Yale Anesthesiology4 Tammi 2024

Pain management for Pregnant people with opioid use disorder

In this episode, Dr. Grace Lim, Associate professor and the Chief of the Obstetric Anesthesia division at the University of Pittsburgh, whose research is aimed at eliminating pain and suffering in special populations, optimizing perioperative medication use, and personalizing patient care, discussed with us two of her articles related to pain management of patients with and without opioid use disorder. Unfortunately, there is a big gap in knowledge and consensus when caring for patients with a history of opioid use disorder. In this episode, we discussed some of them.

References
CDC – About Opioid Use During Pregnancy
https://www.cdc.gov/pregnancy/opioids/basics.html
Associations between postpartum pain type, pain intensity and opioid use in patients with and without opioid use disorder: a cross-sectional study
https://pubmed.ncbi.nlm.nih.gov/36371258/

A Systematic Scoping Review of Peridelivery Pain Management for Pregnant People With Opioid Use Disorder: From the Society for Obstetric Anesthesia and Perinatology and Society for Maternal-Fetal Medicine
https://pubmed.ncbi.nlm.nih.gov/36135926/

Labor Pain, Analgesia, and Postpartum Depression:
Are We Asking the Right Questions?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7080613/

Other resources related to OUD
Buprenorphine versus Methadone for Opioid Use Disorder in Pregnancy
https://pubmed.ncbi.nlm.nih.gov/36449419/
Post-cesarean delivery pain. Management of the
opioid-dependent patient before, during and after
cesarean delivery
https://pubmed.ncbi.nlm.nih.gov/36449419/

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