The majority of first trimester surgical abortions are performed with a paracervical block (PCB). We established the benefit of a specific PCB technique: 20 mL 1% buffered lidocaine, four sites with a 3-minute wait prior to cervical dilation. This was the first PCB study to evaluate patients without intravenous medications and utilizing a sham-PCB control group. As the PCB is painful and the wait adds time, further refinement is warranted.
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Accepted: May 31, 2013
Received: May 30, 2013
© 2013 Published by Elsevier Inc.