2021
Labor prior to cesarean delivery associated with higher post-discharge opioid consumption
Ende HB, Landau R, Cole NM, Burns SM, Bateman BT, Bauer ME, Booth JL, Flood P, Leffert LR, Houle TT, Tsen LC. Labor prior to cesarean delivery associated with higher post-discharge opioid consumption. PLOS ONE 2021, 16: e0253990. PMID: 34242277, PMCID: PMC8270408, DOI: 10.1371/journal.pone.0253990.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalgesics, OpioidCesarean SectionFemaleHumansLabor, ObstetricPain, PostoperativePatient DischargePregnancyTabletsConceptsDay of surgeryPostoperative pain scoresPain scoresOpioid utilizationOpioid useSurgical proceduresTime pointsHigher postoperative pain scoresPost-cesarean delivery painPost-discharge opioid consumptionAcute post-operative painComplications of CDMaximal pain scoresPost-cesarean analgesiaProspective cohort studyPost-operative painAdditional surgical proceduresNumeric rating scaleIdentification of womenAcademic medical centerNumber of tabletsSet of confoundersPhone two weeksOpioid consumptionOpioid requirements
2018
Implementation of a Quality Improvement Initiative to Decrease Opioid Prescribing After Cesarean Delivery
Prabhu M, Dubois H, James K, Leffert LR, Riley LE, Bateman BT, Henderson M. Implementation of a Quality Improvement Initiative to Decrease Opioid Prescribing After Cesarean Delivery. Obstetrics And Gynecology 2018, 132: 631-636. PMID: 30095765, PMCID: PMC6105442, DOI: 10.1097/aog.0000000000002789.Peer-Reviewed Original ResearchConceptsOpioid refill ratesOpioid tabletsCesarean deliveryOpioid prescribingRefill ratesAnalgesic useMean numberProspective quality improvement studyNonopioid analgesic useDays of dischargeNumber of opioidsPhase 2Quality improvement protocolPhase 1Quality improvement studyQuality improvement initiativesQuality improvement effortsDischarge providersAnalgesic prescriptionOpioid prescriptionsSecondary outcomesDischarge prescriptionsPrimary outcomeΧ analysisOpioids
2017
A Shared Decision-Making Intervention to Guide Opioid Prescribing After Cesarean Delivery
Prabhu M, McQuaid-Hanson E, Hopp S, Burns SM, Leffert LR, Landau R, Lauffenburger JC, Choudhry NK, Kaimal A, Bateman BT. A Shared Decision-Making Intervention to Guide Opioid Prescribing After Cesarean Delivery. Obstetrics And Gynecology 2017, 130: 42-46. PMID: 28594762, PMCID: PMC5482786, DOI: 10.1097/aog.0000000000002094.Peer-Reviewed Original ResearchConceptsCesarean deliveryDecision-making interventionLeftover opioid medicationsNumber of opioidsNumber of tabletsPain resolutionPostcesarean painOpioid medicationsOpioid prescribingOpioid useOxycodone tabletsMedian numberWomenPrescribingPrescriptionComputer-based decision aidDeliveryInterventionDecision aidStandard prescriptionPromising strategyHospitalizationMedicationsOpioidsPainPatterns of Opioid Prescription and Use After Cesarean Delivery
Bateman BT, Cole NM, Maeda A, Burns SM, Houle TT, Huybrechts KF, Clancy CR, Hopp SB, Ecker JL, Ende H, Grewe K, Corradini B, Schoenfeld RE, Sankar K, Day LJ, Harris L, Booth JL, Flood P, Bauer ME, Tsen LC, Landau R, Leffert LR. Patterns of Opioid Prescription and Use After Cesarean Delivery. Obstetrics And Gynecology 2017, 130: 29-35. PMID: 28594763, PMCID: PMC5600205, DOI: 10.1097/aog.0000000000002093.Peer-Reviewed Original ResearchConceptsAmount of opioidsOpioid prescriptionsCesarean deliveryMedian numberLeftover opioid medicationsPhone 2 weeksAcademic medical centerLeftover opioidsOpioid tabletsOpioid medicationsPain controlPain scoresPatient characteristicsOpioid analgesicsPatient satisfactionMedical CenterExcess medicationOpioidsMedicationsPrescriptionStructured interviewsConcomitant increaseWomenDeliveryAnalgesics
2013
Clinical care for opioid-using pregnant and postpartum women: the role of obstetric providers
Jones HE, Deppen K, Hudak ML, Leffert L, McClelland C, Sahin L, Starer J, Terplan M, Thorp JM, Walsh J, Creanga AA. Clinical care for opioid-using pregnant and postpartum women: the role of obstetric providers. American Journal Of Obstetrics And Gynecology 2013, 210: 302-310. PMID: 24120973, PMCID: PMC7213596, DOI: 10.1016/j.ajog.2013.10.010.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidBuprenorphineConfidentialityDose-Response Relationship, DrugEmergency Service, HospitalFemaleHumansLabor PainLabor, ObstetricMental DisordersMethadoneNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersPain, PostoperativePhysician-Patient RelationsPostnatal CarePregnancyPregnancy ComplicationsPrenatal CareReferral and ConsultationTriageConceptsPregnant womenObstetric providersPostpartum periodPregnant patientsMixed opioid agonist/antagonistOpioid-dependent pregnant patientsOpioid-dependent pregnant womenOpioid agonist/antagonistHigh-quality obstetric careMedication-assisted withdrawalTherapeutic opioid useAcute pain managementHigh relapse rateDrug use disordersClinical care issuesIntense medical careBest possible outcomeOpioid withdrawalOpioid usePain managementRelapse rateObstetric carePostpartum womenComprehensive careClinical care