Title

Safe Management of Chronic Pain in Pregnancy in an Era of Opioid Misuse and Abuse

Document Type

Article

Publication Date

2014

Publication Title

Journal of Obstetric, Gynecologic, & Neonatal Nursing

DOI

10.1111/1552-6909.12487

Abstract

Safe and effective management of chronic pain in pregnancy is challenging. Use of over-the-counter analgesics, opioids, opioid substitution therapies, complementary and alternative therapies, antidepressants, and anxiolytics each have benefits and risks for the mother and neonate that must be considered. Because of their potency, opioids are often used despite associated risks for adverse effects, abuse, diversion, and addiction. Development of a pain management protocol for the counsel and care of pregnant women with pain is necessary.