Journal of Obstetric Anaesthesia and Critical Care

REVIEW ARTICLE
Year
: 2020  |  Volume : 10  |  Issue : 1  |  Page : 4--9

Peripartum pain management of women on medication-assisted therapy: A systematic review


Truc-Anh Nguyen, In Kim, Mark C Bicket 
 Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD, USA

Correspondence Address:
Dr. In Kim
Anesthesiology and Critical Care Medicine, The Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD -21287
USA

Rates of opioid prescribing are at historically high levels, and, as opioid exposure increases, the number of women of childbearing age with opioid use disorder is rising. Despite this growing population, the optimal management of pain for parturients maintained on medical-assisted therapy (MAT, i.e., methadone or buprenorphine) is unknown. This systematic review is intended to evaluate patient outcomes associated with pain management strategies for parturients on MAT. Literature databases EMBASE, MEDLINE, and the Cochrane Library were searched up to September 2017. Articles were included if they discussed peripartum analgesic options for pregnant women with opioid dependence. The search identified 1,814 articles, of which, nine matched all inclusion criteria and were selected for data extraction and analysis. Articles were a mix of case series, retrospective case reviews, retrospective cohorts, and randomized controlled trials. They showed various responses ranging from no difference in analgesic requirements between MAT and non-MAT patients to MAT patients requiring higher amounts of opioids after a cesarean section. Parturients on MAT present a number of challenges for obstetric anesthesiologists, but various approaches can be used to achieve satisfactory analgesia. It is important to practice an individualized yet multidisciplinary approach to ensure the delivery of optimal patient care.


How to cite this article:
Nguyen TA, Kim I, Bicket MC. Peripartum pain management of women on medication-assisted therapy: A systematic review.J Obstet Anaesth Crit Care 2020;10:4-9


How to cite this URL:
Nguyen TA, Kim I, Bicket MC. Peripartum pain management of women on medication-assisted therapy: A systematic review. J Obstet Anaesth Crit Care [serial online] 2020 [cited 2020 May 30 ];10:4-9
Available from: http://www.joacc.com/article.asp?issn=2249-4472;year=2020;volume=10;issue=1;spage=4;epage=9;aulast=Nguyen;type=0