Pain relief using paracervical block in patients undergoing manual vacuum aspiration of uterus.
OBJECTIVE
To evaluate pain relief using paracervical nerve block with 1% lignocaine injection in patients undergoing uterine evacuation by Manual Vacuum Aspiration (MVA) for the treatment of incomplete abortion.


METHODS
A randomized double blind clinical trial.


METHODS
Marie Stopes Health Centre, Nairobi.


METHODS
One hundred and forty two patients were recruited between September and October 1997. The intervention was random assignment to the study group (paracervical block with 1% lignocaine) or the placebo group (paracervical block with sterile water for injection). Intra and post operative assessment of pain was made using McGills and facial expression scales.


RESULTS
The untreated group experienced significantly more pain than the treated group, especially lower abdominal pain and backache. The pain was especially marked intraoperatively, less so 30 minutes post-operatively.


CONCLUSIONS
Based on the findings of this study, any patient going for manual vacuum aspiration for the treatment of incomplete abortion should be given Paracervical block as it is cost effective, easy to perform and with less side effects.
Egziabher
Tekle G
TG
Kenyatta National Hospital, Nairobi, Kenya.
Ruminjo
J K
JK
Sekadde-Kigondu
C
C
D000027:Abortion, Incomplete / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000779:Anesthetics, Local; D002584:Cervix Uteri / Q000294:innervation*; D004311:Double-Blind Method; D004522:Educational Status; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*; D008012:Lidocaine; D009407:Nerve Block / Q000379:methods*; D010146:Pain / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control*; D010147:Pain Measurement; D011247:Pregnancy; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D014619:Vacuum Curettage / Q000009:adverse effects*
D000779:Anesthetics, Local; D008012:Lidocaine