| Title | Analgesia/pain management in first trimester surgical abortion. | | Author(s) | Meckstroth KR, Mishra K | | Institution | Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA, USA. meckstrothk@obgyn.ucsf.edu | | Source | Clin Obstet Gynecol 2009 Jun; 52(2):160-70. | | MeSH | Abortifacient Agents, Nonsteroidal
Abortion, Induced
Anesthesia, Local
Anesthesia, Obstetrical
Anesthetics, Local
Anti-Inflammatory Agents, Non-Steroidal
Benzodiazepines
Cervical Ripening
Conscious Sedation
Counseling
Female
Gestational Age
Humans
Lidocaine
Misoprostol
Pain Measurement
Pregnancy
Pregnancy Trimester, First
| | Abstract | Management of pain during abortion is a critical aspect of patient care. Although it is not always possible to offer a range of pain control options in every setting, individualizing pain medications as much as possible for patients' preferences is likely to improve satisfaction with the abortion experience. Evidence suggests that higher volume (at least 200 mg lidocaine) and deeper injections are beneficial for cervical block. Adding intravenous sedation with a moderate dose of fentanyl and midazolam reduces the pain scores. Oral benzodiazepines may improve satisfaction and anxiety. Deep sedation and general anesthesia are important options for women with significant medical conditions or complicated procedures. | | Language | eng | | Pub Type(s) | Journal Article
Research Support, Non-U.S. Gov't
Review
| | PubMed ID | 19407522 |
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