Educational Video on Pain Management and Subsequent Opioid Use After Cesarean Delivery
Overview
- Phase
- Not Applicable
- Intervention
- Educational video
- Conditions
- Opioid Use, Unspecified
- Sponsor
- Medstar Health Research Institute
- Enrollment
- 48
- Locations
- 1
- Primary Endpoint
- Number of oxycodone tablets used fourteen days after cesarean delivery
- Status
- Completed
- Last Updated
- 5 years ago
Overview
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.
Investigators
Sara N. Iqbal
Maternal Fetal Medicine Fellowship Program Director
Medstar Health Research Institute
Eligibility Criteria
Inclusion Criteria
- •Greater than 18 years of age
- •Underwent repeat or primary C-section
- •Literate in English Language
Exclusion Criteria
- •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
Arms & Interventions
Educational Video Recipients
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.
Intervention: Educational video
Educational Video Recipients
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.
Intervention: Ibuprofen
Educational Video Recipients
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.
Intervention: Oxycodone
Standard of Care Recipients
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.
Intervention: Standard of care
Standard of Care Recipients
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.
Intervention: Ibuprofen
Standard of Care Recipients
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.
Intervention: Oxycodone
Outcomes
Primary Outcomes
Number of oxycodone tablets used fourteen days after cesarean delivery
Time Frame: 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 Outcomes
- Pain assessment score from numeric pain intensity scale at seven days after cesarean delivery(7 days after cesarean delivery (postpartum day number 7))
- Adjunct medication use at seven days after cesarean delivery(7 days after cesarean delivery (postpartum day number 7))
- Overall pain management satisfaction using Likert scale seven days after cesarean delivery(7 days after cesarean delivery (postpartum day number 7))
- Adjunct medication use at fourteen days after cesarean delivery(14 days after cesarean delivery (postpartum day number 14))
- Overall pain management satisfaction using Likert scale fourteen days after cesarean delivery(14 days after cesarean delivery (postpartum day number 14))
- Number of oxycodone tablets used seven days after cesarean delivery(7 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))
- Total number of oxycodone tablets used inpatient(3 days)