Paracervical block and elective abortion: The effect on pain of waiting between injection and procedure

Neva Phair, Jeffrey Jensen, Mark D. Nichols

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

OBJECTIVE: Our purpose was to assess the effect on pain and patient satisfaction of waiting between paracervical block and dilation during first-trimester abortions. STUDY DESIGN: One hundred ninety-nine women seeking pregnancy termination were randomly assigned to a no-wait group (group 1) and a 3- to 5-minute wait between injection and dilation group (group 2). Subjects rated their pain on a visual analog scale at four times: prior to procedure, with dilation, with aspiration, and 30 to 45 minutes after procedure. RESULTS: No significant differences were observed in pain or satisfaction ratings reported by group 1 (n = 93) and group 2 (n = 101). A significant decrease in pain with dilation (1.21 cm decrease, P = .009) and aspiration (1.15 cm decrease, P = .0015) was observed among patients who received fentanyl. CONCLUSION: Delay between paracervical injection and dilation during first-trimester abortion does not have an impact on patient pain or satisfaction. Fentanyl decreased pain scores by 20% to 25% during the procedure.

Original languageEnglish (US)
Pages (from-to)1304-1307
Number of pages4
JournalAmerican Journal of Obstetrics and Gynecology
Volume186
Issue number6
DOIs
StatePublished - 2002

Fingerprint

Obstetrical Anesthesia
Dilatation
Pain
Injections
Fentanyl
First Pregnancy Trimester
Visual Analog Scale
Patient Satisfaction
Pregnancy

Keywords

  • Fentanyl
  • First-trimester abortion
  • Pain
  • Paracervical block
  • Patient satisfaction

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Paracervical block and elective abortion : The effect on pain of waiting between injection and procedure. / Phair, Neva; Jensen, Jeffrey; Nichols, Mark D.

In: American Journal of Obstetrics and Gynecology, Vol. 186, No. 6, 2002, p. 1304-1307.

Research output: Contribution to journalArticle

@article{9ee6f2ae61be41edbaf65b0ee56ff33a,
title = "Paracervical block and elective abortion: The effect on pain of waiting between injection and procedure",
abstract = "OBJECTIVE: Our purpose was to assess the effect on pain and patient satisfaction of waiting between paracervical block and dilation during first-trimester abortions. STUDY DESIGN: One hundred ninety-nine women seeking pregnancy termination were randomly assigned to a no-wait group (group 1) and a 3- to 5-minute wait between injection and dilation group (group 2). Subjects rated their pain on a visual analog scale at four times: prior to procedure, with dilation, with aspiration, and 30 to 45 minutes after procedure. RESULTS: No significant differences were observed in pain or satisfaction ratings reported by group 1 (n = 93) and group 2 (n = 101). A significant decrease in pain with dilation (1.21 cm decrease, P = .009) and aspiration (1.15 cm decrease, P = .0015) was observed among patients who received fentanyl. CONCLUSION: Delay between paracervical injection and dilation during first-trimester abortion does not have an impact on patient pain or satisfaction. Fentanyl decreased pain scores by 20{\%} to 25{\%} during the procedure.",
keywords = "Fentanyl, First-trimester abortion, Pain, Paracervical block, Patient satisfaction",
author = "Neva Phair and Jeffrey Jensen and Nichols, {Mark D.}",
year = "2002",
doi = "10.1067/mob.2002.123734",
language = "English (US)",
volume = "186",
pages = "1304--1307",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "6",

}

TY - JOUR

T1 - Paracervical block and elective abortion

T2 - The effect on pain of waiting between injection and procedure

AU - Phair, Neva

AU - Jensen, Jeffrey

AU - Nichols, Mark D.

PY - 2002

Y1 - 2002

N2 - OBJECTIVE: Our purpose was to assess the effect on pain and patient satisfaction of waiting between paracervical block and dilation during first-trimester abortions. STUDY DESIGN: One hundred ninety-nine women seeking pregnancy termination were randomly assigned to a no-wait group (group 1) and a 3- to 5-minute wait between injection and dilation group (group 2). Subjects rated their pain on a visual analog scale at four times: prior to procedure, with dilation, with aspiration, and 30 to 45 minutes after procedure. RESULTS: No significant differences were observed in pain or satisfaction ratings reported by group 1 (n = 93) and group 2 (n = 101). A significant decrease in pain with dilation (1.21 cm decrease, P = .009) and aspiration (1.15 cm decrease, P = .0015) was observed among patients who received fentanyl. CONCLUSION: Delay between paracervical injection and dilation during first-trimester abortion does not have an impact on patient pain or satisfaction. Fentanyl decreased pain scores by 20% to 25% during the procedure.

AB - OBJECTIVE: Our purpose was to assess the effect on pain and patient satisfaction of waiting between paracervical block and dilation during first-trimester abortions. STUDY DESIGN: One hundred ninety-nine women seeking pregnancy termination were randomly assigned to a no-wait group (group 1) and a 3- to 5-minute wait between injection and dilation group (group 2). Subjects rated their pain on a visual analog scale at four times: prior to procedure, with dilation, with aspiration, and 30 to 45 minutes after procedure. RESULTS: No significant differences were observed in pain or satisfaction ratings reported by group 1 (n = 93) and group 2 (n = 101). A significant decrease in pain with dilation (1.21 cm decrease, P = .009) and aspiration (1.15 cm decrease, P = .0015) was observed among patients who received fentanyl. CONCLUSION: Delay between paracervical injection and dilation during first-trimester abortion does not have an impact on patient pain or satisfaction. Fentanyl decreased pain scores by 20% to 25% during the procedure.

KW - Fentanyl

KW - First-trimester abortion

KW - Pain

KW - Paracervical block

KW - Patient satisfaction

UR - http://www.scopus.com/inward/record.url?scp=0036088218&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036088218&partnerID=8YFLogxK

U2 - 10.1067/mob.2002.123734

DO - 10.1067/mob.2002.123734

M3 - Article

C2 - 12066113

AN - SCOPUS:0036088218

VL - 186

SP - 1304

EP - 1307

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 6

ER -