<strong>Introduction:</strong><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;"> Pain control during Manual Vacuum A...<strong>Introduction:</strong><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;"> Pain control during Manual Vacuum Aspiration is one of the most important </span><span style="font-family:Verdana;">aspects</span><span style="font-family:Verdana;"> of postabortion care. This study assessed the analgesic efficacy, requirement for additional analgesia, and overall satisfaction using Paracervical blocks of 1% lignocaine compare with normal saline as </span><span style="font-family:Verdana;">placebo</span><span style="font-family:Verdana;"> among women undergoing manual vacuum aspiration for incomplete abortion in OAUTHC, Ile-Ife. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">This was a </span><span style="font-family:Verdana;">double blind</span><span style="font-family:Verdana;"> randomized controlled trial that occurred between January 2019 and February 2020. We randomized one hundred and twenty eligible women equally into 2 groups. Group A received paracervical block using 1% lignocaine while those in group B received paracervical block using normal saline as </span><span style="font-family:Verdana;">placebo</span><span style="font-family:Verdana;">. We obtained ethical cle</span><span><span style="font-family:Verdana;">arance from the Ethics and Research Committee of the hospital. Preoperatively, we obtained relevant data and evaluated the degree of anxiety and pain on a visual analog scale (VAS). Intraoperative pain was evaluated from 2 viewpoints: that of the external observer on a 0 - 4 scale and that of the patient scale of 0 - 10 in the immediate postoperative period, followed by overall satisfaction at the point of discharge. We analyzed the data using SPSS version 20. Paired </span><span style="font-family:Verdana;">T test</span><span style="font-family:Verdana;">, independent </span><span style="font-family:Verdana;">T test</span> <span style="font-family:Verdana;">Chi square</span><span style="font-family:Verdana;">, and Fishers’ exact tests were applied for continuous and categorical variables as appropriate. </span><span style="font-family:Verdana;">P value</span><span style="font-family:Verdana;"> < 0.05 was considered </span><span style="font-family:Verdana;">as</span><span style="font-family:Verdana;"> statistically significant. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The Intra-operative and Postoperative VAS </span><span style="font-family:Verdana;">was</span><span style="font-family:Verdana;"> significantly higher in the placebo group compared to the analgesia group (t = -</span></span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">3.39, CI -</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">4.11 - -</span><span style="font-family:Verdana;">2.69. P < 0.05 intra-operative, t = 7.18, CI 2.62 - 4.61. P < 0.05 post-operative). The need for additional analgesia and mean V</span></span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">AS of those in the placebo group was significantly higher than that of the study group with higher overall satisfaction rate in the study group (t = 7.18. CI 2.62 - 6.71. P < 0.0001). </span><b><span style="font-family:Verdana;">Conclusions:</span></b><span style="font-family:Verdana;"> Paracervical block with 1% lignocaine is more effective in reducing pain during manual vacuum aspiration compared to placebo. It has added advantage of a higher overall satisfaction rate and reduced need for additional analgesia.</span></span></span></span>展开更多
Unintended pregnancy is a global issue, with approximately 85,000,000 women around the world having unintended pregnancy annually. The contents of clinical application of women’s contraceptive methods are very wide, ...Unintended pregnancy is a global issue, with approximately 85,000,000 women around the world having unintended pregnancy annually. The contents of clinical application of women’s contraceptive methods are very wide, involving multiple areas. This consensus deeply discusses the specific contraceptive needs at different statuses, combined with gynecological diseases, postabortion contraception, and postpartum family planning, ensuring the correct use of contraceptive methods under the corresponding status. The top priority of the consensus is the specific contraception consensus section for women combined with gynecological diseases because medical treatment effect as well as side effects should be weighed carefully. The consensus is to make high-efficiency and individual contraceptive strategy for different groups based on multidisciplinary(gynecology, obstetrics, and family planning) and multidimensional aspects, which can provide uniform guidance for medical and health organizations under the condition as relevant global guidance or consensus is still lacking.展开更多
文摘<strong>Introduction:</strong><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;"> Pain control during Manual Vacuum Aspiration is one of the most important </span><span style="font-family:Verdana;">aspects</span><span style="font-family:Verdana;"> of postabortion care. This study assessed the analgesic efficacy, requirement for additional analgesia, and overall satisfaction using Paracervical blocks of 1% lignocaine compare with normal saline as </span><span style="font-family:Verdana;">placebo</span><span style="font-family:Verdana;"> among women undergoing manual vacuum aspiration for incomplete abortion in OAUTHC, Ile-Ife. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">This was a </span><span style="font-family:Verdana;">double blind</span><span style="font-family:Verdana;"> randomized controlled trial that occurred between January 2019 and February 2020. We randomized one hundred and twenty eligible women equally into 2 groups. Group A received paracervical block using 1% lignocaine while those in group B received paracervical block using normal saline as </span><span style="font-family:Verdana;">placebo</span><span style="font-family:Verdana;">. We obtained ethical cle</span><span><span style="font-family:Verdana;">arance from the Ethics and Research Committee of the hospital. Preoperatively, we obtained relevant data and evaluated the degree of anxiety and pain on a visual analog scale (VAS). Intraoperative pain was evaluated from 2 viewpoints: that of the external observer on a 0 - 4 scale and that of the patient scale of 0 - 10 in the immediate postoperative period, followed by overall satisfaction at the point of discharge. We analyzed the data using SPSS version 20. Paired </span><span style="font-family:Verdana;">T test</span><span style="font-family:Verdana;">, independent </span><span style="font-family:Verdana;">T test</span> <span style="font-family:Verdana;">Chi square</span><span style="font-family:Verdana;">, and Fishers’ exact tests were applied for continuous and categorical variables as appropriate. </span><span style="font-family:Verdana;">P value</span><span style="font-family:Verdana;"> < 0.05 was considered </span><span style="font-family:Verdana;">as</span><span style="font-family:Verdana;"> statistically significant. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> The Intra-operative and Postoperative VAS </span><span style="font-family:Verdana;">was</span><span style="font-family:Verdana;"> significantly higher in the placebo group compared to the analgesia group (t = -</span></span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">3.39, CI -</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">4.11 - -</span><span style="font-family:Verdana;">2.69. P < 0.05 intra-operative, t = 7.18, CI 2.62 - 4.61. P < 0.05 post-operative). The need for additional analgesia and mean V</span></span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">AS of those in the placebo group was significantly higher than that of the study group with higher overall satisfaction rate in the study group (t = 7.18. CI 2.62 - 6.71. P < 0.0001). </span><b><span style="font-family:Verdana;">Conclusions:</span></b><span style="font-family:Verdana;"> Paracervical block with 1% lignocaine is more effective in reducing pain during manual vacuum aspiration compared to placebo. It has added advantage of a higher overall satisfaction rate and reduced need for additional analgesia.</span></span></span></span>
文摘Unintended pregnancy is a global issue, with approximately 85,000,000 women around the world having unintended pregnancy annually. The contents of clinical application of women’s contraceptive methods are very wide, involving multiple areas. This consensus deeply discusses the specific contraceptive needs at different statuses, combined with gynecological diseases, postabortion contraception, and postpartum family planning, ensuring the correct use of contraceptive methods under the corresponding status. The top priority of the consensus is the specific contraception consensus section for women combined with gynecological diseases because medical treatment effect as well as side effects should be weighed carefully. The consensus is to make high-efficiency and individual contraceptive strategy for different groups based on multidisciplinary(gynecology, obstetrics, and family planning) and multidimensional aspects, which can provide uniform guidance for medical and health organizations under the condition as relevant global guidance or consensus is still lacking.
