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Your Healthy Family: Opioid-free c-sections working to reduce opioid abuse

Posted at 11:06 AM, Nov 05, 2019
and last updated 2019-11-05 13:06:53-05

CLEVELAND, OH — Whether for wisdom teeth or a cesarean section – overprescribing opioid medications, to control pain after surgery, has fueled the opioid crisis.

But, doctors are finding innovative ways to reduce use, and abuse – and even new moms are taking part.

Kristen Winger of Amherst, Ohio opted against using opioids to ease post-surgery pain after delivering her son by cesarean section.

“I feel like having a baby is something I want to be completely present there for; I don't want to feel funny,” Winger said. “I want to be able to enjoy it, and while still not be in pain, but also not feel like I'm on something.”

Instead of taking opioid pain medication – which is common after a c-section, and can cause drowsiness, dizziness and nausea – acetaminophen and ibuprofen were rotated every three hours.

“If you're very sleepy or sedated we find that, a lot of times, we can't even necessarily leave the baby in the room with the mother,” said Eric Chiang, M.D., an anesthesiologist at Cleveland Clinic’s Fairview Hospital. “So, the baby ends up spending a lot of time in the nursery because the mother's got to be awake and alert.”

Giving moms a choice about taking opioids is a new protocol at Cleveland Clinic, and data shows many women prefer to avoid opioids altogether.

“Almost half of the people that have a c-section don’t really need the opioid at all,” said Dr. Chiang. “But there were about half that do, which is totally fine.”

Doctors are reducing the number of opioid pills new moms take home too. Now, women who need opioids to control pain, go home with five pills on average – instead of 20.

“Keeping those medicines off the street is going to help, hopefully, turn the tide,” said Dr. Chiang. “About 80 percent of heroin addicts started with prescription medicine, and the important fact there, is that they weren’t necessarily prescribed the medicine, but they obtained it.”

Winger said her pain was tolerable, and she was better able to care for her son. She encourages others to give it a try.

“It’s worth a shot,” she said. “You might surprise yourself, you might think, hey – I’m stronger than I thought I was, and I can do it without narcotics.”

Dr. Chiang said everyone’s pain tolerance is different, and if non-opioid medications aren’t enough to control pain after a c-section, opioid medicines are always available if a patient asks for them.