Comparative study of patients undergoing check curettage for first trimester incomplete and inevitable abortion under paracervical block versus no anesthesia

Paracervical block for pain control in first-trimester surgical abortion: a randomized controlled trial.

OBJECTIVE Despite lack of efficacy data, the majority of first-trimester surgical abortions are performed with a paracervical block. Women may be unnecessarily exposed to a painful injection and potentially noxious medication. Our objective was to estimate the effect of a paracervical block and the effect of gestational age on patient pain perception. METHODS This was a randomized, single-bli...

Placenta Percreta Resulting in Incomplete Spontaneous Abortion in First Trimester

Patient preferences for management of first-trimester incomplete spontaneous abortion.

BACKGROUND Approximately 15% of clinically recognized pregnancies end in miscarriage. The probabilities for successful outcome between expectant treatment and dilatation and curettage for management of many first-trimester incomplete spontaneous abortions are comparable. The goal of this study was to assess patient preferences for expectant treatment compared with dilatation and curettage, and ...

Comparative Study of Sublingual versus Vaginal Misoprostol on Preoperative Cervical Priming in First Trimester Abortion

Objective: To compare the effect of sublingual versus vaginal misoprostol on preoperative cervical priming in first trimester abortion. Material and methods: One hundred women seeking first trimester abortion were randomized into either sublingual or vaginal groups of 50 each. They were given 400 μg misoprostol via sublingual or vaginal route for cervical priming three hours before the procedur...

Placenta Percreta Resulting in Incomplete Spontaneous Abortion in First Trimester

Placenta percreta is a rare complication potentially fatal to fetus and the mother. We present here a 41-year-old female patient who underwent curettage for incomplete abortion at 6(th) week of pregnancy. She had persistent vaginal bleeding for 2 months after the curettage, for which she was treated with hysterectomy. Preoperative ultrasonography and magnetic resonance imaging (MRI) made the di...