Cesarean Section Complications, Obstetric Pain, Opioid Misuse, Pain, Acute
Conditions
Keywords
opioid disposal, drug deactivation, Deterra
Brief summary
Background: There is scarce literature investigating how patients dispose of unused opioid supplies after their cesarean postoperative pain has faded. The Office of the Surgeon General has identified research on the prevention of opioid use disorder area as well as research on the management of pain as a Surgeon General Priority that needs urgent investigation. Hypothesis: At least 33% of postpartum women discharged home with an opioid prescription and a drug deactivation pouch will use the pouch to dispose of remaining opioids within 30 days of delivery. Methods: This is a prospective single arm interventional pilot study.
Interventions
drug disposal pouch
Sponsors
Study design
Intervention model description
This is a prospective single arm interventional pilot study.
Eligibility
Inclusion criteria
* Age 18+ at time of enrollment, per ERM * Delivered ≥26.0 weeks, per ERM * Status post low transverse cesarean delivery, per ERM * Physically located on labor & delivery and is postpartum day #1 or #2 at time of enrollment, per ERM * Opioid prescription has been sent (per ERM) or will be sent (per obstetric team).
Exclusion criteria
* Positive urine toxicology anytime in pregnancy for non-prescription opioids, fentanyl, amphetamines, benzodiazepines, cannabinoids, LSD, or cocaine, per ERM. * Buprenorphine or methadone Rx, per ERM * Patient preferred communication language not English, per ERM * Documented history, per ERM: * Cannabinoid use disorder * Hypnotic use disorder * Opioid use disorder * Stimulant use disorder * Fibromyalgia * Sickle cell anemia * Lumbar disc herniation * Multiple sclerosis * Trigeminal neuralgia * Active cancer * Complex regional pain syndrome * Systemic lupus erythematosus * Rheumatoid arthritis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Actual pouch use | 30 days | The percentage of women who used the pouch to dispose of opioids in the home 30 days after delivery (%) |
Countries
United States