Educational Video on Pain Management and Subsequent Opioid Use After Cesarean Delivery

MedStar Health

Status: Completed

Conditions: Opioid Use, Unspecified

Treatments: Other: Standard of care; Drug: Oxycodone; Other: Educational video; Drug: Ibuprofen

Study type: Interventional

Funder types: Other

Identifiers

NCT03959969

STUDY00000260

Details and patient eligibility

About

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.

Enrollment: 48 patients

Sex: Female

Ages: 18 to 50 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Greater than 18 years of age
• Underwent repeat or primary C-section
• Literate in English Language

Exclusion criteria

• Complicated cesarean section including cesarean hysterectomy, bowel injury, bladder injury, and/or take-back
• History of opioid use disorder and/or on chronic opiates in pregnancy
• Contraindications to NSAIDS or acetaminophen

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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48 participants in 2 patient groups

Educational Video Recipients

Experimental group

Description:

Participants will be shown educational video on pain management after cesarean delivery on day of discharge. Upon discharge, participants will be given twenty tablets of oxycodone 5 mg by mouth every four hours as needed for pain and forty tablets of ibuprofen 600 mg by mouth every six hours as needed for pain.

Treatment:

Drug: Ibuprofen

Other: Educational video

Drug: Oxycodone

Standard of Care Recipients

Active Comparator group

Description:

Participants will be given standard of care discharge instructions for pain management on day of discharge. Upon discharge, participants will be given twenty tablets of oxycodone 5 mg by mouth every four hours as needed for pain and forty tablets of ibuprofen 600 mg by mouth every six hours as needed for pain.

Treatment:

Drug: Ibuprofen

Drug: Oxycodone

Other: Standard of care