Analgesia/pain management in first trimester surgical abortion

Clinical Obstetrics and Gynecology

Volumn 52, Issue 2, 2009, Pages 160-170

  Meckstroth, Karen R ^a   Mishra, Kavita ^a  

^a SAN FRANCISCO GENERAL HOSPITAL   (United States)

Author keywords

Abortion; Analgesia; Anesthesia; Pain

Indexed keywords

ATROPINE; BENZODIAZEPINE DERIVATIVE; BICARBONATE; BUPIVACAINE; DRUG ADDITIVE; FENTANYL; FLUMAZENIL; HYDROCODONE; IBUPROFEN; LIDOCAINE; LOCAL ANESTHETIC AGENT; LORAZEPAM; MIDAZOLAM; MISOPROSTOL; NALOXONE; NARCOTIC AGENT; NONSTEROID ANTIINFLAMMATORY AGENT; OXYCODONE; PARACETAMOL; PLACEBO; PROPOFOL; SEDATIVE AGENT; TRAMADOL; UTEROTONIC AGENT; VASOCONSTRICTOR AGENT; VASOPRESSIN;

ABORTION; ADD ON THERAPY; ANALGESIA; ANXIETY; ARTICLE; BLEEDING; CARDIOTOXICITY; CLINICAL TRIAL; CONVULSION; DIZZINESS; DRUG ABSORPTION; DRUG BLOOD LEVEL; DRUG EFFICACY; DRUG MEGADOSE; DRUG SAFETY; EVIDENCE BASED PRACTICE; FIRST TRIMESTER PREGNANCY; GENERAL ANESTHESIA; HUMAN; INJECTION; LOW DRUG DOSE; METALIC TASTE; MORTALITY; MUSCLE CRAMP; MUSCLE TWITCH; NOCICEPTION; OPERATION DURATION; PAIN; PAIN ASSESSMENT; PATIENT CARE; PATIENT SATISFACTION; PELVIS PAIN SYNDROME; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PAIN; RECOMMENDED DRUG DOSE; SEDATION; SIDE EFFECT; SKIN TINGLING; SPINAL ANESTHESIA; SURGICAL ABORTION; SURGICAL TECHNIQUE; THROMBOCYTE AGGREGATION; TINNITUS; TREATMENT RESPONSE; UNCONSCIOUSNESS; UTERINE CERVIX RIPENING; UTERUS CONTRACTILITY; VACUUM ASPIRATION; VISUAL DISORDER;

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;

EID: 67650789583     PISSN: 00099201     EISSN: None     Source Type: Journal    
DOI: 10.1097/GRF.0b013e3181a2b0e8     Document Type: Article

References (24)

1. Melzack R. Pain-an overview. Acta Anaesthesiol Scand. 1999;43:880-884.
2. Rawling MJ, Wiebe ER. A randomized controlled trial of fentanyl for abortion pain. Am J Obstet Gynecol. 2001;185: 103-107. (Pubitemid 32681802)
3. Smith GM, Stubblefield PG, Chirchirillo L, et al. Pain of first-trimester abortion: its quantification and relations with other variables. Am J Obstet Gynecol. 1979;133: 489-498. (Pubitemid 9110974)
4. Allen RH, Kumar D, Fitzmaurice G, et al. Pain management of first-trimester surgical abortion: effects of selection of local anesthesia with and without lorazepam or intravenous sedation. Contraception. 2006;74:407-413. (Pubitemid 44529687)
5. Nichols M, Halvorson-Boyd G, Goldstein R, et al. Abortion pain. In: Paul M, Grimes D, Stubblefield P, et al, eds. Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care. Oxford, UK: Wiley-Blackwell; 2009.
6. Belanger E, Melzack R, Lauzon P. Pain of first-trimester abortion: a study of psychosocial and medical predictors. Pain. 1989;36:339-350. (Pubitemid 19077933)
7. Guilbert E, Roter D. Assessment of satisfaction with induced abortion procedure. J Psychol. 1997;131:157-166. (Pubitemid 127458951)
8. Borgatta L, Nickinovich D. Pain during early abortion. J Reprod Med. 1997;42: 287-293.
9. Cepeda MS, Carr DB, Lau J, et al. Music for pain relief. Cochrane Database Syst Rev. 2006;2:CD004843.
10. Li CF, Wong CY, Chan CP, et al. A study of co-treatment of nonsteroidal antiinflammatory drugs (NSAIDs) with misoprostol for cervical priming before suction termination of first trimester pregnancy. Contraception. 2003;67: 101-105.
11. Saxena P, Sarda N, Salhan S, et al. A randomised comparison between sublingual, oral and vaginal route of misoprostol for pre-abortion cervical ripening in first-trimester pregnancy termination under local anaesthesia. Aust N Z J Obstet Gynaecol. 2008;48:101-106. (Pubitemid 351239136)
12. Wen J, Cai QY, Deng F, et al. Manual versus electric vacuum aspiration for first-trimester abortion: a systematic review. BJOG. 2008;115:5-13. (Pubitemid 350209622)
13. Kulier R, Fekih A, Hofmeyr GJ, et al. Surgical methods for first trimester termination of pregnancy. Cochrane Database Syst Rev. 2001;4:CD002900.
14. O'Connell K, Jones HE, Simon M, et al. First-trimester surgical abortion practices: a survey of National Abortion Federation Members. Contraception. 2009;79:385-392.
15. Donati S, Medda E, Proietti S, et al. Reducing pain of first trimester abortion under local anaesthesia. Eur J Obstet Gynecol Reprod Biol. 1996;70:145-149. (Pubitemid 27046614)
16. Clark S, Krishna U, Kallenbach L, et al. Women's preferences for general or local anesthesia for pain during first trimester surgical abortion in India. Contraception. 2002;66:275-279. (Pubitemid 35284536)
17. Rawling MJ, Wiebe ER. Pain control in abortion clinics. Int J Gynaecol Obstet. 1998;60:293-295.
18. Wong CY, Ng EH, Ngai SW, et al. A randomized, double blind, placebo-controlled study to investigate the use of conscious sedation in conjunction with paracervical block for reducing pain in termination of first trimester pregnancy by suction evacuation. Hum Reprod. 2002;17:1222-1225.
19. Allen RH, Fitzmaurice G, Lifford KL, et al. Oral Compared with intravenous sedation for first trimester surgical abortion: a randomized controlled trail. Obstet Gynecol. 2009;113:276-283.
20. Maltzer DS, Maltzer MC, Wiebe ER, et al. Pain management. In: Paul M, Lichtenberg S, Borgatta L, et al, eds. A Clinician's Guide to Medical and Surgical Abortion. Philadelphia, Pennsylvania: Churchill Livingstone; 1999:73-89.
21. Wiebe ER, Rawling M. Pain control in abortion. Int J Gynaecol Obstet. 1995; 50:41-46.
22. Wiebe E, Podhradsky L, Dijak V. The effect of lorazepam on pain and anxiety in abortion. Contraception. 2003; 67:219-221. (Pubitemid 36255660)
23. American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists. Practice Guidelines for Sedation and Analgesia by Non- Anesthesiologists. Anesthesiology. 2002;96: 1004-1017.
24. Akin MD, Weingand KW, Hengehold DA, et al. Continuous low-level topical heat in the treatment of dysmenorrhea. Obstet Gynecol. 2001;97:343-349.