Paracervical block as pain treatment during second-trimester medical termination of pregnancy: an RCT with bupivacaine versus sodium chloride

Termination of second trimester pregnancy.

Dilatation and currettage or vaccum aspiration is an accepted method of termination of pregnancy in the fimt trimester. Search is still being made for an ideal method of termination of pregnancy in the 2nd trimester. Between 14-16 weeks of pregnancy vaginal transcervical injection of intra-amniotic saline can be done. After 16 weeks of gestation abdominal or vaginal route can be employed. Vario...

Effect of Paracetamol, Dexketoprofen Trometamol, Lidocaine Spray, and Paracervical Block Application for Pain Relief during Suction Termination of First-Trimester Pregnancy

The aim of the study was to investigate the analgesic efficacy of preoperative oral dexketoprofen trometamol, intravenous paracetamol, lidocaine spray, and paracervical block with ultracaine on curettage procedure. A total of 111 subjects with the request of pregnancy termination between 5 and 7 weeks of gestation were included in the study. The first group (control group) consisted of 20 parti...

Second trimester medical termination of pregnancy: procedure, immediate complications and the risk of repeat termination

Pre-induction with Mifepristone for Second Trimester Termination of Pregnancy.

OBJECTIVE To study the efficacy and safety of combining mifepristone before misoprostol use in second trimester to considerably reduce the induction-abortion interval with the lowest possible dose and adverse reaction. MATERIAL AND METHODS A prospective study was conducted which included 60 patients visiting the antenatal OPD for elective abortions between 13 and 20 weeks of gestation as per ...

Medical First-Trimester Termination of Pregnancy with Massive Fibroid Uterus

First-trimester termination of pregnancy by medical or surgical route is highly effective with a low complication rate. Uterine abnormalities can complicate a procedure due to distortion of normal anatomy. In this case presentation, medical termination of pregnancy is performed using fetal intracardiac potassium chloride injection and intramuscular methotrexate.