ArticleObstetrics and gynecology2017
Filled Prescriptions for Opioids After Vaginal Delivery.
Article in Obstetrics and gynecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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Who cites it
19 citing papers in PubMed, 37 citations in OpenAlex.
- Impact of Prescription Drug Monitoring Programs on Postpartum Opioid Prescribing Practices.Health services research · 2026Article
- Postpartum Opioid Use in the United States and the Implications to Maternal and Public Health: A Scoping Review.Maternal and child health journal · 2025Article
- The impact of different strategies for modeling associations between medications at low doses and health outcomes: a simulation study and practical application to postpartum opioid use.American journal of epidemiology · 2025Article
- Changes in Postpartum Opioid Prescribing After Implementation of State Opioid Prescribing Limits.JAMA health forum · 2024Observational
- Associations between acute pain after vaginal delivery and postpartum opioid prescription fills: a retrospective case-controlled study.British journal of anaesthesia · 2024Article
- Risk of Death at 1 Year Following Postpartum Opioid Exposure.American journal of perinatology · 2024Article
- Maternal psychosocial factors associated with postpartum pain.American journal of obstetrics & gynecology MFM · 2023Observational
- Obstetricians' prescribing practices for pain management after delivery.Pain management · 2022Article
- Marijuana, Opioid, and Alcohol Use Among Pregnant and Postpartum Individuals Living With HIV in the US.JAMA network open · 2021Article
- Prescription opioid use after vaginal delivery and subsequent persistent opioid use and misuse.American journal of obstetrics & gynecology MFM · 2021Article
- Evaluation of a new departmental policy to decrease routine opioid prescribing after vaginal delivery.American journal of obstetrics & gynecology MFM · 2020Article
- Factors associated with persistent pain after childbirth: a narrative review.British journal of anaesthesia · 2020Review
- Rates of New Persistent Opioid Use After Vaginal or Cesarean Birth Among US Women.JAMA network open · 2019Article
- Opioid prescribing practices following elective surgery in Otolaryngology-Head & Neck Surgery.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2019Article
- Opioid prescribing after childbirth: overprescribing and chronic use.Current opinion in obstetrics & gynecology · 2019Review
- Frequency of Opioid Dispensing After Vaginal Delivery.Obstetrics and gynecology · 2018Article
- Opioid prescribing patterns among postpartum women.American journal of obstetrics and gynecology · 2018Article
- Opiate Prescribing Practices in the Postpartum Unit.Ochsner journal · 2018Article
- Prescription Opioid Dose After Vaginal Delivery and the Risk of Serious Opioid-Related Events: A Retrospective Cohort Study.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 2 countries.
Funding
Abstract
objectiveTo estimate the prevalence of filled opioid prescriptions after vaginal delivery.
methodsWe conducted a retrospective cohort study of 164,720 Medicaid-enrolled women in Pennsylvania who delivered a liveborn neonate vaginally from 2008 to 2013, excluding women who used opioids during pregnancy or who had an opioid use disorder. We assessed overall filled prescriptions as well as filled prescriptions in the presence or absence of the following pain-inducing conditions: bilateral tubal ligation, perineal laceration, or episiotomy. Outcomes included a binary measure of whether a woman had any opioid prescription fill 5 days or less after delivery and, among those women, a second opioid prescription fill 6-60 days after delivery. Among women with no coded pain-inducing conditions at delivery, we used multivariable logistic regression with standard errors clustered to account for within-hospital correlation to assess the association between patient characteristics and odds of a filled opioid prescription.
resultsTwelve percent of women (n=18,131) filled an outpatient opioid prescription 5 days or less after vaginal delivery; among those women, 14% (n=2,592, or 1.6% of the total) filled a second opioid prescription 6-60 days after delivery. Of the former, 5,110 (28.2%) had one or more pain-inducing conditions. Predictors of filled opioid prescriptions with no observed pain-inducing condition at delivery included tobacco use (adjusted odds ratio [OR] 1.3, 95% confidence interval [CI] 1.2-1.4) and a mental health condition (adjusted OR 1.3, 95% CI 1.2-1.4). Having a diagnosis of substance use disorder other than opioid use disorder was not associated with filling an opioid prescription 5 days or less after delivery, but was associated with having a second opioid prescription 6-60 days after delivery (adjusted OR 1.4, 95% CI 1.2-1.6).
conclusionMore than 1 in 10 Medicaid-enrolled women fill an outpatient opioid prescription after vaginal delivery. National opioid-prescribing recommendations for common obstetrics procedures such as vaginal delivery are warranted.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.