According to the study, “A Quality Improvement Initiative to Reduce Opioid Consumption after Cesarean Birth,” by Dr. Adriane Burgess, Amy Harris, Julia Wheeling and Roni Dermo, one in 300 opioid naïve women become addicted to opiates after cesarean birth. Also, after cesarean, women are often prescribed more opiates at discharge than necessary, resulting in increased opportunity for diversion.
In order to learn more about this study, we are joined by two of the authors; Dr. Adriane Burgess and Amy Harris, who will share their insights on the effects of the opioid epidemic in the perinatal space and alternative comfort strategies for pain management post-cesarean.
About the Speakers
Adriane Burgess, PhD, RNC-OB, CCE, CNE
Adriane Burgess, PhD, RNC-OB, CCE, CNE has been a nurse for over 20 years in a variety of inpatient and outpatient women’s health and obstetric clinical settings including labor and delivery, maternal fetal medicine, gynecology, postpartum, and childbirth education. She has taught maternal newborn nursing since 2009 to baccalaureate nurses, most recently as an Assistant Professor of Nursing at Towson University. Beginning January 2020 she transitioned back to the clinical setting, working as the Program Director for the Women and Children Service Line for WellSpan Health, which includes five hospitals in south central Pennsylvania. She earned her BSN from Villanova University, her masters in Nursing Education from Drexel University, and her PhD in Nursing from the University of Wisconsin-Milwaukee. Her dissertation focused on the association between ABO blood type and factors associated with preeclampsia subtype. Her dissertation ignited her passion about the care of women with preeclampsia. Adriane’s research interests include women’s health care quality initiatives and cardio-metabolic implications associated with complications of pregnancy. Adriane works to actively publish and present her work and is passionate about moving forward initiatives which improve the clinical care provided to women throughout their lifespan. Adriane has helped to lead a variety of quality initiatives which have won awards from both the Council on Patient Safety in Women’s Health Care and AWHONN. Recently one the QI projects she and a team implemented on standardizing the use of multimodal pain techniques through the use of a comfort bundle to reduce opioid consumption after cesarean section won the Outstanding Innovative Program Paper Award at the 2019 AWHONN convention, and was awarded the 2019 quality article of the year from The American Journal of Maternal Child Nursing. Adriane currently serves as President of the Eta Eta Chapter of Sigma Theta Tau and enjoys mentoring nurses in quality improvement and research.
Amy Harris is a Clinical Nurse Educator for the Maternity and Labor & Delivery units at WellSpan Health, in York, Pa. She has been a nurse for 21 years, 12 of those in the obstetric setting. She has cared for high risk antepartum, postpartum, and neonate patients. Amy is certified in maternal/newborn nursing, is an NRP instructor, and mentors multiple committees and task forces within the WellSpan Health system. Her personal, professional goal is to create an environment that supports professional practice and employee engagement. She works to inspire nurses by empowering them to explore their passions through evidence based research to implement change.