Comparison of lidocaine spray and paracervical block application for pain relief during first-trimester surgical abortion: A randomised, double-blind, placebo-controlled trial. (3rd July 2016)

• Record Type: Journal Article
• Authors: Aksoy, Huseyin; Aksoy, Ulku; Ozyurt, Sezin; Ozoglu, Nil; Acmaz, Gokhan; Aydın, Turgut; İdem Karadağ, Özge; Tayyar, Ahter Tanay
• Is Part Of: Journal of obstetrics and gynaecology. Volume 36:Number 5(2016)
• Page Start: 649
• Page End: 653
• Publication Date: 2016-07-03
• Subjects: Analgesia -- lidocaine spray -- paracervical block -- surgical abortion; Obstetrics -- Periodicals; Gynecology -- Periodicals; 618.05
• DOI: 10.3109/01443615.2016.1148681
• Languages: English
• ISSNs: 0144-3615

Abstract

Abstract : Surgical abortion is one of the most frequently performed gynaecological procedures and its associated pain has always been a problem in gynaecology. Here we studied the analgesic efficacy of lidocaine spray and paracervical block (PCB) in patients undergoing first-trimester surgical abortion. A randomised double-blind placebo-controlled study was conducted on 108 women requesting pregnancy termination. The subjects were randomly assigned into four groups: Group 1 (PCB plus lidocaine spray) ( n =27), Group 2 (PCB) ( n =27), Group 3 (lidocaine spray) ( n =27) and Group 4 (placebo) ( n =27). Intra-procedural and post-procedural pain scores were measured with a standard visual analogue scale (VAS). The median VAS scores during procedure in placebo, lidocaine spray, PCB plus lidocaine spray and PCB groups were 8 (7–9), 5 (4–8), 4 (3–4) and 5 (3–5), respectively. The most effective method of pain relief during first-trimester abortion can be achieved through a combined use of PCB plus lidocaine spray. Therefore, lidocaine spray is a non-invasive complementary anaesthetic method versus traditional PCB for first-trimester surgical abortion.