{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:55:24Z","timestamp":1790798124980,"version":"4.1.0"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>To examine obstetric physicians' beliefs about using professional or regulatory guidelines, opioid risk-screening tools, and preferences for recommending nonanalgesic therapies for postpartum pain management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A qualitative study design was used to conduct semi-structured interviews with obstetric and maternal\u2013fetal medicine physicians (N=38) from two large academic health care institutions in central Pennsylvania. An interview guide was used to direct the discussion about each physicians' beliefs in response to questions about pain management after childbirth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Three trends in the data emerged from physicians' responses: 1) 71% of physicians relied on their clinical insight rather than professional or regulatory guidelines to inform decisions about pain management after childbirth; 2) although many reported that a standard opioid patient screening tool would be useful to inform clinical decisions about pain management, nearly all (92%) physician respondents reported not currently using one; and 3) 63% thought that nonpharmacologic pain management therapies should be used whenever possible to manage pain after childbirth. Key physician barriers (eg, lack time and evidence, being unaware of how to implement) and patient barriers (eg, take away from other responsibilities, no time or patience) to implementation were also identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>These findings suggest that obstetric physicians' individual beliefs and clinical insight play a key role in pain management decisions for women after childbirth. Practical and scalable strategies are needed to: 1) encourage obstetric physicians to use professional or regulatory guidelines and standard opioid risk-screening tools to inform clinical decisions about pain management after childbirth, and 2) educate physicians and patients about nonopioid and nonpharmacologic pain management options to reduce exposure to prescription opioids after childbirth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/aog.0000000000004232","type":"journal-article","created":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T19:40:24Z","timestamp":1610566824000},"page":"325-333","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Obstetric Physicians' Beliefs and Knowledge on Guidelines and Screening Tools to Reduce Opioid Use After Childbirth"],"prefix":"10.1097","volume":"137","author":[{"given":"Danielle Symons","family":"Downs","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail M.","family":"Pauley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krista S.","family":"Leonard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Satti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Cumbo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Teti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Stephens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tammy","family":"Corr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Roeser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Deimling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard S.","family":"Legro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaimey M.","family":"Pauli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Dhanya","family":"Mackeen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Bailey-Davis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,1,5]]},"reference":[{"key":"R1-20260930","first-page":"1","article-title":"Births: final data for 2012","volume":"62","author":"Martin","year":"2013","journal-title":"Natl Vital Stat Rep"},{"key":"R2-20260930","doi-asserted-by":"crossref","first-page":"117.e1","DOI":"10.1016\/j.ajog.2019.04.030","article-title":"Better late than never: why obstetricians must implement enhanced recovery after cesarean","volume":"221","author":"Peahl","year":"2019","journal-title":"Am J Obstet Gynecol"},{"key":"R3-20260930","doi-asserted-by":"crossref","first-page":"353.e1","DOI":"10.1016\/j.ajog.2016.03.016","article-title":"Persistent opioid use following cesarean delivery: patterns and predictors among opioid na\u00efve women","volume":"215","author":"Bateman","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"R4-20260930","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1097\/AOG.0000000000001868","article-title":"Filled prescriptions for opioids after vaginal delivery","volume":"129","author":"Jarlenski","year":"2017","journal-title":"Obstet Gynecol"},{"key":"R5-20260930","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.clp.2013.05.008","article-title":"Multimodal postcesarean delivery analgesia","volume":"40","author":"Lavoie","year":"2013","journal-title":"Clin Perinatol"},{"key":"R6-20260930","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1097\/AOG.0000000000002093","article-title":"Patterns of opioid prescription use after cesarean delivery","volume":"130","author":"Bateman","year":"2017","journal-title":"Obstet Gynecol"},{"key":"R7-20260930","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/AOG.0000000000002095","article-title":"Postdischarge opioid use after cesarean delivery","volume":"130","author":"Osmundson","year":"2017","journal-title":"Obstet Gynecol"},{"key":"R8-20260930","first-page":"1","article-title":"Births: final data from 2018","volume":"68","author":"Martin","year":"2019","journal-title":"Natl Vital Stat Rep"},{"key":"R9-20260930","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1080\/03630242.2013.804025","article-title":"Postpartum substance use and depressive symptoms: a review","volume":"53","author":"Chapman","year":"2013","journal-title":"Women Health"},{"key":"R10-20260930","first-page":"e35","article-title":"Postpartum pain management","volume":"132","year":"2018","journal-title":"Obstet Gynecol"},{"key":"R11-20260930","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1001\/jama.2017.0935","article-title":"History of the joint commission's pain standards: lessons for today's prescription opioid epidemic","volume":"317","author":"Baker","year":"2017","journal-title":"JAMA"},{"key":"R12-20260930","doi-asserted-by":"crossref","first-page":"248","DOI":"10.3122\/jabfm.2017.02.160299","article-title":"Comparison of opioid prescribing patterns in the United States and Japan: primary care physicians' attitudes and perceptions","volume":"30","author":"Onishi","year":"2017","journal-title":"J Am Board Fam Med"},{"key":"R16-20260930","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap): a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform"},{"key":"R17-20260930","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s41347-018-0081-3","article-title":"Beliefs about using smartphones for health behavior change: an elicitation study with overweight and obese rural women","volume":"4","author":"Symons Downs","year":"2019","journal-title":"J Technol Behav Sci"},{"key":"R18-20260930","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s41347-018-0068-0","article-title":"Mobile health technology in prenatal care: understanding OBGYN providers' beliefs about using technology to manage gestational weight gain","volume":"4","author":"Rauff","year":"2019","journal-title":"J Technol Behav Sci"},{"key":"R19-20260930","doi-asserted-by":"crossref","first-page":"944","DOI":"10.1093\/tbm\/ibx046","article-title":"Integrating and coordinating care between the Women, Infants, and Children Program and pediatricians to improve patient-centered preventive care for health growth","volume":"8","author":"Davis","year":"2018","journal-title":"Transl Behav Med"},{"key":"R22-20260930","first-page":"100","article-title":"Theme development in qualitative content analysis and thematic analysis","volume":"6","author":"Vaismoradi","year":"2016","journal-title":"J Nurs Educ Pract"},{"key":"R23-20260930","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1007\/S40037-019-00550-7","article-title":"Beyond the default colon: effective use of quotes in qualitative research","volume":"8","author":"Lingard","year":"2019","journal-title":"Perspect Med Educ"},{"key":"R25-20260930","doi-asserted-by":"crossref","first-page":"1624","DOI":"10.1001\/jama.2016.1464","article-title":"CDC guideline for prescribing opioids for chronic pain \u2013 United States, 2016","volume":"315","author":"Dowell","year":"2016","journal-title":"JAMA"},{"key":"R28-20260930","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1023\/B:MACI.0000037647.78420.e3","article-title":"Improving screening for alcohol use during pregnancy: the Massachusetts ASAP program","volume":"8","author":"Kennedy","year":"2004","journal-title":"Matern Child Health J"},{"key":"R29-20260930","first-page":"217","article-title":"Opioid prescribing knowledge and practices: provider survey following promulgation of guidelines-Utah, 2011","volume":"9","author":"Porucznik","year":"2013","journal-title":"J Opioid Manag"},{"key":"R30-20260930","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1111\/j.1552-6909.2009.01023.x","article-title":"The effects of mindfulness-based yoga during pregnancy on maternal psychological and physical distress","volume":"38","author":"Beddoe","year":"2009","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"key":"R31-20260930","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1186\/s12884-017-1319-3","article-title":"Benefits of preparing for childbirth with mindfulness training: a randomized controlled trial with active comparison","volume":"17","author":"Duncan","year":"2017","journal-title":"BMC Pregnancy Childbirth"},{"key":"R32-20260930","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1111\/jmwh.12734","article-title":"Experiences of postpartum women after mindfulness childbirth classes: a qualitative study","volume":"63","author":"Kantrowitz-Gordon","year":"2018","journal-title":"J Midwifery Womens Health"},{"key":"R33-20260930","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1007\/s00737-008-0214-3","article-title":"Effects of a mindfulness-based intervention during pregnancy on prenatal stress and mood: results of a pilot study","volume":"11","author":"Vieten","year":"2008","journal-title":"Arch Womens Ment Health"},{"key":"R34-20260930","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.ctcp.2017.11.007","article-title":"Pilates workouts can reduce pain in pregnant women","volume":"31","author":"Oktaviani","year":"2017","journal-title":"Complement Ther Clin Pract"},{"key":"R35-20260930","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1002\/ejp.1096","article-title":"Exercise for the prevention of low back and pelvic girdle pain in pregnancy: a meta\u2010analysis of randomized controlled trials","volume":"22","author":"Shiri","year":"2018","journal-title":"Eur J Pain"},{"key":"R36-20260930","first-page":"e4629","article-title":"Evidence for the role of mindfulness in cancer: benefits and techniques","volume":"11","author":"Mehta","year":"2019","journal-title":"Cureus"},{"key":"R37-20260930","doi-asserted-by":"crossref","first-page":"161","DOI":"10.4103\/apjon.apjon_67_18","article-title":"A systematic review: mindfulness intervention for cancer-related pain","volume":"6","author":"Ngamkham","year":"2019","journal-title":"Asia Pac J Oncol Nurs"},{"key":"R38-20260930","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1111\/nyas.13153","article-title":"Mindfulness meditation-based pain relief: a mechanistic account","volume":"1373","author":"Zeidan","year":"2016","journal-title":"Ann N Y Acad Sci"},{"key":"R39-20260930","doi-asserted-by":"crossref","first-page":"18","DOI":"10.7812\/TPP\/14-236","article-title":"Effect of structured touch and guided imagery for pain and anxiety in elective joint replacement patients: a randomized controlled trial: M-TIJRP","volume":"19","author":"Forward","year":"2015","journal-title":"Perm J"}],"container-title":["Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/AOG.0000000000004232","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:00:25Z","timestamp":1790794825000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/AOG.0000000000004232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,5]]},"references-count":31,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/aog.0000000000004232","relation":{},"ISSN":["0029-7844","1873-233X"],"issn-type":[{"value":"0029-7844","type":"print"},{"value":"1873-233X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,5]]},"assertion":[{"value":"2020-09-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}