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Papers of the Week

2021 May 25

Am J Obstet Gynecol MFM

Reduction of opioid utilization after vaginal delivery with an electronic health record intervention.


Rimsza RR, Perez WM, Shyken J, Vricella LK
Am J Obstet Gynecol MFM. 2021 May 25:100402.
PMID: 34048967.


The national epidemic of opioid misuse has focused attention on postpartum analgesic utilization. Adequate pain control achieved with non-opioid pain medications and conservative measures could minimize the quantity of opioid pain medications available for misuse and diversion. Interventions that decrease inpatient opioid use after delivery could reduce the potential for chronic dependence in postpartum women. Modification of preloaded electronic order sets to decrease opioid administration has successfully reduced opioid use following major abdominal surgery including cesarean delivery. However, interventions to reduce opioid use following vaginal delivery are not well-described.