Of all the methods available for the management of first trimester
miscarriages, manual vacuum aspiration is the safest, cheapest and fastest.
However, pain caused by manipulation of cervix and uterine suction makes it
uncomfortable. We compared the clinical effectiveness and adverse effects of
combination of non-selective COX inhibitor (Diclofenac Sodium 50 mg) and opioid
(Pentazocine 60 mg) to commonly used opiod only (Pentazocine 60 mg) in daily
practice of pain management for the treatment of incomplete abortion with
manual vacuum aspiration. This was a randomized double-blind controlled trial
conducted in Gynaecological Emergency clinic of Aminu Kano Teaching Hospital
Kano, Nigeria. Comparison of the level of pain experienced during the procedure
revealed statistically significant difference in the level of pain reported
among the groups (P-value 0.03). Comparison of severity of pain perception and
patients’ satisfaction was found to be negatively related (P < 0.000001).
The present study shows that the use of combined analgesia compared to single
agent analgesia during MVA is more, safe, significantly reduced pain and
improved patient satisfaction during the procedure.
Cite this paper
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