scholarly journals Comparison between paracervical and intracervical block before procedures on uterine cavity and cervical dilatation

2017 ◽  
Vol 6 (8) ◽  
pp. 3252
Author(s):  
Jayaraman Nambiar M. ◽  
Hema Prasanna Kurri ◽  
Muralidhar V. Pai
Keyword(s):  
Side Effect ◽  
Uterine Cavity ◽  
Visual Analogue Score ◽  
Outpatient Department ◽  
Cervical Dilatation ◽  
Obstetrics And Gynecology ◽  
Vacuum Aspiration ◽  
Dilatation And Curettage ◽  
Manual Vacuum Aspiration ◽  
Paracervical Block

Background: Procedures like dilatation and curettage and manual vacuum aspirations are one of the commonest procedures conducted in the outpatient Department of Obstetrics and Gynecology. Objective of present study was to find out whether intracervical block is as effective as paracervical block in patients undergoing cervical dilatation and procedures on uterine cavity.Methods: Patients undergoing dilatation and curettage or manual vacuum aspiration were given either paracevrical block or intracervical block. The pain during cervical dilatation and curettage or manual vacuum aspiration were assessed on a 10 cm visual analogue scale.Results: Mean visual analogue score during dilatation was comparable in both groups. Mean visual analogue score were comparable during dilatation in both groups before curettage or manual vacuum aspiration. Mean visual analogue scores during manual vacuum aspiration or curettage was also comparable with both groups. One patient had a serious side effect of convulsion during paracervical block.Conclusions: Intracervical block is preferable to paracervical block during procedures like cervical dilatation and on procedures on uterine cavity as intracervical block requires less technical precision than paracervical block.

Manual Vacuum Aspiration and Dilatation & Curettage in First Trimester Miscarriages; Comparison of Efficacy

2021 ◽  
Vol 15 (9) ◽  
pp. 2826-2829
Author(s):  
Nadia Pervaiz ◽  
Javeria Saleem ◽  
Tuheed Bibi ◽  
Shama Naz ◽  
Salma Rabbani ◽  
...  
Keyword(s):  
First Trimester ◽  
Obstetrics And Gynecology ◽  
Random Allocation ◽  
Retained Products Of Conception ◽  
Vacuum Aspiration ◽  
Dilatation And Curettage ◽  
Products Of Conception ◽  
Manual Vacuum Aspiration ◽  
Group B ◽  
Retained Products

Objective: To compare the efficacy of manual vacuum aspiration with dilatation and curettage in first trimester miscarriages. Study Design: Randomized control trial. Place and Duration of Study: Department of Obstetrics and Gynecology Unit “A”, Lady Reading Hospital, Peshawar. Patients were received through OPD and Emergency during the six months i.e from 1st Jan, 2015 till 30th June, 2015. Methodology: Women admitted in the department of Obstetrics and Gynecology Unit “A”, Lady Reading Hospital, Peshawar, who meet the inclusion and exclusion criteria, were included in the study by consecutive non probability sampling with random allocation by dividing them into two groups through lottery method. Patients in group A were treated by dilatation and curettage while the patients in group B were evacuated by manual vacuum aspiration. After the randomly allocated method of evacuation, the efficacy of the procedure was determined in terms of need for the evacuation by presence of retained products of conception on ultrasound done by specialist. Results: No substantial difference was found between patients subjected to D&C and to those subjected to MVA. Conclusion: MVA is as effective as D&C for the treatment of miscarriage. Keywords: Miscarriage, Abortion, Dilatation & Curettage, Manual Vacuum Aspiration, Retained products of conception.

Optimization of the treatment-diagnostic approach to manual vacuum-aspiration at post-partum pyo-inflammatory diseases

2018 ◽  
pp. 40-45
Author(s):  
O.V. Bulavenko ◽  
◽  
L.R. Ostapiuk ◽  
V.O. Rud ◽  
A.S. Voloshinovskii ◽  
...  
Keyword(s):  
Fluorescence Spectroscopy ◽  
Inflammatory Diseases ◽  
Post Partum ◽  
Uterine Cavity ◽  
Short Wave ◽  
Main Group ◽  
Optimal Time ◽  
Control Group ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration

The problem of postpartum pyo-inflammatory diseases requires the introduction of new approaches to its solution and optimization of diagnostic and therapeutic developments. The objective: was to determine the optimal time for manual vacuum aspiration of the uterus in postpartum endometritis, correction of therapeutic tactics and control of patients in the framework of the method of fluorescence spectroscopy. Materials and methods. The main group – 170 women with postpartum pyo-inflammatory diseases, control group – 40 women with uncomplicated course of the postpartum period. Their blood serum was examined using the method of fluorescence spectroscopy, in particular after manual vacuum aspiration of the uterus. Results. Fluorescence spectra were studied for 40 women of control group and 170 women of the main group, among them in 44 (25.8%) – in the dynamics during the treatment after manual vacuum aspiration of the uterine cavity. In 93.2% of the patients in the main group after it an increase in fluorescence intensity and max displacement in the short-wave region were recorded, which was a reliable sign of improving the condition of the patients. Conclusion. The use of the method of fluorescence spectroscopy in postpartum endometritis after manual vacuum aspiration of the uterus significantly helps to improve the monitoring of the process of treatment and, if necessary, to correct it in order to recover the patients in time. Key words: endometritis, manual vacuum aspiration of the uterus, the method of fluorescence spectroscopy.

scholarly journals Optimization of the observation of postpartum pyo-inflammatory diseases in patients after vacuum-aspiration using the method of fluorescent spectroscopy

2018 ◽  
Vol 22 (1) ◽  
pp. 156-159
Author(s):  
O.V. Bulavenko ◽  
L.R. Ostapiuk ◽  
V.O. Rud ◽  
A.S. Voloshinovskii ◽  
T.S. Maliy
Keyword(s):  
Fluorescence Spectroscopy ◽  
Inflammatory Diseases ◽  
Uterine Cavity ◽  
Short Wave ◽  
Maternity Hospital ◽  
The State ◽  
Optimal Time ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration ◽  
Short Wave Region

The growth of the frequency of postpartum purulent-inflammatory diseases requires the development of new approaches to their early diagnosis and treatment. The purpose of the study is to choose the optimal time for manual vacuum aspiration in patients with postpartum endometritis and to control the state of patients after it, using the method of fluorescence spectroscopy. The results of treatment of 392 patients who were on inpatient treatment in the gynecological department №2 of the City Clinical Maternity Hospital №2 were analyzed. Of these, 120 patients were selected for the diagnosis of which, in addition to the standard algorithm, the method of fluorescence spectroscopy was included. Manual vacuum aspiration was performed in 96 cases (80,0%). In 15% of patients, after vacuum-aspiration of the uterine cavity, blood serum tests using the method of fluorescence spectroscopy were carried out in dynamics. In 92,8% of them, an increase in fluorescence intensity and a shift of lmax in the short-wave region was observed, which was a reliable sign of improving the condition of the patients. Thus, the improvement of the state of patients after vacuum aspiration was confirmed at the appropriate level, using the method of fluorescence spectroscopy, which is a reliable method of diagnostics of postpartum purulent-inflammatory diseases.

scholarly journals Analgesic Efficacy of Paracervical Block for Manual Vacuum Aspiration of Incomplete Abortions: A Randomized Controlled Trial

2021 ◽  
Vol 11 (08) ◽  
pp. 955-972
Author(s):  
Ekundayo O. Ayegbusi ◽  
Akintunde O. Fehintola ◽  
Akinyosoye D. Ajiboye ◽  
Ayodele Idowu ◽  
Tope O. Okunola ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Analgesic Efficacy ◽  
Randomized Controlled ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration ◽  
Paracervical Block

scholarly journals Manual Vacuum Aspiration in IUFD 18 Weeks

2021 ◽  
Vol 21 (2) ◽  
pp. 114-148
Author(s):  
Ivanna Beru Brahmana
Keyword(s):  
Fetal Death ◽  
Ultrasound Examination ◽  
Uterine Cavity ◽  
Intrauterine Fetal Death ◽  
Minimal Risk ◽  
The Third ◽  
Vacuum Aspiration ◽  
Manual Vacuum Aspiration ◽  
Post Abortion

Manual Vacuum Aspiration (MVA) is an action to evacuate the uterine cavity up to 14 weeks gestation. In a more extensive pregnancy, it is worried that the action of the MVA is less clean so that it will still repeat the action of sharp curettage.  This article reports a multigravida aged 42 years old, G5P2A2, intrauterine fetal death (IUFD) at 18 weeks, undergoing MVA. Diagnosis of IUFD was performed using ultrasound examination. Before MVA was done, the patient was previously given 100 μg of misoprostol orally for dilation. This pregnancy was the third pregnancy with a second husband, all of whom had abortions. Manual Vacuum Aspiration had a minimal risk of uterine injury. After MVA was conducted, ultrasound examination was repeated to confirm a clean uterine cavity. It had been carried out on an indication of IUFD of 18 weeks gestation with the result of a clean uterine cavity and minimal bleeding. Furthermore, Post-Abortion Intra-Uterine Device (PAIUD) was installed adequately, not causing complaints. Based on the result, it can be concluded that MVA is effective for evacuation of uterine cavities on 18 weeks gestation.

Paracervical Block in Incomplete Abortion Using Manual Vacuum Aspiration: Randomized Clinical Trial

2004 ◽  
Vol 103 (5, Part 1) ◽  
pp. 943-951 ◽  
Author(s):  
Pio Iván Gómez ◽  
Hernando Gaitán ◽  
Casilda Nova ◽  
Alejandro Paradas
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Vacuum Aspiration ◽  
Incomplete Abortion ◽  
Manual Vacuum Aspiration ◽  
Paracervical Block

scholarly journals Efficacy and Safety of Para Cervical Block in Manual Vacuum Aspiration (MVA) - in Low Resource Setting

2017 ◽  
Vol 31 (2) ◽  
pp. 70-74
Author(s):  
Nafisa Jesmin
Keyword(s):  
Visual Analog Scale ◽  
Severe Pain ◽  
Cervical Dilatation ◽  
Moderate Pain ◽  
Pain Sensation ◽  
Analog Scale ◽  
Low Resource ◽  
Vacuum Aspiration ◽  
Incomplete Abortion ◽  
Manual Vacuum Aspiration

Objective (s): To determine the safety and effectiveness of para-cervical block for cervical dilatation and uterine evacuation by MVA.Materials and methods: This descriptive (cross-sectional) study was conducted in a low resource set-up at Homna, Upzilla Health Complex Comilla between January 2016 and June 2016. Forty five patients of 1st trimester incomplete abortion of 12 weeks gestation were the target population for manual vacuum aspiration (MVA) for this study. All patients received para cervical block before MVA procedure. Three minutes after application of block, suction and evacuation of uterus was done. Perioperative oral analgesic (Ibuprofen) and anxiolytic (diazepam) were used 30 minutes before procedure in all patients. Before the procedure, all the women were asked to evaluate the level of pain on a visual analog scale ranged from 0-10. Thirty minutes after the procedure, the patient was asked to describe the pain that she had been feeling during MVA by using the same visual analog scale. Visual analog scale was described by: no pain (0 points), slight pain (1-3 points), moderate pain (4-6 points) and severe pain (7-10 points). Patients were followed up for 7 days and were evaluated for complications before leaving the facility and on the 7th day after procedure. A routine USG of lower abdomen was done on 7th post-evacuation day in all patients, which revealed completeness of the procedure. Informed consent was taken from all the patients.Results: All were first trimester incomplete abortion cases. MVA was performed with para cervical block. Para cervical block reduced pain sensation on cervical dilatation. According to VAS 30 (66.67%) patients had mild pain, 3(6.67%) patients had moderate pain and 12(26.67%) patients had no pain during the procedure. Six (13.33%) patients had mild pain and others had no pain after the procedure. There was no severe pain before or after the procedure. Thirty (75.56%) patients discharged before 4 hours and 11 (24.44%) patients discharged after 4 hours of the procedure. No patients had any complications like pervaginal bleeding, infection or retention of product. The cost was minimum and patient’s satisfaction was high.Conclusion: Paracevical block is effective in reducing pain sensation during MVA with a reasonable cost of the procedure.Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 70-74

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