The Department of Obstetrics and Gynecology, Women and Infants Hospital, Providence, RI 02905, USA.
Contraception. 2012 Apr;85(4):413-8. doi: 10.1016/j.contraception.2011.08.019. Epub 2011 Oct 11.
To explore women's preferences for pain control during first-trimester surgical abortion.
Pre- and postoperative semistructured individual interviews were conducted with 40 women divided into eight strata by anesthesia choice, age and prior vaginal delivery status. We identified key themes in the interviews and analyzed baseline characteristics and responses to close-ended questions within and across the strata.
For most women, pain control options were not the primary concern in choosing a clinic for an abortion. Women who received intravenous (IV) sedation had lower pain scores and were more likely to report that they would recommend that method to a friend than women who received local anesthesia alone. Women described the pain as a cramping, tugging, pulling and scraping sensation. Respondents recommended IV sedation for a woman who was very anxious or could not tolerate pain, even though more nausea and vomiting may occur.
Most women felt that pain control decisions should be individualized.
探讨女性在孕早期手术流产中对疼痛控制的偏好。
对 40 名女性进行了术前和术后半结构化个体访谈，根据麻醉选择、年龄和既往阴道分娩情况将其分为八个层次。我们在访谈中确定了关键主题，并对各层内和跨层的基线特征和对封闭式问题的回答进行了分析。
对于大多数女性来说，在选择流产诊所时，疼痛控制选项并不是主要关注点。接受静脉（IV）镇静的女性疼痛评分较低，并且比单独接受局部麻醉的女性更有可能表示会向朋友推荐该方法。女性将疼痛描述为一种抽筋、牵拉、拉扯和刮擦的感觉。受访者建议对非常焦虑或无法忍受疼痛的女性使用 IV 镇静，尽管可能会出现更多的恶心和呕吐。
大多数女性认为疼痛控制决策应该个体化。
