Satisfaction Following Cesarean Section
Pain, Postoperative, Cesarean Section Complications, Postpartum Disorder
About this trial
This is an interventional health services research trial for Pain, Postoperative focused on measuring postpartum, postoperative cesarean pain management, opioid requirements
Eligibility Criteria
Inclusion Criteria:
- Center for health services (CHS) patient
- Cesarean section
- >/= 18 years of age
Exclusion Criteria:
- Non-CHS patients (i.e. regional or private)
- <18 years of age
- Allergy to hydrocodone, oxycodone, acetaminophen or NSAIDs
- Contraindication to using medications (i.e hypertensive disorders of pregnancy)
- Hospitalization >7 days, which suggest complications that may increase pain and opioid requirements
- Complications (wound infections, re-explorations, cesarean hysterectomies, etc…)
- Urine toxicology screen positive for opioids on admission
- Recent use as defined by either patient reported use of opioids within the last 30 days or an Ohio Automated Rx Reporting System (OARRS) reports that shows prescription of opioids within 30 days of admission for delivery
Sites / Locations
- Center for Health Services
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Control Group - 28
Experimental - 20
The control group (post-operative cesarean section) will be prescribed 28 Oxycodone Acetaminophen at the time of discharge. Both groups will also be provided with a handout on non-opioid analgesia. The groups will be assigned randomly in blocks. Specifically, the first half of the patients will automatically be placed in the experimental arm and the second half into the control arm of the study
The experimental group (post-operative cesarean section) will be prescribed 20 Oxycodone Acetaminophen at the time of discharge. Both groups will also be provided with a handout on non-opioid analgesia. The groups will be assigned randomly in blocks. Specifically, the first half of the patients will automatically be placed in the experimental arm and the second half into the control arm of the study