The Comparison of the Effectiveness of Paraservical Blocks with Intraservical Blocks on Pain Management in Dilated Abortus Inkompletus Curettage

Udjung, Gorga I. V. W. and Sirait, Robert Hotman (2020) The Comparison of the Effectiveness of Paraservical Blocks with Intraservical Blocks on Pain Management in Dilated Abortus Inkompletus Curettage. Solid State Technology, 63 (5). pp. 5074-5087. ISSN 0038 111X

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Abstract

To measure how much influence Paracervical Block as a local anaesthetic is compared with the intracervical block in the management of pain, dilatation and curettage in patients with an incomplete abortion. This study is an experimental study with a randomized clinical trial design that compares the effectiveness of paracervical blocks and intracervical blocks as local anaesthetics in the management of dilated pain and curettage in patients with an incomplete abortion. There was no difference in age distribution, education, parity and history of abortion between the two groups. There was no significant difference in the mean systolic and diastolic blood pressures before curettage, after curettage and 30 minutes after curettage in both groups. There was no significant difference in the mean pulse frequency before curettage, after curettage and 30 minutes after curettage in the Paracervical Block group (p = 0.830), but there was a significant difference in the intracervical block group (p = 0.032). There were no side effects between the two groups. There was a difference in the degree of pain between Paracervical Block and Intracervical Block as a local anaesthetic in the management of pain during dilation and curettage procedures in patients with incomplete abortion (p = 0.000). The paracervical block has shown greater effectiveness in pain management during dilation and curettage procedures in incomplete abortion than the intracervical block. Both techniques are safe to perform as local anaesthetics in dilation and curettage in incomplete abortion.

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