Evidence map›Paper›PMID 39504271›Full record

GuidelineAnesthesia and analgesia2025

Consensus Statement on Pain Management for Pregnant Patients with Opioid-Use Disorder from the Society for Obstetric Anesthesia and Perinatology, Society for Maternal-Fetal Medicine, and American Society of Regional Anesthesia and Pain Medicine.

Grace Lim, Brendan Carvalho, Ronald B George, Brian T Bateman, Chad M Brummett, Vivian H Y Ip, Ruth Landau, Sarah S Osmundson, Britany Raymond, Philippe Richebe and 2 more

Abstract readPractice GuidelineConsensus StatementReview
In one paragraph

Guideline in Anesthesia and analgesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Proactive management to improve outcomes of high-risk pregnancy in people with sickle cell disease.Hematology. American Society of Hematology. Education Program · 2025
    Review
  4. Hospital Care for Pregnant Persons With OUD Review.American journal of medicine open · 2025
    Review
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Grace LimDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.
Brendan CarvalhoDepartment of Anesthesiology, Perioperative & Pain Medicine, Stanford University, Palo Alto, California.
Ronald B GeorgeDepartment of Anesthesiology & Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Brian T BatemanDepartment of Anesthesiology, Perioperative & Pain Medicine, Stanford University, Palo Alto, California.
Chad M BrummettDepartment of Anesthesiology & Pain Medicine, University of Michigan, Ann Arbor, Michigan.
Vivian H Y IpDepartment of Anesthesia, Perioperative and Pain Medicine, University of Calgary, Calgary, Alberta, Canada.
Ruth LandauDepartment of Anesthesiology, Columbia University, New York City, New York.
Sarah S OsmundsonDepartment of Obstetrics & Gynecology, Vanderbilt University, Nashville, Tennessee.
Britany RaymondDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.
Philippe RichebeDepartment of Anesthesiology, University of Montreal, Montreal, Quebec, Canada.
Mieke SoensDepartment of Anesthesiology & Perioperative Medicine, Brigham & Women's Hospital, Boston, Massachusetts.
Mishka TerplanFriends Research Institute, Baltimore, Maryland.

Funding

6/6 HBCD Prenatal Experiences and Longitudinal Development (PRELUDE) Consortium VanderbiltU01DA055347 · NIDA · VANDERBILT UNIVERSITY · PI Laurie E Cutting, Sarah Scheiderich Osmundson · 2021 to 2026
$12.7M
Optimizing the use of ketamine to reduce chronic postsurgical painUH3CA261067 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DOAN, LISA, WANG, JING · 2021 to 2024
$5.2M
Perioperative Precision Medicine: Translating Science to Clinical Practice to Improve Safety and Efficacy of Opioids in Neonates, Children and Nursing MothersU01TR003719 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Senthilkumar Sadhasivam · 2022 to 2026
$4.4M
Ketamine to reduce postpartum depression and pain after cesarean deliveryR01MH134538 · NIMH · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Grace Lim · 2023 to 2026
$2.3M
Reducing Unused Prescribed Opioids After Cesarean BirthK23DA047476 · NIDA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI OSMUNDSON, SARAH SCHEIDERICH · 2019 to 2023
$859k
NCATS NIH HHS U01 TR003719NCI NIH HHS UH3 CA261067NIDA NIH HHS K23 DA047476NIDA NIH HHS U01 DA055347NIMH NIH HHS R01 MH134538
6 · The paper itself

Abstract

Pain management in pregnant and postpartum people with an opioid-use disorder (OUD) requires a balance between risks associated with opioid tolerance, including withdrawal or return to opioid use, considerations around social needs of the maternal-infant dyad, and the provision of adequate pain relief for the birth episode that is often characterized as the worst pain a person will experience in their lifetime. This multidisciplinary consensus statement between the Society for Obstetric Anesthesia and Perinatology (SOAP), Society for Maternal-Fetal Medicine (SMFM), and American Society of Regional Anesthesia and Pain Medicine (ASRA) provides a framework for pain management in obstetric patients with OUD. The purpose of this consensus statement is to provide practical and evidence-based recommendations and is targeted to health care providers in obstetrics and anesthesiology. The statement is focused on prenatal optimization of pain management, labor analgesia, and postvaginal delivery pain management, and postcesarean delivery pain management. Topics include a discussion of nonpharmacologic and pharmacologic options for pain management, medication management for OUD (eg, buprenorphine, methadone), considerations regarding urine drug testing, and other social aspects of care for maternal-infant dyads, as well as a review of current practices. The authors provide evidence-based recommendations to optimize pain management while reducing risks and complications associated with OUD in the peripartum period. Ultimately, this multidisciplinary consensus statement provides practical and concise clinical guidance to optimize pain management for people with OUD in the context of pregnancy to improve maternal and perinatal outcomes.

Indexed as

Analgesia, ObstetricalAnalgesics, OpioidAnesthesia, ObstetricalOpioid-Related DisordersPain ManagementPerinatologyPregnancy ComplicationsSocieties, MedicalFemaleHumansPregnancyAnalgesics, Opioid

Identifiers

PMID39504271
PMCPMC12052881

What OpenQuestion holds

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Registered trials

None linked

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.