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Related Experiment Videos

Pain during early abortion

L Borgatta1, D Nickinovich

  • 1Planned Parenthood of Westchester and Rockland, Inc., Hawthorne, New York, USA.

The Journal of Reproductive Medicine
|May 1, 1997
PubMed
Summary

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Prior vaginal delivery is the strongest predictor of reduced pain during first-trimester abortion. This finding helps understand pain perception in women undergoing the procedure.

Area of Science:

  • Reproductive Health
  • Pain Management
  • Gynecology

Background:

  • First-trimester abortion under local anesthesia is a common procedure.
  • Understanding factors influencing pain perception is crucial for patient care.
  • Previous research has not consistently identified predictors of pain during this procedure.

Purpose of the Study:

  • To identify factors predicting pain perception in women undergoing first-trimester abortion with local anesthesia.
  • To analyze the relationship between demographic and procedural factors and reported pain levels.

Main Methods:

  • A study involving 1,055 women undergoing first-trimester abortion with local anesthesia.
  • Data collected included pain perception during the procedure and at discharge.
Keywords:
Abortion, InducedAmericasAnesthesiaBehaviorBirth HistoryDemographic FactorsDeveloped CountriesDiseasesFamily PlanningFertilityFertility Control, PostconceptionFertility MeasurementsFetusGestational AgeNew YorkNorth AmericaNorthern AmericaOrganization And AdministrationPain--womenPerceptionPopulationPopulation DynamicsPregnancyPregnancy HistoryProceduresPsychological FactorsReproductionResearch MethodologyResearch ReportRetrospective StudiesSigns And SymptomsStudiesTime FactorsTreatmentUnited States

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  • Patient records were reviewed for additional relevant information.

    • Main Results:

    • Prior vaginal delivery was consistently associated with decreased pain perception.
    • Longer procedures and use of osmotic dilators correlated with higher pain scores.
    • Gestational age showed a potential increase in pain at later stages; factors like physician, cervical dilation, cannula size, and prior abortion history were not significant predictors.

    Conclusions:

    • Prior vaginal delivery is the most significant predictor of reduced pain during first-trimester abortion.
    • Future research should consider gestational age, patient age, and delivery route when studying abortion discomfort.
    • These findings can inform strategies to manage pain perception in women undergoing abortion.