Abstract | OBJECTIVE: METHOD: Following osmotic predilatation with laminaria tents patients were given as a premedication 10 mg Valium, 10 mg Nubain and 0.5 mg atropine i.m. prior to prostaglandin treatment, and sequential doses of Nubain during the uterine contractility period. Patients indicated their own perception of uterine pain on a differential graphic rating scale, and the attending physician also evaluated patients' discomfort on a 5-grade scale. RESULT: In 55% of the cases patients experienced only 'mild' or 'moderate' pain. The mean induction-to-abortion interval was short (11.6 +/- 1.3 h). The well known gastrointestinal side-effects of the prostaglandins were avoided. CONCLUSION:
Nubain proved effective in stabilizing patients' condition during intra-amniotic instillation of prostaglandin, effectively relieved uterine pain during the myometrial contractility period, prevented the occurrence of prostaglandin-related side-effects, and provided simple and good anesthesia during instrumental removal of the already detached but retained placenta.
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Authors | L Kovács, J Herczeg, L Szabó |
Journal | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
(Int J Gynaecol Obstet)
Vol. 40
Issue 1
Pg. 51-8
(Jan 1993)
ISSN: 0020-7292 [Print] United States |
PMID | 8094351
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Abortion, Therapeutic
- Adult
- Dinoprost
- Female
- Humans
- Injections, Intramuscular
- Nalbuphine
(administration & dosage, therapeutic use)
- Pain
(drug therapy)
- Pain Measurement
- Pregnancy
- Pregnancy Trimester, Second
- Premedication
- Uterus
(drug effects)
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