{"doi":"10.7326/m19-3805","title":"Opioid Prescribing After Childbirth and Risk for Serious Opioid-Related Events: A Cohort Study","abstract":"Letters1 September 2020Opioid Prescribing After Childbirth and Risk for Serious Opioid-Related Events: A Cohort StudySarah S. Osmundson, MD, MS, Jea Young Min, PharmD, PhD, Andrew D. Wiese, PhD, MPH, Robert E. Hawley, BS, Edward Mitchel, BS, Stephen W. Patrick, MD, MPH, MS, Lauren R. Samuels, PhD, Marie R. Griffin, MD, MPH, and Carlos G. Grijalva, MD, MPHSarah S. Osmundson, MD, MSVanderbilt University Medical Center, Nashville, Tennessee (S.S.O., J.Y.M., A.D.W., R.E.H., E.M., S.W.P., L.R.S., M.R.G.), Jea Young Min, PharmD, PhDVanderbilt University Medical Center, Nashville, Tennessee (S.S.O., J.Y.M., A.D.W., R.E.H., E.M., S.W.P., L.R.S., M.R.G.), Andrew D. Wiese, PhD, MPHVanderbilt University Medical Center, Nashville, Tennessee (S.S.O., J.Y.M., A.D.W., R.E.H., E.M., S.W.P., L.R.S., M.R.G.), Robert E. Hawley, BSVanderbilt University Medical Center, Nashville, Tennessee (S.S.O., J.Y.M., A.D.W., R.E.H., E.M., S.W.P., L.R.S., M.R.G.), Edward Mitchel, BSVanderbilt University Medical Center, Nashville, Tennessee (S.S.O., J.Y.M., A.D.W., R.E.H., E.M., S.W.P., L.R.S., M.R.G.), Stephen W. Patrick, MD, MPH, MSVanderbilt University Medical Center, Nashville, Tennessee (S.S.O., J.Y.M., A.D.W., R.E.H., E.M., S.W.P., L.R.S., M.R.G.), Lauren R. Samuels, PhDVanderbilt University Medical Center, Nashville, Tennessee (S.S.O., J.Y.M., A.D.W., R.E.H., E.M., S.W.P., L.R.S., M.R.G.), Marie R. Griffin, MD, MPHVanderbilt University Medical Center, Nashville, Tennessee (S.S.O., J.Y.M., A.D.W., R.E.H., E.M., S.W.P., L.R.S., M.R.G.), and Carlos G. Grijalva, MD, MPHVanderbilt University Medical Center and Veterans Health Administration Tennessee Valley Healthcare System, Geriatric Research Education and Clinical Center (GRECC), Nashville, Tennessee (C.G.G.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-3805 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Although persistent opioid use after surgery, including cesarean birth, has been described, the risk for overdose and other serious opioid-related events (SOREs) after childbirth, specifically vaginal birth, remains unclear (1, 2).Objective: To assess risk for SOREs associated with postpartum opioid prescribing after childbirth, including both vaginal and cesarean births.Methods and Findings: We studied women aged 15 to 44 years enrolled in Tennessee Medicaid (TennCare) who were discharged after childbirth between 1 January 2007 and 20 August 2014. TennCare data were supplemented with birth certificate information and hospital discharge data from the Tennessee Hospital Discharge Data System. This ...References1. Bateman BT, Franklin JM, Bykov K, et al. Persistent opioid use following cesarean delivery: patterns and predictors among opioid-naïve women. Am J Obstet Gynecol. 2016;215:353.1-353.e18. [PMID: 26996986] doi:10.1016/j.ajog.2016.03.016 CrossrefMedlineGoogle Scholar2. Osmundson SS, Wiese AD, Min JY, et al. Delivery type, opioid prescribing, and the risk of persistent opioid use after delivery [Letter]. Am J Obstet Gynecol. 2019;220:405-7. [PMID: 30955527] doi:10.1016/j.ajog.2018.10.026 CrossrefMedlineGoogle Scholar3. Peahl AF, Dalton VK, Montgomery JR, et al. Rates of new persistent opioid use after vaginal or cesarean birth among US women. JAMA Netw Open. 2019;2:e197863. [PMID: 31348508] doi:10.1001/jamanetworkopen.2019.7863 CrossrefMedlineGoogle Scholar4. ACOG committee opinion no, 742: postpartum pain management. Obstet Gynecol. 2018;132:e35-e43. [PMID: 29781876] doi:10.1097/AOG.0000000000002683 CrossrefMedlineGoogle Scholar5. Martin JA, Hamilton BE, Osterman MJK. Births in the United States, 2016. NCHS Data Brief. 2017:1-8. [PMID: 29155684] MedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Vanderbilt University Medical Center, Nashville, Tennessee (S.S.O., J.Y.M., A.D.W., R.E.H., E.M., S.W.P., L.R.S., M.R.G.)Vanderbilt University Medical Center an","journal":"Annals of Internal Medicine","year":2020,"id":76830,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":20,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9474,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":400288,"name":"Jea Young Min","orcid":"0000-0001-9328-6922","position":1,"is_corresponding":false},{"id":337884,"name":"Andrew Wiese","orcid":"0000-0002-0699-4224","position":2,"is_corresponding":false},{"id":401198,"name":"Robert E. 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