Music as an auxiliary analgesic during first trimester surgical abortion: a randomized controlled trial

Guerrero, Juan M.; Castaño, Paula M.; Schmidt, Elizabeth O.; Rosario, Linette; Westhoff, Carolyn

doi:10.1016/j.contraception.2011.11.017

Cited by 38 publications

(46 citation statements)

References 22 publications

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“…Guerrero et al also randomized women to either music played through headphones during the procedure or standard care. The primary outcome for this study was change in preoperative and postoperative pain scores on a visual analog scale.…”

Section: Resultsmentioning

confidence: 99%

Nonpharmaceutical Pain Control Adjuncts During First‐Trimester Aspiration Abortion: A Review

Tschann¹,

Salcedo²,

Kaneshiro³

2016

J Midwife Womens Health

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Section: Resultsmentioning

confidence: 99%

Nonpharmaceutical Pain Control Adjuncts During First‐Trimester Aspiration Abortion: A Review

Tschann¹,

Salcedo²,

Kaneshiro³

2016

J Midwife Womens Health

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“…The percentage of women reporting no or mild pain was higher in the music group (94%) than in the group receiving methoxyflurane (73%) or the control group (80%). More recent studies on music for surgical abortion have not shown an objective benefit in reducing pain [82,83]. In an RCT of 101 women undergoing first-trimester surgical abortion, participants were randomized to music through headphones or to usual care only [83].…”

Section: Are Oral Opioids Effective For Pain Control In Surgical Abormentioning

confidence: 99%

Society of Family Planning clinical guidelines pain control in surgical abortion part 1 — local anesthesia and minimal sedation

Allen

Singh

2018

Contraception

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Satisfactory pain control for women undergoing surgical abortion is important for patient comfort and satisfaction. Clinicians ought to be aware of the safety and efficacy of different pain control regimens. This document will focus on nonpharmacologic modalities to reduce pain and pharmacologic interventions up to the level of minimal sedation. For surgical abortion without intravenous medications, a multimodal approach to pain control may combine a dedicated emotional-support person, visual or auditory distraction, administration of local anesthesia to the cervix with buffered lidocaine and a preoperative nonsteroidal anti-inflammatory drug. Oral opioids do not decrease procedural pain. Oral anxiolytics decrease anxiety but not the experience of pain. Further research is needed on alternative options to control pain short of moderate or deep sedation.

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“…Previous studies evaluating the effects of non-pharmacologic auxiliary interventions (such as music) on pain during abortion have demonstrated mixed results (1, 21, 22). While these types of interventions likely address emotional components of pain, they may have limited benefits in addressing physiologic components of pain.…”

Section: Commentmentioning

confidence: 99%

Doula support during first-trimester surgical abortion: a randomized controlled trial

Chor

Hill

Martins

et al. 2015

American Journal of Obstetrics and Gynecology

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Objectives To evaluate the impact of doula support on first trimester abortion care. Study Design Women were randomized to receive doula support or routine care during first trimester surgical abortion. We examined the effect of doula support on pain during abortion using a 100-mm visual analog scale. The study had statistical power to detect 20% difference in mean pain scores. Secondary measures included satisfaction, procedure duration, and patient recommendations regarding doula support. Results Two hundred and fourteen women completed the study: 106 received doula support, 108 received routine care. The groups did not differ regarding demographics, gestational age, or medical history. Pain scores in the doula and control groups did not differ at speculum insertion (38.6mm [±26.3mm] vs. 43.6mm [±25.9mm], p=0.18) or procedure completion (68.2mm [±28.0mm] vs. 70.6mm [±23.5mm], p=0.52). Procedure duration (3.39min [±2.83min] vs. 3.18min [±2.36min], p=0.55) and patient satisfaction (75.2mm [±28.6mm] vs. 74.6mm [±27.4mm], p=0.89) did not differ between doula and control groups. Among women who received doula support, 96.2% recommended routine doula support for abortion and 60.4% indicated interest in training as doulas. Among women who did not receive doula support, 71.6% of women would have wanted it. Additional clinical staff was needed to provide support for 2.9% of women in the doula group and 14.7% of controls (p<0.01). Conclusions Although doula support did not have a measurable effect on pain or satisfaction, women overwhelmingly recommended it for routine care. Women receiving doula support were less likely to require additional clinic support resources. Doula support, therefore, may address patient psychosocial needs.

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Music as an auxiliary analgesic during first trimester surgical abortion: a randomized controlled trial

Cited by 38 publications

References 22 publications

Nonpharmaceutical Pain Control Adjuncts During First‐Trimester Aspiration Abortion: A Review

Nonpharmaceutical Pain Control Adjuncts During First‐Trimester Aspiration Abortion: A Review

Society of Family Planning clinical guidelines pain control in surgical abortion part 1 — local anesthesia and minimal sedation

Doula support during first-trimester surgical abortion: a randomized controlled trial

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