5. PAIN MANAGEMENT AND MEDICATIONS

by Angeline Ti MD, MPH; Last update June 2016

This chapter describes methods of pain control as well as routine medications used before, during, and after uterine aspiration. Medications indicated for clinical emergencies are also reviewed.

CHAPTER LEARNING OBJECTIVES

Following completion of this chapter, you should be able to:

  • Describe the role of routine antibiotic prophylaxis for infection prevention and cervical ripening in uterine aspiration
  • List when to use Rh-D immunoglobulin in the prevention of isoimmunization of Rh-negative patients in first trimester uterine aspiration
  • List pain control options for uterine aspiration, their effectiveness, and considerations for patients with a tolerance to opiates
  • Perform techniques and describe precautions for paracervical block
  • Identify appropriate responses to, and medications for, a number of clinical emergencies

READINGS / RESOURCES

  • Paul et al (eds). Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care (Wiley-Blackwell 2009)
    • Chapter 8: Pain Management
  • National Clinicians’ Post-Exposure Prophylaxis Hotline

VIDEOS

License

EARLY ABORTION TRAINING CURRICULUM Copyright © 2020 by UCSF Bixby Center for Global Reproductive Health. All Rights Reserved.