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Link to original content: https://pubmed.ncbi.nlm.nih.gov/29407363
Society of Family Planning clinical guidelines pain control in surgical abortion part 1 - local anesthesia and minimal sedation - PubMed Skip to main page content
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Review
. 2018 Jun;97(6):471-477.
doi: 10.1016/j.contraception.2018.01.014. Epub 2018 Jan 31.

Society of Family Planning clinical guidelines pain control in surgical abortion part 1 - local anesthesia and minimal sedation

Rebecca H Allen  1 , Rameet Singh  2
Affiliations
Review

Society of Family Planning clinical guidelines pain control in surgical abortion part 1 - local anesthesia and minimal sedation

Rebecca H Allen et al. Contraception. 2018 Jun.

Abstract

Satisfactory pain control for women undergoing surgical abortion is important for patient comfort and satisfaction. Clinicians ought to be aware of the safety and efficacy of different pain control regimens. This document will focus on nonpharmacologic modalities to reduce pain and pharmacologic interventions up to the level of minimal sedation. For surgical abortion without intravenous medications, a multimodal approach to pain control may combine a dedicated emotional-support person, visual or auditory distraction, administration of local anesthesia to the cervix with buffered lidocaine and a preoperative nonsteroidal anti-inflammatory drug. Oral opioids do not decrease procedural pain. Oral anxiolytics decrease anxiety but not the experience of pain. Further research is needed on alternative options to control pain short of moderate or deep sedation.

Keywords: First-trimester induced abortion; Nonsteroidal anti-inflammatory drugs; Pain; Paracervical block; Surgical abortion; Topical anesthesia.

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