- Opioid use does not improve pain scores or patient satisfaction scores after hospital discharge for cesarean delivery (CD).
Why this matters
- The opioid epidemic is a major public health concern.
- 1 in 300 opioid-naive women given an opioid prescription may become chronic users.
- Leftover opioid prescriptions are a source for opioid abuse.
- Mean visual analog scale (VAS) pain scores at the 2-4-week visit were lower in the nonopioid group compared with the opioid group (adjusted mean difference, 4.89; 95% CI, −2.19 to 11.96).
- Outpatient ibuprofen use was similar between groups.
- Satisfaction scores were similar between groups.
- Randomized, parallel-group, equivalence trial at a single center.
- Women who underwent CD were invited to participate on the inpatient postpartum floor.
- The opioid group received a prescription for ibuprofen and 15 tablets of hydrocodone-acetaminophen (5/325 mg) to take every 4-6 hours (n=85) vs the nonopioid group who received a prescription for ibuprofen and counseling on how to take acetaminophen (n=85).
- Primary outcome was a mean pain score using a VAS at a 2-4-week postpartum visit.
- Funding: None disclosed.
- Participants were not blinded to the intervention.
- Pain scores were assessed at 2-4 weeks postpartum.