Labor Management Protocol for Parturients on Buprenorphine

Author

Erik SandersFollow

Date of Award

Spring 5-15-2019

Document Type

DNP Project

Project Team Faculty Member

Rebecca Collier

Project Team Faculty Member

Amelia Perez

Keywords

Buprenorphine, opioid dependent, anesthesia, pregnancy, parturient pain management, peripartum anesthesia management

Abstract

...

Opioid dependence during pregnancy may lead to negative outcomes for both the parturient and the fetus. Opioid dependent parturients are often prescribed buprenorphine, a form of medication- assisted therapy. The use of buprenorphine within the parturient population is a relatively new practice and anesthesia providers are encountering difficulties in managing this population during the peripartum period. Literature has demonstrated anesthesia providers may best serve this population by utilizing a multimodal approach when providing analgesia (Jones et al., 2008; Meyer et al., 2010; Reddy et al., 2017). A combination of oral, intravenous and neuraxial modalities, in conjunction with the daily dose of buprenorphine is the recommended analgesic regimen. This project aimed to educate anesthesia and obstetric providers at a tertiary care center in central Illinois with regards to pain management for parturients on buprenorphine. The results of this project suggested the providers increased their knowledge of buprenorphine and also enhanced their ability to manage parturients on buprenorphine during the peripartum period.

Recommended Citation

Sanders, Erik, "Labor Management Protocol for Parturients on Buprenorphine" (2019). Doctor of Nursing Practice Projects. 53.
https://spark.siue.edu/dnpprojects/53

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