SHA RED DECISION-M A KING FOR PRESCRIPTION OPIOIDS A FTER
CESA REA N DELIVERY
Appendix 1.
W HA T IS PA IN?
HOW M UCH PA IN DO W OM EN USUA LLY HA VE
A FTER A C-SECTION?
During hospit alizat ion, t he average
pain score t hat women report is 5.
HOW M UCH PA IN DO W OM EN USUA LLY HA VE
A FTER A C-SECTION?
1 week aft er hospit alizat ion, t he average
pain score t hat women report is 3.
HOW M UCH PA IN DO W OM EN USUA LLY HA VE
A FTER A C-SECTION?
2 weeks aft er hospit alizat ion, t he average
pain score t hat women report is 2.
W HA T PA IN M EDICINES W ORK BEST A FTER A C-
SECTION?
We don’t know, which is why we are doing t his st udy.
We know t hat each of t hese medicat ions has
benefit s and side effect s.
W HA T A RE THE BENEFITS A ND SIDE EFFECTS OF EA CH
M EDICA TION?
EFFECT ON
PA IN SIDE EFFECTS
SA FE IN BREA ST- FEEDING?
TYLENOL M ODERA TE
M INIM A L W it h overd ose:
Li ver Dam age (r ar e)
YES
IBUPROFEN (M OTRIL OR
ADVIL)
STRONG
HEA RTBURN OR UPSET STOM A CH (10 % ) W A TER RETENTION
W it h overd ose or l on g-t erm u se:
Ki d n ey d am age or St om ach u l cer (r ar e)
YES
OXYCODONE
(OPIOID) STRONG
DROW SINESS, CONSTIPA TION, ITCHING, NA USEA , VOM ITING,
DIZZINESS W it h overd ose:
Over sed at i on (r ar e)
YES
W HA T A RE SOM E OTHER RISKS OF M EDICA TIONS
LIKE OXYCODONE?
Some pat ient s who are prescribed opioids like oxycodone aft er a C- sect ion can become addict ed t o t hem,
but t his risk is low.
W HA T A RE SOM E OTHER RISKS OF M EDICA TIONS
LIKE OXYCODONE?
Opioid misuse and abuse is a major current healt h problem in t he U.S.
Opioids that are misused are often obtained from a friend or relative - usually without the
knowledge of the person to whom it was prescribed .
W HA T A RE YOUR OPTIONS FOR M A NA GING YOUR PA IN
A T HOM E?
At this institution, most women who have a C-
section are given a prescription for 40 tablets of oxycodone.
They are also
recommended to use
ibuprofen and Tylenol.
W HA T A RE YOUR OPTIONS FOR M A NA GING YOUR PA IN
A T HOM E?
On average, women
only use 20 t ablet s an d are sat isfied wit h t heir pain con t rol.
We have recen t ly fin ished a st udy at t his in st it ut ion on how
man y oxycodon e t ablet s women use at home aft er cesarean .
W HA T A RE YOUR OPTIONS FOR M A NA GING YOUR PA IN
A T HOM E?
If their in-hospital pain scores were 3-4,
they used 15 t ablet s of oxycodon e at home...
If t heir in - hospit al pain scores were 5- 6,
t hey used 23 t ablet s of oxycodon e at home...
...an d if t heir in - hospit al pain scores were 7- 8,
t hey used 29 t ablet s of oxycodon e at home.
W HA T A RE YOUR OPTIONS FOR M A NA GING YOUR PA IN
A T HOM E?
Please t hink about your average pain score while you have been in t he hospit al, and how many
t ablet s of oxycodone you would like.
You can choose t o receive a prescript ion for any number bet ween 0 and 40 t ablet s of oxycodone.
↑
3-4
↑
7-8
↑
5-6
↑
Usual pr escr i pt i on I n-hospi t al pai n scor e
W HA T DO I DO IF I RUN OUT OF OXYCODONE A T HOM E?
(A) Call your doct or or midwife’s office t o schedule an appoint ment .
You should know t hat t o get a refill of oxycodone, you will need t o be seen in person.
(B) You can al ways call
(555) 555- 5555 t o speak t o an on -
call provider. They are available
24 hours a day t o give you advice
if you’re havin g pain .
W HA T DO I DO W ITH A NY EXTRA OXYCODONE LEFT
OVER?
You can dispose of oxycodone at most police
st at ions and some pharmacies. Check wit h your pharmacy and local police st at ion.
If t hese are not opt ions for you,
you can always flush your left over
oxycodone down t he t oilet .
Do yo u h a ve a n y q u e st io n s “
a b o u t a n y o f t h e t h in g s w e
h a ve d isc u sse d ?
HOW M A NY TA BLETS OF OXYCODONE W OULD YOU LIKE TO BE PRESCRIBED W ITH?
As a reminder, you can choose any number bet ween 0 and 40 t ablet s.
THA NK YOU FOR PA RTICIPA TING IN OUR STUDY!