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

@article{Allen2018SocietyOF,
  title={Society of Family Planning clinical guidelines pain control in surgical abortion part 1 - local anesthesia and minimal sedation.},
  author={Rebecca H. Allen and Rameet H. Singh},
  journal={Contraception},
  year={2018},
  volume={97 6},
  pages={
          471-477
        }
}

Pain management in outpatient surgical abortion

TLDR
Several modalities reduce pain during abortion care; however, pain alone does not reflect patient satisfaction, and development of multidimensional measures for pain control assessment has the potential to capture the patient's overall experience.

Pain Associated With Cervical Priming for First-Trimester Surgical Abortion: A Randomized Controlled Trial.

TLDR
Cervical priming with mifepristone for surgical induced abortion under paracervical block up to 14 weeks of gestation is more effective than misoprostol in reducing pain perception.

Pain, Side Effects, and Abortion Experience Among People Seeking Abortion Care in the Second Trimester

TLDR
It was found that respondents seeking abortion care at later gestations in the second trimester were more likely to report pain during their abortions, and more effective pain relief was commonly reported as a way to improve the service.

Pain and pain management during induced abortions: a web-based exploratory study of recollections from previous patients.

TLDR
Physical pain and psychological distress can manifest as considerable challenges during induced abortion, and the results illustrate the importance of holistic abortion care where the multidimensional components of abortion-related pain are considered.

Effect of Paracervical Block Volume on Pain Control for Dilation and Aspiration

TLDR
There was no difference in pain during dilation and aspiration using a low-volume compared with a high-volume paracervical block of the same dose when studied alone.

Second-trimester abortion care for those with complex medical conditions.

TLDR
This review focuses on patients who are most likely to experience morbidity associated with second trimester abortion care and risk mitigation strategies, and suggests ulipristal may be an effective adjunct for cervical preparation, avoiding potentially mifepristone's drug-drug interactions.

References

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Pain during early abortion.

TLDR
Prior vaginal delivery was the most consistent predictor of decreased pain perception during first-trimester abortion and should be included in future studies on discomfort during abortion.

Oral Compared With Intravenous Sedation for First-Trimester Surgical Abortion: A Randomized Controlled Trial

TLDR
Oral sedation, as studied, is not equivalent to intravenous sedation for pain control during first-trimester surgical abortion.

Intrauterine Lidocaine Infusion for Pain Management in First-Trimester Abortions

TLDR
Compared with paracervical block alone, the addition of a 1% intrauterine lidocaine infusion resulted in no improvement in patient perception of pain during first-trimester abortion.

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TLDR
No significant differences were found among the four groups on any dependent measures although subjects receiving the pleasant imagery intervention reported the lowest subjective ratings of pain sensation and distress.

Self-Administered Lidocaine Gel for Pain Control With First-Trimester Surgical Abortion: A Randomized Controlled Trial

TLDR
Self-administration of lidocaine gel before first-trimester surgical abortion is noninferior to a traditional paracervical lidocane block and should be considered as an alternative, noninvasive approach to pain control for first- Trimester surgicalabortion.
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