Department of Obstetrics & Gynecology, Division of Maternal-Fetal Medicine, Geisinger, Danville, PA 17822, USA.
Department of Population Health Sciences, Geisinger, Danville, PA 17822, USA.
Pain Manag. 2022 Jul;12(5):645-652. doi: 10.2217/pmt-2021-0101. Epub 2022 Mar 15.
To examine postpartum opioid prescribing practices. Obstetricians were interviewed about opioids: choice of opioid, clinical factors considered when prescribing, thoughts/beliefs about prescribing, and typical counseling provided. Inductive thematic analyses were used to identify themes. A total of 38 interviews were analyzed. Several key points emerged. The choice of opioid, dosing and number of pills prescribed varied widely. The mode of delivery is the primary consideration for prescribing opioids. All providers would prescribe opioids to breastfeeding women. Some providers offered counseling on nonopioid treatment of pain. At two large tertiary centers in Pennsylvania, the 38 physicians interviewed wrote 38 unique opioid prescriptions. Patient counseling addressed short-term pain management, but not the chronic overuse of opioids.
研究产后阿片类药物处方的实践情况。对产科医生进行了有关阿片类药物的访谈：选择哪种阿片类药物、开处方时考虑的临床因素、对开处方的想法/信念以及通常提供的咨询。采用归纳主题分析来确定主题。共分析了 38 次访谈。出现了几个关键点。阿片类药物的选择、剂量和开的药丸数量差异很大。分娩方式是开阿片类药物的主要考虑因素。所有的提供者都会给母乳喂养的妇女开阿片类药物。一些提供者提供了非阿片类药物治疗疼痛的咨询。在宾夕法尼亚州的两家大型三级中心，接受采访的 38 名医生开出了 38 种不同的阿片类药物处方。患者咨询主要针对短期疼痛管理，但不涉及阿片类药物的长期过度使用。
