5. PAIN MANAGEMENT AND OTHER MEDICATIONS

^{Updated March 2022, by Hannah Rosenfield MD, Deyang Nyandak MD,
and Hannah Biederman, MD}

This chapter describes methods of pain management as well as medications used before, during, and after uterine aspiration, including medications indicated for clinical emergencies.

CHAPTER LEARNING OBJECTIVES

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

• Describe the role of antibiotic prophylaxis and cervical ripening in uterine aspiration
• List when to use Rh-D immunoglobulin in the prevention of isoimmunization
• List pain control options for uterine aspiration, effectiveness, and considerations for patients who use opioids
• Perform techniques and describe precautions for paracervical block
• Understand options for patient-centered individualized care for pain control
• Identify appropriate responses to and medications for clinical emergencies

VIDEOS

READINGS / RESOURCES

• Paul et al (eds). Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care (Wiley-Blackwell, 2009)
  • Chapter 8: Pain Management
• NAF: Managing Pain for Patients using Medication-Assisted Treatment for Opioid Use
• SFP: Clinical Recommendations for Pain Control