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Hypnotic analgesia intervention during first-trimester pregnancy termination: an open randomized trial
Isabelle Marc1, Pierre Rainville, Benoît Masse
1Research Center, Hôpital St-François d'Assise, Quebec City, Canada.
American Journal of Obstetrics and Gynecology
|April 2, 2008
Summary
Hypnotic analgesia effectively reduced the need for intravenous sedation during abortion procedures. This method did not increase pain or anxiety levels for women undergoing the procedure.
Area of Science:
- Medical Science
- Psychology
Background:
- Surgical abortion often requires pain and anxiety management.
- Intravenous sedation analgesia is commonly used but carries risks.
Purpose of the Study:
- To evaluate if hypnotic analgesia can decrease the need for intravenous sedation during abortion.
- To assess the impact of hypnotic analgesia on pain and anxiety levels.
Main Methods:
- A randomized controlled trial involving 350 women undergoing surgical abortion (< 14 weeks' gestation).
- Participants were assigned to either standard care or a hypnotic analgesia intervention group.
- Outcomes measured included sedation requirements and self-reported pain and anxiety levels.
Main Results:
- Women receiving hypnotic analgesia required significantly less intravenous sedation (63%) compared to the control group (85%; P < .0001).
- No significant difference in self-reported pain levels was observed between the groups.
- A difference in anxiety levels was noted, though not explicitly detailed in the abstract.
Conclusions:
- Hypnotic interventions serve as an effective adjunct to pharmacologic management for acute pain during abortion.
- Hypnosis may offer a viable non-pharmacologic approach to reduce sedation needs in gynecological procedures.
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