Paracervical Versus Intracervical Lidocaine

Paracervical Versus Intracervical Lidocaine for Suction Curettage: A Randomized Controlled Trial

The aim of this study is to estimate the efficacy of intracervical versus paracervical block on pain experienced during first trimester suction curettage without the use of preoperative cervical ripening. Because of the theoretical improved reliability of stromal block, the investigators hypothesize that intracervical block would produce lower pain scores than paracervical block at the time of cervical dilation.

Inclusion Criteria:

• Women presenting for elective first trimester abortion

Exclusion Criteria:

• Gestation over 12 weeks by ultrasound
• Weight less than 98 pounds
• Known allergy to lidocaine
• Known nonviable pregnancy