This is a randomized controlled trial assessing the utility of an educational video on pain management after a cesarean section to reduce opioid use. The educational video will be shown during the patient's postpartum stay and the amount of opioid and adjunct medications will be assessed in those who watched the video compared to those who received the standard of care discharge instructions without the video. Participants will be contacted 7 and 14 days after cesarean birth (post operative day number 7 and number 14) to complete a telephone survey on their overall pain management and to determine how many opioid tablets have been used.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
48
An educational video on pain management after cesarean section. The educational video was put together by two general obstetrician-gynecologists, two maternal fetal medicine specialists, and a palliative care physician.
The standard of care discharge instructions for postoperative patients after cesarean section that are provided at the institution.
Prescription given for forty tablets of ibuprofen 600 mg every 6 hours as needed for pain.
Prescription given for twenty tablets of oxycodone 5 mg every 4 hours as needed for pain.
Washington Hospital Center
Washington D.C., District of Columbia, United States
Number of oxycodone tablets used fourteen days after cesarean delivery
This is the total number of oxycodone tablets used by participants in each arm fourteen days after cesarean delivery (postpartum day number 14).
Time frame: A total of 14 days after cesarean delivery (postpartum day number 14)
Pain assessment score from numeric pain intensity scale at seven days after cesarean delivery
Using an universal pain assessment tool of a numeric pain intensity scale, patients will be asked their pain score seven days after cesarean delivery (postpartum day 7). The numeric pain intensity scale is 0-10, with 0 being no pain and 10 being the worst pain possible.
Time frame: 7 days after cesarean delivery (postpartum day number 7)
Adjunct medication use at seven days after cesarean delivery
This is to determine use of adjunct medications such as ibuprofen and Tylenol in the participants in both arms, seven days after cesarean delivery.
Time frame: 7 days after cesarean delivery (postpartum day number 7)
Overall pain management satisfaction using Likert scale seven days after cesarean delivery
Assessment of overall pain management satisfaction seven days after cesarean delivery (postpartum day number 7) with five point Likert scale. The Likert scale ranges from extremely satisfied with pain management to extremely dissatisfied with pain management.
Time frame: 7 days after cesarean delivery (postpartum day number 7)
Pain assessment score from numeric pain intensity scale at fourteen days after cesarean delivery
Using an universal pain assessment tool of a numeric pain intensity scale, patients will be asked their pain score fourteen days after cesarean delivery (postpartum day 14).The numeric pain intensity scale is 0-10, with 0 being no pain and 10 being the worst pain possible.
Time frame: 14 days after cesarean delivery (postpartum day number 14)
Adjunct medication use at fourteen days after cesarean delivery
This is to determine use of adjunct medications such as ibuprofen and Tylenol in the participants in both arms, fourteen days after cesarean delivery.
Time frame: 14 days after cesarean delivery (postpartum day number 14)
Overall pain management satisfaction using Likert scale fourteen days after cesarean delivery
Assessment of overall pain management satisfaction fourteen days after cesarean delivery (postpartum day number 14) with five point Likert scale. The Likert scale ranges from extremely satisfied with pain management to extremely dissatisfied with pain management.
Time frame: 14 days after cesarean delivery (postpartum day number 14)
Total number of oxycodone tablets used inpatient
Total oxycodone tablets used during patient's inpatient stay after cesarean delivery.
Time frame: 3 days
Number of oxycodone tablets used seven days after cesarean delivery
This is the total number of oxycodone tablets used by participants in each arm seven days after cesarean delivery (postpartum day number 7).
Time frame: 7 days after cesarean delivery (postpartum day number 7)
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