Postpartum Opioid Prescribing Patterns and Patient Utilization

Study Overview
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Brief Summary
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This study seeks to investigate the prescribing patterns and patient utilization of opioid pain medication in the postpartum setting. Postpartum women will be surveyed prior to hospital discharge and again at 2-4 weeks postpartum in order to assess the number of opioid tablets they used (in relation to the number prescribed), pain satisfaction, and storage/disposal of any remaining opioid tablets.

Detailed Description
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Opiate abuse is a national epidemic and has paralleled the increase in opioid prescriptions, with diversion of surplus medication playing a key contributing role. As the majority of reproductive age women in the U.S. will experience childbirth, understanding opioid prescription patterns and patient opioid utilization in the postpartum period is critical. Postpartum women will be recruited during a 9-month period to take part in pre-hospital discharge and 2-4 week postpartum surveys to prospectively assess opioid medication use with regard to quantity of opioid tablets prescribed and quantity used, storage and disposal of unused opioids and satisfaction with pain control.

Official Title
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Postpartum Opioid Prescribing Patterns and Patient Utilization

Conditions
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Postpartum, Opioid Use, Post-operative, Cesarean Delivery

Intervention / Treatment
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* Other: Survey


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women who deliver during the recruitment period English-speaking Opiate-naïve (as determined by admission medication reconciliation) Receive oral opioid medications during inpatient postpartum admission 18 years or older Exclusion Criteria: Contraindication to NSAID use Required use of general anesthesia without concurrent neuraxial analgesia Undergo hysterectomy, or unanticipated surgical procedures during the postpartum period Are admitted to the intensive care unit during their admission.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Post-cesarean delivery<br>Women who have undergone cesarean delivery | Other: Survey<br>* A survey will be administered at two time points (time of hospital discharge and 2-4 weeks postpartum) to determine: Satisfaction with pain control 2-4 weeks postpartum Patient-reported use of opioid medication postpartum (receipt of prescription, filling of prescription, if refill was obtained, and number of opioid pills remaining at the time of follow-up) Patient characteristics associated with high opioid use Methods of storage and disposal of unused opioids<br>* Other names: Survey/Questionnaire;|
| Post-vaginal delivery<br>Women who have undergone vaginal delivery | Other: Survey<br>* A survey will be administered at two time points (time of hospital discharge and 2-4 weeks postpartum) to determine: Satisfaction with pain control 2-4 weeks postpartum Patient-reported use of opioid medication postpartum (receipt of prescription, filling of prescription, if refill was obtained, and number of opioid pills remaining at the time of follow-up) Patient characteristics associated with high opioid use Methods of storage and disposal of unused opioids<br>* Other names: Survey/Questionnaire;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postpartum outpatient opioid use | Self reported number of opioid tablets used at time of postpartum survey administered 2-4 weeks postpartum | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Satisfaction with outpatient pain control | Satisfaction with pain control at the time of postpartum survey administered 2-4 weeks postpartum | 8 weeks from time of hospital discharge | 
| Proper disposal/storage of remaining opioid tablets | Proportion of patients who report proper disposal/storage of remaining opioid tablets at the time of postpartum survey administered 2-4 weeks postpartum | 8 weeks from time of discharge | 
| High opioid use | Comparison of characteristics of women with >50% remaining versus <50% remaining of prescribed opioid tablets | 8 weeks from time of hospital discharge |