Abstract | BACKGROUND: First trimester abortions especially cervical dilation and suction aspiration are associated with pain, despite various methods of pain control. OBJECTIVES: Compare different methods of pain control during first trimester surgical abortion. SEARCH STRATEGY: We searched multiple electronic databases with the appropriate key words, as well as reference lists of articles, and contacted professionals to seek other trials. SELECTION CRITERIA: Randomized controlled trials comparing methods of pain control in first trimester surgical abortion at less than 14 weeks gestational age using electric or manual suction aspiration. Outcomes included intra- and postoperative pain, side effects, recovery measures and satisfaction. DATA COLLECTION AND ANALYSIS: Two reviewers independently extracted data. Meta-analysis results are expressed as weighted mean difference (WMD) or Peto Odds ratio with 95% confidence interval (CI). MAIN RESULTS: AUTHORS' CONCLUSIONS:
Conscious sedation, GA and some non-pharmacological interventions decreased procedural and postoperative pain, while being safe and satisfactory to patients. Data on the widely used PCB is inadequate to support its use, and it needs to be further studied to determine any benefit.
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Authors | Regina-Maria Renner, Jeffrey T J Jensen, Mark D N Nichols, Alison Edelman |
Journal | The Cochrane database of systematic reviews
(Cochrane Database Syst Rev)
Issue 2
Pg. CD006712
(Apr 15 2009)
ISSN: 1469-493X [Electronic] England |
PMID | 19370649
(Publication Type: Journal Article, Meta-Analysis, Review, Systematic Review)
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Topics |
- Abortion, Induced
(adverse effects, methods)
- Analgesia
(methods)
- Anesthesia, General
(methods)
- Anesthesia, Local
(methods)
- Anesthesia, Obstetrical
(methods)
- Conscious Sedation
(methods)
- Female
- Humans
- Hypnosis, Anesthetic
(methods)
- Music Therapy
- Nerve Block
(methods)
- Pain, Postoperative
(therapy)
- Pregnancy
- Premedication
- Randomized Controlled Trials as Topic
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