Opioid prescribing, new persistent use down after childbirth

Opioid prescribing, new persistent use down after childbirth

(HealthDay)—Since 2008, there has been a decrease in opioid prescribing and new persistent use after vaginal or cesarean delivery, according to a study published online July 26 in JAMA Network Open.

Alex F. Peahl, M.D., from the University of Michigan in Ann Arbor, and colleagues examined the correlation between administered for vaginal or cesarean and rates of new persistent opioid use. Data were included for 308,226 deliveries (63.3 and 36.7 percent vaginal and cesarean deliveries, respectively).

The researchers found that 27 percent of women with vaginal deliveries and 75.7 percent with cesarean deliveries filled peripartum opioid prescriptions; of these, 1.7 and 2.2 percent, respectively, had new persistent opioid use. Among women not receiving a peripartum opioid prescription, 0.5 and 1 percent of those with vaginal and cesarean delivery, respectively, had new persistent opioid use. From 2008 to 2016, there were decreases in opioid prescription fills for vaginal deliveries (26.9 to 23.8 percent) and for cesarean deliveries (75.5 to 72.6 percent); decreases were also seen in new persistent use (vaginal delivery, 2.2 to 1.1 percent; cesarean delivery, 2.5 to 1.3 percent). Filling an opioid prescription before delivery was the strongest modifiable factor associated with new persistent opioid use after delivery (adjusted odds ratio, 1.40).

"Maternity care clinicians can help decrease opioid harms by identifying risk, using opioid-sparing protocols, and providing close stewardship in the peripartum period," the authors write.

One author disclosed financial ties to the pharmaceutical and health insurance industries.


Explore further

Postpartum opioid Rx may lead to persistent use: study

More information: Abstract/Full Text
Journal information: JAMA Network Open

Copyright © 2019 HealthDay. All rights reserved.

Citation: Opioid prescribing, new persistent use down after childbirth (2019, July 29) retrieved 14 October 2019 from https://medicalxpress.com/news/2019-07-opioid-persistent-childbirth.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
1 shares

Feedback to editors

User comments

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