnancy linked to mother's heart function

July 9, 2018
Pregnant women who develop high blood pressure, or have small babies, may have hearts that pump less blood with each beat.

What you eat while pregnant may affect your baby's gut

July 4, 2018
A mother's diet during pregnancy may have an effect on the composition of her baby's gut microbiome—the community of bacteria living in the gut—and the effect may vary by delivery mode, according to study published in ...

New study reveals time and day women are most likely to give birth

June 15, 2018
A new study has found that the time and day that women give birth can vary significantly depending on how labour starts and the mode of giving birth.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.