Chronic pain, pain severity and analgesia use in Australian women of reproductive age

• Published in: Women and birth : journal of the Australian College of Midwives Vol. 32; no. 2; pp. e272 - e278
• Main Authors: Miller, April M., Sanderson, Kristy, Bruno, Raimondo B., Breslin, Monique, Neil, Amanda L.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.04.2019
• Subjects: Adolescent; Adult; Analgesia - statistics & numerical data; Analgesics, Opioid - therapeutic use; Australia - epidemiology; Chronic pain; Chronic Pain - drug therapy; Chronic Pain - epidemiology; Chronic Pain - pathology; Female; Humans; Opioid Analgesia; Pain Measurement; Pain severity; Pregnancy; Pregnancy Complications - drug therapy; Pregnancy Complications - epidemiology; Pregnancy Complications - pathology; Pregnant; Prevalence; Reproductive age; Severity of Illness Index; Young Adult; Australia; Pregnant; Opioid Analgesia; Reproductive age; Chronic pain; Pain severity
• ISSN: 1871-5192; 1878-1799
• DOI: 10.1016/j.wombi.2018.06.013

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. This study aims to provide national estimates of chronic pain, pain severity and analgesia use in Australian women of reproductive age by pregnancy status. 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). 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. 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.