Postoperative Pain After Medical Abortion Under Local Anesthesia : Comparison of Several Analgesic Regimen

Postoperative Pain After Medical Abortion Under Local Anesthesia : a Prospective and Randomized Trial Comparing Several Analgesic Regimen

• To compare postoperative analgesia by paracetamol 1gr or ketoprofen 100 mg or the combination of these two analgesics
• each treatment beeing allocated by randomization

• 240 pregnant women who undewent a medical abortion by aspiration, under local anesthesia, (day case surgery) were enrolled after informed consent and signed approval

• according to randomization, they received one hour before medical abortion procedure performed under local anesthesia of the cervix, one of these three diffrente analgesics :

  • paracetamol 1 gr
  • ketoprofen 100 mg
  • the association of both Postprocedure pain was recorded, by nurse, using a visual analog scale (VAS), 7 times before and after the procedure, until the discharge of the patient.

• if VAS was above 40 on two consecutive measurements a morphine injection was given.

• the number and total amount of morphine was recorded.

• satisfaction was recorded within the 3 postoperative day by a telephone inquiry.

Inclusion Criteria:

• pregnant women
• medical abortion performed in day case surgery under local anesthesia
• informed written consent

Exclusion Criteria:

• under 18 year old