Racial and Ethnic Inequities in Postpartum Pain Evaluation and Management
| Autor: | Ifeyinwa V. Asiodu, Jasmine D. Johnson, Christine Tucker, Katherine Bryant, Christine P. McKenzie, Alison M. Stuebe, Kristin P. Tully, Sarah Verbiest |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Pregnancy Neonatal intensive care unit 030219 obstetrics & reproductive medicine Obstetrics business.industry Analgesic Obstetrics and Gynecology Gestational age Retrospective cohort study Prenatal care medicine.disease 03 medical and health sciences 0302 clinical medicine Pain assessment Propensity score matching medicine 030212 general & internal medicine business Oxycodone Body mass index medicine.drug Cohort study |
| Zdroj: | Obstetrics & Gynecology. 134:1155-1162 |
| ISSN: | 0029-7844 |
| DOI: | 10.1097/aog.0000000000003505 |
| Popis: | OBJECTIVE To evaluate whether the frequency of pain assessment and treatment differed by patient race and ethnicity for women after cesarean birth. METHODS We performed a retrospective cohort study of all women who underwent cesarean birth resulting in a liveborn neonate at a single institution between July 1, 2014, and June 30, 2016. Pain scores documented and medications administered after delivery were grouped into 0-24 and 25-48 hours postpartum time periods. Number of pain scores recorded, whether any pain score was 7 of 10 or greater, and analgesic medication administered were calculated. Models were adjusted for propensity scores incorporating maternal age, body mass index, gestational age, nulliparity, primary compared with repeat cesarean delivery, classical hysterotomy, and admission to the neonatal intensive care unit. RESULTS A total of 1,987 women were identified, and 1,701 met inclusion criteria. There were 30,984 pain scores documented. Severe pain (7/10 or greater) was more common among black (28%) and Hispanic (22%) women than among women who identified as white (20%) or Asian (15%). In the first 24 hours after cesarean birth, non-Hispanic white women had more documented pain assessments (adjusted mean 10.2) than, black, Asian, and Hispanic women (adjusted mean 8.4-9.5; P |
| Databáze: | OpenAIRE |
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