title: Same-day and delayed reports of pain intensity in second-trimester medical termination of pregnancy: a brief report.
abstract: OBJECTIVE
  To assess same-day and delayed reports of pain intensity during and after second-trimester medical termination of pregnancy (MTOP).
  
  
  METHODS
  A prospective randomized trial (217 women) comparing 1- and 2-day mifepristone-misoprostol intervals.
  
  
  RESULTS
  Women reported intense pain [median visual analogue scale (interquartile range)] related to expulsion of the fetus [6 (0-10)]. Delayed reports of maximal pain described the pain as more intense than same-day reports [8 (3-10) vs. 7 (1-10), p<.001].
  
  
  CONCLUSIONS
  Most women reported and readily remembered intense pain associated with fetal expulsion during second-trimester MTOP.
  
  
  CONCLUSIONS
  Adequate, properly timed pain management during second-trimester MTOP is crucial.
authors: Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
authors: M
authors: M
authors: Mentula
authors: Pain Clinic, Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Medicine, Helsinki University Central Hospital and Institute of Clinical Medicine, University of Helsinki, Helsinki, Finland.
authors: E
authors: E
authors: Kalso
authors: Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland. Electronic address: oskari.heikinheimo@helsinki.fi.
authors: O
authors: O
authors: Heikinheimo
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects; D000328:Adult; D005260:Female; D006801:Humans; D015735:Mifepristone / Q000008:administration & dosage; D016595:Misoprostol / Q000008:administration & dosage; D010147:Pain Measurement; D010149:Postoperative Pain / Q000453:epidemiology*; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011446:Prospective Studies
chemical_list: D016595:Misoprostol; D015735:Mifepristone
keywords: Medical abortion; Pain; Recollection; Second trimester abortion; Visual analogue scale