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The present study was designed to investigate whether deep injections of local anesthetics provide better pain control than regular injections of local anesthetics, and to evaluate the influence of basal cervical dilatation and dilatation increase obtained on the painfulness of abortion procedure during legal abortions. A total of 66 women undergoing legal abortion were randomly allocated to treatment with deep injection (n = 31) or regular injection (n = 35) group. Subjects in the deep injection group had paracervical block involving four injections approximately 3 cm deep. Subjects assigned to the regular injection group had paracervical block involving four injections approximately 1.5 cm deep. A pain scale was administered at the end of the dilatation and end of curettage. Both groups were found to be similar with respect to age, parity, previous legal abortion, gestational age, anxiety score, procedure time, basal cervical dilatation, and dilatation increase obtained. The mean pain score during cervical dilatation was less for the deep injection versus the regular injection group (3.3 ± 1.5 versus 4.0 ± 1.6, p < 0.05). The mean pain score during curettage was significantly less for the deep injection versus the regular injection group (3.0 ± 1.2 versus 3.9 ± 1.4, p < 0.05). In conclusion, deep injection of local anesthetics is a safe adjunct in the management of legal abortion. Irrespective of injection technique, dilatation pain is correlated negatively with basal cervical dilatation and correlated positively with dilatation increase obtained.
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- Comparison of the efficacy of different local anesthetics and techniques of local anesthesia in therapeutic abortions.Am J Obstet Gynecol. 1992; 167: 131-134
- Pain of first-trimester abortion: its quantification and relations with other variables.Am J Obstet Gynecol. 1979; 133: 489-498
- Comparative risk of death from induced abortion at (12 weeks' gestation performed with local versus general anesthesia.Am J Obstet Gynecol. 1981; 141: 763-768
- Control of pain for women undergoing abortion.Int J Gynaecol Obstet. 1992; 167: 134
- Basic and Clinical Statistics. Appleton & Lange, San Mateo, CA1990: 119 3rd edition.
- Local versus general anesthesia: which is safer for performing suction curettage abortion?.Am J Obstet Gynecol. 1979; 135: 1030-1035
- Legal abortion mortality and general anesthesia.Am J Obstet Gynecol. 1988; 158: 420-424
- Deaths from paracervical anesthesia used for first-trimester abortion.N Engl J Med. 1976; 295: 1397
Accepted: May 20, 1997
Received in revised form: May 16, 1997
Received: March 5, 1996
© 1997 Published by Elsevier Inc.