Essentials - Acute Post-Operative Pregnancy Pain with At-Risk Women-Handout - Essentials - Acute Post-Op Pregnancy Pain with At-Risk Women

Handout - Essentials - Acute Post-Op Pregnancy Pain with At-Risk Women

Pdf Summary

This document discusses the topic of acute pain in pregnant and post-operative at-risk women in relation to substance use disorder and opioid abuse. It begins with an overview of addiction as a treatable medical disease and the criteria for substance use disorder, specifically opioid use disorder. The document emphasizes the importance of screening, education, providing options, monitoring, and adhering to new guidelines for women with no known history of substance use disorder. It introduces screening tools such as the CAGE questionnaire and the Opioid Risk Tool.<br /><br />The document then addresses the patient types of women with a family history of substance use disorder and those with a known diagnosis of substance use disorder. It highlights the need for pain management in these patients and suggests educating them on usual and customary pain management techniques for various procedures and childbirth.<br /><br />Further, the document explores the implications of substance use, misuse, and use disorders during and after pregnancy, particularly the risks to maternal and fetal health. It discusses the importance of screening, prevention, treatment, education, and regulatory approaches in addressing substance use disorder in pregnant women.<br /><br />The document also references the CDC guidelines for opioid therapy, which include nonpharmacologic and nonopioid therapy as preferred options for chronic pain. It emphasizes the assessment of risk and addressing the harms of opioid use, the use of urine drug testing, and evidence-based treatment for patients with opioid use disorder.<br /><br />Finally, the document includes two case studies that illustrate the challenges and considerations in managing acute pain in pregnant women with substance use disorders. The cases involve patients with opioid dependency, benzodiazepine abuse, anxiety disorder, and unplanned pregnancies.<br /><br />Overall, this document provides an overview of the complexities and considerations in managing acute pain in pregnant and post-operative women with substance use disorders, with a focus on opioid abuse. It highlights the importance of proper screening, education, and adherence to guidelines to ensure effective pain management and positive outcomes for both the mother and the baby.

Keywords

acute pain

pregnant women

substance use disorder

opioid abuse

screening

education

pain management

maternal health

fetal health

opioid therapy