Abstract
(Can J Anesth/J Can Anesth. 2022;69:997–1006) Opioids have been overprescribed in North America, including in the field of obstetrics, over the past two decades. Cesarean delivery (CD) is the most common inpatient surgery performed in Canada and opioids are commonly prescribed at discharge to post-CD patients. In 2008, a warning was issued by Health Canada against the use of codeine in mothers who were breastfeeding. A recent study based in the United States found that opioid prescribing practices varied most by the hospital, rather than current recommendations or patient factors. This study used the Surgical Quality Outcome Reports (SQOR) study and the SQOR Extension Study to identify post-CD prescribing patterns among hospitals, hospital type, and hospital location, to inform quality improvement efforts.
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