In-Hospital Opioid Consumption After the Previous Cesarean Delivery Weakly Predicts Opioid Consumption After Index Delivery: A Retrospective Cohort Study

( Anesth Analg . 2022;134:1280–1287) Opioid administration is a common form of analgesia for breakthrough pain following cesarean deliveries when nonopioid medication is not sufficient. Pain severity can differ from patient to patient, so an individualized approach to care can be challenging. Predicting in-hospital opioid consumption following a repeat cesarean delivery requires study. The primary aim was to identify if prior opioid consumption 48 hours postoperatively following cesarean delivery correlates with patient opioid consumption following index cesarean delivery. The hypothesis was that an associated prediction would exist. Secondary aims included whether pain scores correlated and if obstetric and demographic variables improved prediction accuracy.