4. MEDICATIONS AND PAIN MANAGEMENT

 

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 antibiotics for infection prevention and cervical ripening in uterine aspiration
  • List how to use Rh-D immunoglobulin in the prevention of isoimmunization of Rh-negative patients in first trimester uterine aspiration
  • List the options for pain control used during 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

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