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Self-administered medications in the postpartum wards: A study on satisfaction and perceptions

Authors

  • Hugo Schérer PharmD MSc,

    Pharmacist, Corresponding author
    1. Faculty of Pharmacy, Université de Montréal, Montréal, Quebec, Canada
    2. Department of Pharmacy and Unité de recherche en pratique pharmaceutique (URPP), Centre hospitalier universitaire Sainte-Justine, Montréal, Quebec, Canada
    • Correspondence

      Hugo Schérer, Department of Pharmacy, Centre hospitalier universitaire Sainte-Justine, 3175 chemin de la Côte-Sainte-Catherine, Montréal, Quebec, Canada H3T 1C5.

      Email: hugo.scherer.hsj@ssss.gouv.qc.ca

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  • Emmy Bernier PharmD MSc,

    Pharmacist
    1. Faculty of Pharmacy, Université de Montréal, Montréal, Quebec, Canada
    2. Department of Pharmacy and Unité de recherche en pratique pharmaceutique (URPP), Centre hospitalier universitaire Sainte-Justine, Montréal, Quebec, Canada
    3. Department of Pharmacy, Centre intégré de santé et de services sociaux de la Montérégie Ouest, Centre hospitalier Anna-Laberge, Châteauguay, Quebec, Canada
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  • Julie Rivard PharmD MSc,

    Pharmacist
    1. Faculty of Pharmacy, Université de Montréal, Montréal, Quebec, Canada
    2. Department of Pharmacy and Unité de recherche en pratique pharmaceutique (URPP), Centre hospitalier universitaire Sainte-Justine, Montréal, Quebec, Canada
    3. Department of Pharmacy, Centre intégré de santé et de services sociaux du Nord-de-l'îlede-Montréal, Hôpital Rivière-des-Prairies, Montréal, Quebec, Canada
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  • Lavina Yu PharmD MSc,

    Pharmacist
    1. Faculty of Pharmacy, Université de Montréal, Montréal, Quebec, Canada
    2. Department of Pharmacy and Unité de recherche en pratique pharmaceutique (URPP), Centre hospitalier universitaire Sainte-Justine, Montréal, Quebec, Canada
    3. Department of Pharmacy, Centre intégré de santé et de services sociaux de la Montérégie-Est, Hôpital Honoré-Mercier, Saint-Hyacinthe, Quebec, Canada
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  • Guillaume Duchesne-Côté BSc PharmD MSc,

    Pharmacist
    1. Faculty of Pharmacy, Université de Montréal, Montréal, Quebec, Canada
    2. Department of Pharmacy and Unité de recherche en pratique pharmaceutique (URPP), Centre hospitalier universitaire Sainte-Justine, Montréal, Quebec, Canada
    3. Department of Pharmacy, Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean, Hôpital de Chicoutimi, Chicoutimi, Quebec, Canada
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  • Denis Lebel BPharm MSc FCSHP,

    Pharmacist
    1. Department of Pharmacy and Unité de recherche en pratique pharmaceutique (URPP), Centre hospitalier universitaire Sainte-Justine, Montréal, Quebec, Canada
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  • Jean-François Bussières BPharm MSc MBA FCSHP,

    Pharmacist, Clinical Professor
    1. Faculty of Pharmacy, Université de Montréal, Montréal, Quebec, Canada
    2. Department of Pharmacy and Unité de recherche en pratique pharmaceutique (URPP), Centre hospitalier universitaire Sainte-Justine, Montréal, Quebec, Canada
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  • Ema Ferreira BPharm MSc PharmD FCSHP

    Pharmacist, Clinical Professor, Vice-Dean of Undergraduate Studies
    1. Faculty of Pharmacy, Université de Montréal, Montréal, Quebec, Canada
    2. Department of Pharmacy and Unité de recherche en pratique pharmaceutique (URPP), Centre hospitalier universitaire Sainte-Justine, Montréal, Quebec, Canada
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Abstract

Objective

The objective of this study was to describe women's satisfaction and perceptions on the postpartum self-administered medication (SAM) program at our institution and on pain relief. Also, we aimed at describing maternal and breastfed infants' adverse events with the use of the postpartum SAM program.

Method

This prospective 1-group mixed methods survey conducted in a mother-and-child tertiary center included women enrolled in the postpartum SAM program who had a live newborn, understood French or English, and were at least 18 years old. Newborns included cohabited with their mother during their hospitalization and had received breast milk at least once. Data were collected through direct interviews using a questionnaire and through medical charts.

Results

We included 314 mothers and 263 breastfed newborns in the study. Ninety-seven percent of all users appreciated the SAM. The self-reported median overall improvement of pain was 80% (interquartile range, 70%-90%). However, 18% of users who delivered vaginally and 32% who delivered through caesarean would have preferred traditional drug dispensing by the nurse (P = .009). Drugs used in the SAM program were generally well tolerated. There were no worrisome adverse drug events reported in newborns' medical charts.

Conclusion

Results show a 97% rate of satisfaction of the SAM program and a high self-reported pain improvement in a cohort of 314 women using our SAM program. The results suggest that the SAM program should remain a standard practice in our institution. Some recommendations will be drawn to better tailor the SAM program to the needs expressed by the users.

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