Educational Video on Pain Management and Subsequent Opioid Use After Cesarean Delivery
- Conditions
- Opioid Use, Unspecified
- Interventions
- Registration Number
- NCT03959969
- Lead Sponsor
- Medstar Health Research Institute
- Brief Summary
This is a randomized controlled trial assessing the utility of an educational video on pain management after a cesarean section to reduce opioid use. The educational video will be shown during the patient's postpartum stay and the amount of opioid and adjunct medications will be assessed in those who watched the video compared to those who received the standard of care discharge instructions without the video. Participants will be contacted 7 and 14 days after cesarean birth (post operative day number 7 and number 14) to complete a telephone survey on their overall pain management and to determine how many opioid tablets have been used.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 48
- Greater than 18 years of age
- Underwent repeat or primary C-section
- Literate in English Language
- Complicated cesarean section including cesarean hysterectomy, bowel injury, bladder injury, and/or take-back
- History of opioid use disorder and/or on chronic opiates in pregnancy
- Contraindications to NSAIDS or acetaminophen
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Educational Video Recipients Educational video Participants will be shown educational video on pain management after cesarean delivery on day of discharge. Upon discharge, participants will be given twenty tablets of oxycodone 5 mg by mouth every four hours as needed for pain and forty tablets of ibuprofen 600 mg by mouth every six hours as needed for pain. Standard of Care Recipients Standard of care Participants will be given standard of care discharge instructions for pain management on day of discharge. Upon discharge, participants will be given twenty tablets of oxycodone 5 mg by mouth every four hours as needed for pain and forty tablets of ibuprofen 600 mg by mouth every six hours as needed for pain. Educational Video Recipients Oxycodone Participants will be shown educational video on pain management after cesarean delivery on day of discharge. Upon discharge, participants will be given twenty tablets of oxycodone 5 mg by mouth every four hours as needed for pain and forty tablets of ibuprofen 600 mg by mouth every six hours as needed for pain. Educational Video Recipients Ibuprofen Participants will be shown educational video on pain management after cesarean delivery on day of discharge. Upon discharge, participants will be given twenty tablets of oxycodone 5 mg by mouth every four hours as needed for pain and forty tablets of ibuprofen 600 mg by mouth every six hours as needed for pain. Standard of Care Recipients Oxycodone Participants will be given standard of care discharge instructions for pain management on day of discharge. Upon discharge, participants will be given twenty tablets of oxycodone 5 mg by mouth every four hours as needed for pain and forty tablets of ibuprofen 600 mg by mouth every six hours as needed for pain. Standard of Care Recipients Ibuprofen Participants will be given standard of care discharge instructions for pain management on day of discharge. Upon discharge, participants will be given twenty tablets of oxycodone 5 mg by mouth every four hours as needed for pain and forty tablets of ibuprofen 600 mg by mouth every six hours as needed for pain.
- Primary Outcome Measures
Name Time Method Number of oxycodone tablets used fourteen days after cesarean delivery A total of 14 days after cesarean delivery (postpartum day number 14) This is the total number of oxycodone tablets used by participants in each arm fourteen days after cesarean delivery (postpartum day number 14).
- Secondary Outcome Measures
Name Time Method Pain assessment score from numeric pain intensity scale at seven days after cesarean delivery 7 days after cesarean delivery (postpartum day number 7) Using an universal pain assessment tool of a numeric pain intensity scale, patients will be asked their pain score seven days after cesarean delivery (postpartum day 7). The numeric pain intensity scale is 0-10, with 0 being no pain and 10 being the worst pain possible.
Adjunct medication use at seven days after cesarean delivery 7 days after cesarean delivery (postpartum day number 7) This is to determine use of adjunct medications such as ibuprofen and Tylenol in the participants in both arms, seven days after cesarean delivery.
Overall pain management satisfaction using Likert scale seven days after cesarean delivery 7 days after cesarean delivery (postpartum day number 7) Assessment of overall pain management satisfaction seven days after cesarean delivery (postpartum day number 7) with five point Likert scale. The Likert scale ranges from extremely satisfied with pain management to extremely dissatisfied with pain management.
Adjunct medication use at fourteen days after cesarean delivery 14 days after cesarean delivery (postpartum day number 14) This is to determine use of adjunct medications such as ibuprofen and Tylenol in the participants in both arms, fourteen days after cesarean delivery.
Overall pain management satisfaction using Likert scale fourteen days after cesarean delivery 14 days after cesarean delivery (postpartum day number 14) Assessment of overall pain management satisfaction fourteen days after cesarean delivery (postpartum day number 14) with five point Likert scale. The Likert scale ranges from extremely satisfied with pain management to extremely dissatisfied with pain management.
Number of oxycodone tablets used seven days after cesarean delivery 7 days after cesarean delivery (postpartum day number 7) This is the total number of oxycodone tablets used by participants in each arm seven days after cesarean delivery (postpartum day number 7).
Pain assessment score from numeric pain intensity scale at fourteen days after cesarean delivery 14 days after cesarean delivery (postpartum day number 14) Using an universal pain assessment tool of a numeric pain intensity scale, patients will be asked their pain score fourteen days after cesarean delivery (postpartum day 14).The numeric pain intensity scale is 0-10, with 0 being no pain and 10 being the worst pain possible.
Total number of oxycodone tablets used inpatient 3 days Total oxycodone tablets used during patient's inpatient stay after cesarean delivery.
Trial Locations
- Locations (1)
Washington Hospital Center
🇺🇸Washington, District of Columbia, United States