{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T02:50:25Z","timestamp":1788922225663,"version":"build-2803163510"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","obstetanesthesia.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Obstetric Anesthesia"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.ijoa.2025.104742","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T23:19:10Z","timestamp":1753485550000},"page":"104742","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Post-cesarean opioid consumption in patients on maintenance medication for opioid use disorder undergoing cesarean delivery with neuraxial anesthesia: a single-center retrospective propensity-matched cohort study (2016\u20132020)"],"prefix":"10.1016","volume":"64","author":[{"given":"S.","family":"Roy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Chitty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Mongan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kotova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Ripat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Mongan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ijoa.2025.104742_b0005","article-title":"Opioid use disorder: current trends and potential treatments","volume":"11","author":"Lee","year":"2023","journal-title":"Front Public Health."},{"key":"10.1016\/j.ijoa.2025.104742_b0010","article-title":"Opioid use disorder","volume":"6(1):3","author":"Strang","year":"2020","journal-title":"Nat Rev Dis Primers. Jan 9"},{"issue":"6","key":"10.1016\/j.ijoa.2025.104742_b0015","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1007\/s40263-020-00719-3","article-title":"Impact of Pharmacological Treatments for Opioid Use Disorder on Mortality","volume":"34","author":"Kelty","year":"2020","journal-title":"CNS Drugs."},{"issue":"2","key":"10.1016\/j.ijoa.2025.104742_b0020","doi-asserted-by":"crossref","first-page":"e81","DOI":"10.1097\/AOG.0000000000002235","article-title":"711: Opioid Use and Opioid Use Disorder in Pregnancy","volume":"130","author":"Committee Opinion No","year":"2017","journal-title":"Obstet Gynecol."},{"issue":"5","key":"10.1016\/j.ijoa.2025.104742_b0025","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1097\/ADM.0000000000000166","article-title":"American Society of Addiction Medicine (ASAM) National Practice Guideline for the use of Medications in the Treatment of Addiction Involving Opioid Use","volume":"9","author":"Kampman","year":"2015","journal-title":"J Addict Med. Sep\u2013Oct"},{"issue":"5","key":"10.1016\/j.ijoa.2025.104742_b0030","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1097\/ADM.0000000000000964","article-title":"A Retrospective Study of Acute Postoperative Pain after Cesarean delivery in patients with Opioid Use Disorder Treated with Opioid Agonist Pharmacotherapy","volume":"16","author":"Cobb","year":"2022","journal-title":"J Addict Med. Sep\u2013Oct 01"},{"issue":"5","key":"10.1016\/j.ijoa.2025.104742_b0035","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1097\/AJP.0000000000001019","article-title":"Comparison between Preoperative Methadone and Buprenorphine Use on Postoperative Opioid Requirement: a Retrospective Cohort Study","volume":"38","author":"Komatsu","year":"2022","journal-title":"Clin J Pain."},{"issue":"9","key":"10.1016\/j.ijoa.2025.104742_b0040","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1016\/j.ejpain.2010.03.002","article-title":"Intrapartum and postpartum analgesia for women maintained on buprenorphine during pregnancy","volume":"14","author":"Meyer","year":"2010","journal-title":"Eur J Pain."},{"issue":"2 Pt 1","key":"10.1016\/j.ijoa.2025.104742_b0045","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1097\/01.AOG.0000275288.47258.e0","article-title":"Intrapartum and postpartum analgesia for women maintained on methadone during pregnancy","volume":"110","author":"Meyer","year":"2007","journal-title":"Obstet Gynecol."},{"key":"10.1016\/j.ijoa.2025.104742_b0050","doi-asserted-by":"crossref","first-page":"3513","DOI":"10.2147\/JPR.S284874","article-title":"Post-Cesarean delivery Analgesic Outcomes in patients Maintained on Methadone and Buprenorphine: a Retrospective Investigation","volume":"13","author":"Reno","year":"2020","journal-title":"J Pain Res."},{"issue":"5","key":"10.1016\/j.ijoa.2025.104742_b0055","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1097\/ADM.0000000000000339","article-title":"Comparison of Post-Cesarean Section Opioid Analgesic Requirements in Women with Opioid Use Disorder Treated with Methadone or Buprenorphine","volume":"11","author":"Vilkins","year":"2017","journal-title":"J Addict Med. Sep\/Oct"},{"key":"10.1016\/j.ijoa.2025.104742_b0060","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2020.109905","article-title":"Pain outcomes among patients after cesarean consuming buprenorphine or methadone and opioid-naive patients","volume":"65","author":"Wendling","year":"2020","journal-title":"J Clin Anesth."},{"key":"10.1016\/j.ijoa.2025.104742_b0065","article-title":"Peripartum and Postpartum Analgesia and Pain in Women Prescribed Buprenorphine for Opioid Use Disorder who deliver by Cesarean Section","volume":"16","author":"O'Connor","year":"2022","journal-title":"Subst Abuse."},{"key":"10.1016\/j.ijoa.2025.104742_b0070","doi-asserted-by":"crossref","unstructured":"Landau R. Post-cesarean delivery pain. Management of the opioid-dependent patient before, during and after cesarean delivery. Int J Obstet Anesth. Aug 2019;39:105\u2013116. doi:10.1016\/j.ijoa.2019.01.011.","DOI":"10.1016\/j.ijoa.2019.01.011"},{"issue":"1","key":"10.1016\/j.ijoa.2025.104742_b0075","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.ijoa.2009.02.012","article-title":"Analgesic requirements and postoperative recovery after scheduled compared to unplanned cesarean delivery: a retrospective chart review","volume":"19","author":"Carvalho","year":"2010","journal-title":"Int J Obstet Anesth."},{"key":"10.1016\/j.ijoa.2025.104742_b0080","doi-asserted-by":"crossref","unstructured":"Holmes R, La JO, Fuller M, Habib AS. Postoperative analgesic consumption for primary versus first repeat Cesarean delivery: a historical cohort study. Can J Anaesth. Jun 17 2024;71(11):1518\u20131524. Consommation d'analgesiques postoperatoires pour un premier accouchement par cesarienne ou un premier accouchement par cesarienne subsequent : une etude de cohorte historique. doi:10.1007\/s12630-024-02786-2.","DOI":"10.1007\/s12630-024-02786-2"},{"issue":"10","key":"10.1016\/j.ijoa.2025.104742_b0085","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1001885","article-title":"The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) statement","volume":"12","author":"Benchimol","year":"2015","journal-title":"PLoS Med."},{"issue":"6","key":"10.1016\/j.ijoa.2025.104742_b0090","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1002\/pds.3945","article-title":"A synthesis of oral morphine equivalents (OME) for opioid utilisation studies","volume":"25","author":"Nielsen","year":"2016","journal-title":"Pharmacoepidemiol Drug Saf."},{"issue":"10","key":"10.1016\/j.ijoa.2025.104742_b0095","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1136\/rapm-2021-103007","article-title":"Buprenorphine management in the perioperative period: educational review and recommendations from a multisociety expert panel","volume":"46","author":"Kohan","year":"2021","journal-title":"Reg Anesth Pain Med."},{"issue":"3","key":"10.1016\/j.ijoa.2025.104742_b0100","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1111\/aogs.14497","article-title":"Buprenorphine-naloxone, buprenorphine, and methadone throughout pregnancy in maternal opioid use disorder","volume":"102","author":"Kanervo","year":"2023","journal-title":"Acta Obstet Gynecol Scand."},{"key":"10.1016\/j.ijoa.2025.104742_b0105","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2022.110847","article-title":"Impact of timing of multimodal analgesia in enhanced recovery after cesarean delivery protocols on postoperative opioids: a single center before-and-after study","volume":"80","author":"Forkin","year":"2022","journal-title":"J Clin Anesth."},{"issue":"24","key":"10.1016\/j.ijoa.2025.104742_b0110","doi-asserted-by":"crossref","first-page":"4743","DOI":"10.1080\/14767058.2020.1863364","article-title":"Impact of a multimodal analgesic protocol modification on opioid consumption after cesarean delivery: a retrospective cohort study","volume":"35","author":"Herbert","year":"2022","journal-title":"J Matern Fetal Neonatal Med."},{"issue":"4","key":"10.1016\/j.ijoa.2025.104742_b0115","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1097\/AOG.0000000000005120","article-title":"Increased Scheduled Intravenous Ketorolac after Cesarean delivery and its effect on Opioid Use: a Randomized Controlled Trial","volume":"141","author":"Hostage","year":"2023","journal-title":"Obstet Gynecol."},{"issue":"2","key":"10.1016\/j.ijoa.2025.104742_b0120","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1097\/00000542-199902000-00018","article-title":"Dose-response relationship of intrathecal morphine for postcesarean analgesia","volume":"90","author":"Palmer","year":"1999","journal-title":"Anesthesiology."},{"issue":"1","key":"10.1016\/j.ijoa.2025.104742_b0125","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1213\/ANE.0000000000001255","article-title":"The effect of Intrathecal Morphine Dose on Outcomes after Elective Cesarean delivery: a Meta-Analysis","volume":"123","author":"Sultan","year":"2016","journal-title":"Anesth Analg."},{"issue":"5","key":"10.1016\/j.ijoa.2025.104742_b0130","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1213\/ANE.0000000000005257","article-title":"Society for Obstetric Anesthesia and Perinatology: Consensus Statement and Recommendations for Enhanced Recovery after Cesarean","volume":"132","author":"Bollag","year":"2021","journal-title":"Anesth Analg."},{"key":"10.1016\/j.ijoa.2025.104742_b0135","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.ijoa.2020.03.003","article-title":"Enhanced recovery after caesarean delivery versus standard care studies: a systematic review of interventions and outcomes","volume":"43","author":"Sultan","year":"2020","journal-title":"Int J Obstet Anesth."},{"issue":"5","key":"10.1016\/j.ijoa.2025.104742_b0140","article-title":"Impact of enhanced recovery after cesarean delivery on maternal outcomes: a systematic review and meta-analysis","volume":"40","author":"Sultan","year":"2021","journal-title":"Anaesth Crit Care Pain Med."},{"issue":"8","key":"10.1016\/j.ijoa.2025.104742_b0145","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1016\/j.ajem.2019.158489","article-title":"How much change in pain score does really matter to patients?","volume":"38","author":"Bahreini","year":"2020","journal-title":"Am J Emerg Med."},{"key":"10.1016\/j.ijoa.2025.104742_b0150","doi-asserted-by":"crossref","unstructured":"Danoff JR, Goel R, Sutton R, Maltenfort MG, Austin MS. How Much Pain Is Significant? Defining the Minimal Clinically Important Difference for the Visual Analog Scale for Pain After Total Joint Arthroplasty. J Arthroplasty. Jul 2018;33(7S):S71\u2013S75 e2. doi:10.1016\/j.arth.2018.02.029.","DOI":"10.1016\/j.arth.2018.02.029"},{"key":"10.1016\/j.ijoa.2025.104742_b0155","doi-asserted-by":"crossref","unstructured":"Fishbain DA, Gao J, Lewis JE, Zhang L. At Completion of a Multidisciplinary Treatment Program, Are Psychophysical Variables Associated with a VAS Improvement of 30% or More, a Minimal Clinically Important Difference, or an Absolute VAS Score Improvement of 1.5 cm or More? Pain Med. Apr 2016;17(4):781\u20139. doi:10.1093\/pm\/pnv006.","DOI":"10.1093\/pm\/pnv006"},{"issue":"6","key":"10.1016\/j.ijoa.2025.104742_b0160","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1067\/mem.2001.118863","article-title":"Prospective validation of clinically important changes in pain severity measured on a visual analog scale","volume":"38","author":"Gallagher","year":"2001","journal-title":"Ann Emerg Med."},{"issue":"3","key":"10.1016\/j.ijoa.2025.104742_b0165","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1093\/bja\/aew466","article-title":"Measuring acute postoperative pain using the visual analog scale: the minimal clinically important difference and patient acceptable symptom state","volume":"118","author":"Myles","year":"2017","journal-title":"Br J Anaesth."},{"issue":"2","key":"10.1016\/j.ijoa.2025.104742_b0170","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1097\/AOG.0000000000003087","article-title":"Postoperative Opioid Consumption after Scheduled Compared with Unscheduled Cesarean delivery","volume":"133","author":"Prabhu","year":"2019","journal-title":"Obstet Gynecol."},{"issue":"4","key":"10.1016\/j.ijoa.2025.104742_b0175","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1016\/j.ejpain.2011.08.008","article-title":"Peripartum pain management in opioid dependent women","volume":"16","author":"Hoflich","year":"2012","journal-title":"Eur J Pain."},{"issue":"3","key":"10.1016\/j.ijoa.2025.104742_b0180","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1080\/00952990.2018.1545131","article-title":"A retrospective cohort study of mortality rates in patients with an opioid use disorder treated with implant naltrexone, oral methadone or sublingual buprenorphine","volume":"45","author":"Kelty","year":"2019","journal-title":"Am J Drug Alcohol Abuse."},{"issue":"12","key":"10.1016\/j.ijoa.2025.104742_b0185","doi-asserted-by":"crossref","first-page":"1868","DOI":"10.1038\/s41380-018-0094-5","article-title":"Effects of medication-assisted treatment on mortality among opioids users: a systematic review and meta-analysis","volume":"24","author":"Ma","year":"2019","journal-title":"Mol Psychiatry."},{"issue":"4","key":"10.1016\/j.ijoa.2025.104742_b0190","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1097\/AOG.0000000000005115","article-title":"Postpartum Opioid-Related Mortality in patients with Public Insurance","volume":"141","author":"Suarez","year":"2023","journal-title":"Obstet Gynecol."},{"issue":"5","key":"10.1016\/j.ijoa.2025.104742_b0195","doi-asserted-by":"crossref","first-page":"1779","DOI":"10.1213\/ANE.0000000000002498","article-title":"Case Series of successful Postoperative Pain Management in Buprenorphine Maintenance Therapy Patients","volume":"125","author":"Leighton","year":"2017","journal-title":"Anesth Analg."},{"issue":"5","key":"10.1016\/j.ijoa.2025.104742_b0200","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1213\/ANE.0000000000006167","article-title":"A Systematic Scoping Review of Peridelivery Pain Management for Pregnant People with Opioid Use Disorder: from the Society for Obstetric Anesthesia and Perinatology and Society for Maternal Fetal Medicine","volume":"135","author":"Lim","year":"2022","journal-title":"Anesth Analg."}],"container-title":["International Journal of Obstetric Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0959289X25003346?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0959289X25003346?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T19:29:54Z","timestamp":1779996594000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0959289X25003346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":40,"alternative-id":["S0959289X25003346"],"URL":"https:\/\/doi.org\/10.1016\/j.ijoa.2025.104742","relation":{},"ISSN":["0959-289X"],"issn-type":[{"value":"0959-289X","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Post-cesarean opioid consumption in patients on maintenance medication for opioid use disorder undergoing cesarean delivery with neuraxial anesthesia: a single-center retrospective propensity-matched cohort study (2016\u20132020)","name":"articletitle","label":"Article Title"},{"value":"International Journal of Obstetric Anesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijoa.2025.104742","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"104742"}}