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Prediction of Outliers in Pain, Analgesia Requirement, and Recovery of Function After Childbirth

A Prospective Observational Cohort Study

Komatsu, R.; Carvalho, B.; Flood, P.

Obstetric Anesthesia Digest: December 2018 - Volume 38 - Issue 4 - p 197
doi: 10.1097/01.aoa.0000547295.80186.66
Epidemiologic Reports Surveys

(Br J Anaesth. 2018;121:417–426)

Most women report opioid-free functional recovery ∼3 to 4 weeks after childbirth. However, a minority of women report severe pain and remain on opioids for a prolonged period after childbirth, which has potential for long-term harm. There is limited information available to predict which women will have poor recovery or require opioids for a protracted period. Consequently, the authors of the present study identified demographic, obstetrical, and psychological factors associated with parturients who are likely to have a difficult postpartum recovery with respect to pain, opioid use, and recovery of function.

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA; Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA

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