dc.contributor.author | Were, O. Francis | |
dc.date.accessioned | 2013-05-27T09:21:40Z | |
dc.date.available | 2013-05-27T09:21:40Z | |
dc.date.issued | 2010-02 | |
dc.identifier.citation | Master of Medicine in Obstetrics and Gynaecology, University of Nairobi, 2007 | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/26131 | |
dc.description.abstract | Introduction: One of the most important aspects in treating incomplete abortion is the
sufficient management of pain during the process of evacuating the uterus using manual vacuum
aspiration (MVA). There is a broad spectrum of pain management, but this study was determining
the effectiveness of lignocaine as a paracervical block during manual vacuum aspiration.
Objectives: To determine the effectiveness of lignocaine 1% paracervical block in controlling
pain among women treated with manual vacuum aspiration for incomplete abortion .
Methods: A randomized clinical trial was conducted at Kenyatta National Hospital acute
gynaecology at the accident and emergency centre (A&E) involving patients with incomplete
abortion. The sample size was calculated using the power of 80% and 95%(CI). The lignocaine
group were 126 and the placebo group were 126. Women who met the eligibility criteria were
recruited to participate in the study. They were randomly assigned to receive either paracervical
block using 1% lignocaine or paracervical block of normal saline as the placebo. Patients with
active infection e.g. purulent discharge, severe illness, or allergic to lignocaine were excluded.
If the placebo group felt pain, it was documented and were given adequate analgesia of diclofenac
sodium. Patients in the lignocaine group received appropriate management in case of pain or
adverse reaction to lignocaine. Intraoperative pain as reported by the participant and documented
by an external observer was measured using the universal visual analogue scale and facial
grimace scale. Chi-square (fischer exact) was used for cell counts less than 5.
Results: There was statistically significant reduction of severe pain with 1% lignocaine
paracervical block both intra-operatively and post-operatively with a p<0.0011when compared to
normal saline as placebo. No complications were reported with the use of 1 % lignocaine as a
paracervical block. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi, | en |
dc.title | Randomised clinical trial comparing lignocaine paracervical block and placebo for pain management during manual vacuum aspiration for incomplete abortion at Kenyatta national hospital | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Department of Obstetrics & Gynaecology | en |