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Evidence Library · Being heard

Pain relief after the birth is also not given equally

The same gap that exists in the operating room continues on the ward.

The disparities in how pain is believed do not stop when the operation ends. In the cohort of 9,900 women, Black and Hispanic women reported more severe pain in the days after birth and received measurably fewer morphine equivalents per day, and were less likely to leave the hospital with a prescription. In 1,701 women after cesarean, severe pain of 7 or more out of 10 was reported by 28% of Black women, 22% of Hispanic women, 20% of white women and 15% of Asian women, while white women had more documented pain assessments.

The authors of the first study stated their conclusion plainly: these are disparities in pain management that cannot be explained by less perceived pain.

What helpsAsk for scheduled acetaminophen and ibuprofen rather than as-needed dosing, ask for your pain score to be recorded each time you report it, and say the number out loud rather than saying you are "okay." A recorded number is harder to overlook than a facial expression.
Where this comes from:
265. Badreldin N, Grobman WA, Yee LM. Racial disparities in postpartum pain management. Obstet Gynecol. 2019;134(6):1147-1153.
361. Johnson JD, Asiodu IV, McKenzie CP, Tucker C, Tully KP, Bryant K, et al. Racial and ethnic inequities in postpartum pain evaluation and management. Obstet Gynecol. 2019;134(6):1155-1162.
362. Craig R, Nour SE, Blake L, Carvalho B, Kua J, O'Carroll JE. Racial and ethnic disparities in postpartum pain: a systematic review. Int J Obstet Anesth. 2025;64:104736.

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