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Jones, H., Deppen, K., Hudak, M., Leffert, L., McClelland, C., Sahin, L., et al. (2014) Clinical Care for Opioid-Using Pregnant and Postpartum Women: The Role of Obstetric Providers. AJOG, 210, 302-310.
https://doi.org/10.1016/j.ajog.2013.10.010

has been cited by the following article:

• TITLE: Life after Addiction—Post-Operative Pain Management in an Obstetrical Patient on Long-Term Buprenorphine Therapy

  AUTHORS: Kelly R Bowen, Jonathan D Baum

  KEYWORDS: Buprenorphine, Methadone, Addiction, Pregnancy, Opiate Use in Pregnancy

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.7 No.9, September 15, 2017

  ABSTRACT: A G6P2032 female, prior cesarean x3 with history of opioid addiction maintained on buprenorphine presented for scheduled repeat cesarean section. Pre-operatively, her maintenance dose of medication was held secondary to concerns for partial agonist effect. Post-operative pain control was suboptimal with the patient ultimately proceeding to withdrawal. Doses of hydromorphone were titrated to 10 mg every 3 hours to avoid further withdrawal. Review of expert opinion after discharge recommended against holding buprenorphine therapy in the post-operative period. Pain management options include maintenance therapy with additional doses of opioid and non-opioid pain relieving medications.