Evidence map›Paper›PMID 38357159›Full record

Trial reportAfrican health sciences2023

A comparative study on the effectiveness of paracervical block and parenteral diclofenac for pain relief during manual vacuum aspiration.

Iyke F Osinachi, Godwin O Akaba, Nathaniel D Adewole, Kate I Omonua, Bissallah A Ekele

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in African health sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Iyke F OsinachiDepartment of Obstetrics and Gynaecology, University of Abuja/ University of Abuja Teaching Hospital, Abuja, Nigeria.
Godwin O AkabaDepartment of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, Abuja, Nigeria.
Nathaniel D AdewoleDepartment of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, Abuja, Nigeria.
Kate I OmonuaDepartment of Obstetrics and Gynaecology, University of Abuja Teaching Hospital, Abuja, Nigeria.
Bissallah A EkeleDepartment of Obstetrics and Gynaecology, University of Abuja/ University of Abuja Teaching Hospital, Abuja, Nigeria.
University of Abuja Teaching Hospital · NGUniversity of Abuja · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To compare the effectiveness of paracervical block with intramuscular Diclofenac for pain relief during manual vacuum aspiration (MVA) for early pregnancy losses. Methodology: This was an open label randomized controlled trial. Participants were randomized into two therapeutic groups (A and B) using computer generated numbers. Group A received intramuscular Diclofenac 75 mg. Group B received paracervical block using 1% Lidocaine. Participants were asked to rate their pain level on a continuous 10 cm visual analogue scale (VAS) from 0 (no pain) to 10 (the worst pain ever) within 5 minutes of completing the procedure. Participants' level of satisfaction was assessed within 30 minutes of completing the MVA using Likert scale. Data was analysed using the Statistical Package for Social Sciences (SPSS), Version 20. Test of statistical significance was set at 95% confidence level (P < 0.05). The primary outcome was the level of pain felt by the patient during the procedure (10 cm VAS). Secondary outcomes included patient's satisfaction and adverse events. Results: There was significant difference in the mean pain level between the intramuscular diclofenac group; 6.5±1.5 (moderate) and those that received paracervical block; 2.3±1.5 (mild), (p-value=0.005). Patients' satisfaction was also better in paracervical block group compared to intramuscular diclofenac group, (p-value=0.005). Both groups were comparable in terms of complications and drug side effects. Conclusion: Findings from the study suggest that the use of paracervical block compared to intramuscular Diclofenac for pain relief during MVA for incomplete miscarriage significantly reduced pain, improved patients' satisfaction and was comparably safe.

Indexed as

Anesthesia, ObstetricalDiclofenacAnesthetics, LocalFemaleHumansLidocainePainPregnancyVacuum CurettageAnesthetics, LocalDiclofenacLidocaineDiclofenacManual vacuum aspirationPain reliefParacervical block

Identifiers

PMID38357159
PMCPMC10862629
OpenAlexW4387570292

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.