Pratak O-Prasertsawat

Lidocaine versus plain saline for pain relief in fractional curettage : A randomized controlled trial

OBJECTIVE To compare the efficiency of lidocaine with that of plain saline for paracervical pain relief during fractional curettage. METHODS This double‐blind, randomized, controlled trial included 140 women who underwent fractional curettage. Seventy women were allocated to the lidocaine group and 70 to the plain saline group. The main outcome measure was the intensity of pain measured by visual analog scale during and after the procedure. RESULTS The intensity of pain was significantly lower in the lidocaine group than in the plain saline group over the course of the procedure (P = .02), especially during fractional curettage. There were no serious adverse effects in this study. CONCLUSION Lidocaine is more effective than plain saline for paracervical pain relief during fractional curettage. The anesthetic mechanisms of lidocaine are mechanical distention of tissue and peripheral nerve block.

A Comparison of Intravaginal Misoprostol and Intracervical Prostaglandin E2 Gel for Ripening of Unfavorable Cervix and Labor Induction

Objective: To study the effectiveness of single application of intravaginal misoprostol versus intracervical prostaglandin E2 gel for ripening the unfavorable cervix and labor induction.

Vaginal misoprostol for cervical priming before dilatation and curettage in postmenopausal women : A randomized controlled trial

Aim: To investigate the efficacy of vaginal misoprostol for cervical priming before dilatation and curettage in postmenopausal women.

Comparison of oral and vaginal misoprostol for induction of labor at term: a randomized controlled trial.

Objective:  To compare the efficacy of oral with vaginal misoprostol for induction of labor at term.

Kielland's forceps or ventouse—a comparison

Summary. A retrospective study over a 3‐year period compared maternal and neonatal outcomes after birth by Kiellands forceps with those by ventouse when there was deep transverse arrest of head. Of the 259 women, 117 were delivered with Kiellands forceps and 142 were delivered with the ventouse. Of the Kiellands forceps deliveries, 15% were performed by a specialist, compared with 41% of the vacuum extractions. There were no differences in maternal morbidity overall, but when groups of operators were compared maternal complications were more frequent in the forceps group with the less experienced operators. There was little early neonatal morbidity (as judged by Apgar score, intubation, admission to the special care baby unit, jaundice and abnormal neurological behaviour) but cephalhaematoma occurred significantly more often in babies born by the ventouse than by Kiellands forceps. There were no perinatal deaths.