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

Prolonged acetaminophen use during pregnancy linked to increased ASD and ADHD risk

April 24, 2018
A study from the Hebrew University of Jerusalem sheds new light on the possible relationship between prolonged use of acetaminophen (paracetamol) during pregnancy and the risk of neurodevelopmental disorders in childhood.

Though most prolapse surgeries regress over time, symptoms remain improved

April 17, 2018
An estimated one in three women in the U.S. has a pelvic floor disorder, a condition that often develops after bearing children and getting older. These disorders can lead to incontinence, painful intercourse and even the ...

Painkillers in pregnancy may affect baby's future fertility

April 16, 2018
Taking painkillers during pregnancy could affect the fertility of the unborn child in later life, research suggests.

Mom's marijuana winds up in breast milk

April 10, 2018
(HealthDay)—Breast-feeding has known benefits for both baby and mom, but if a new mom also smokes marijuana, does the drug turn up in her breast milk?

Like babies, eggs send signals when 'hungry'

April 9, 2018
In humans and other mammals, the female reproductive cells - the eggs or oocytes - need nourishment in order to grow and remain fertile. It is known that the egg gets its food from little arm-like feeding tubes (called filopodia) ...

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.