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Chronic pain, pain severity and analgesia use in Australian women of reproductive age
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Abstract
Background:The increasing prevalence and adverse outcomes associated with opioid analgesia use in women of reproductive age have become a significant public health issue internationally, with use during pregnancy potentially affecting maternal and infant health outcomes.Objective:This study aims to provide national estimates of chronic pain, pain severity and analgesia use in Australian women of reproductive age by pregnancy status.Method:Data were obtained from the Australian Bureau of Statistics 2011–12 National Health Survey (n = 20,426). Weighting was applied to sample data to obtain population estimates. For this study data were analysed for pregnant (n = 166, N = 192,617) and non-pregnant women (n = 4710, N = 5,256,154) of reproductive age (15–49 years).Results:Chronic or reoccurring pain was reported in 5.1% of pregnant women and 9.7% of non-pregnant women, and 0.7% and 2.6% of pregnant and non-pregnant women reported recent opioid analgesia use respectively. Moderate-to-very severe pain was more common in pregnant than non-pregnant women taking opioid analgesics, and no pain and very mild-to-mild pain in non-pregnant women.Conclusion:Approximately 1 in 20 pregnant Australian women have chronic or reoccurring pain. Opioid analgesia was used by around 1% of Australian pregnant women during a two-week period, with use associated with moderate-to-very severe pain. Given that the safety of many analgesic medications in pregnancy remains unknown, pregnant women and health professionals require accurate, up-to-date information on the risks and benefits of analgesic use during pregnancy. Further evidence on the decision-making processes of pregnant women with pain should assist health professionals maximise outcomes for mothers and infants.
Item Type: | Article |
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Authors/Creators: | Miller, AM and Sanderson, K and Bruno, RB and Breslin, M and Neil, AL |
Keywords: | Chronic pain, analgesia use, pregnancy, womens health |
Journal or Publication Title: | Women and Birth |
Publisher: | Elsevier BV |
ISSN: | 1871-5192 |
DOI / ID Number: | 10.1016/j.wombi.2018.06.013 |
Copyright Information: | Copyright 2018 Published by Elsevier Ltd on behalf of Australian College of Midwives |
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Item Statistics: | View statistics for this item |
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