Assessment of Pain During an Abortion With Knowledge of the Predictive Factors of Pain.
Condition: Induced Abortion; Medical Abortion; Surgical Abortion; Pain
Study type: Observational

Summary: 
      Two studies carried out in 2011 at the Center for Contraception and Voluntary Interruption of
      Pregnancy (CIVG) at the Louis-Mourier Hospital, evaluated the pain of patients undergoing an
      abortion, and looked for predictors of the pain felt during an abortion. medication or
      aspiration under local anesthesia.

      These predictive factors of pain are today integrated into the interview during a request for
      abortion at the CIVG of Louis-Mourier.

      This new study, on care data, prospective and monocentric conducted at the CIVG, of the Louis
      Mourier hospital, will make it possible to verify whether the knowledge of these predictive
      factors of pain has made it possible to improve the management of pain in women undergoing an
      abortion.

      The main objective is to assess the pain felt by the patient during a medical abortion or by
      aspiration under local anesthesia, knowing the predictive factors of pain highlighted by two
      studies carried out in 2011.

      The secondary objective is to highlight a significant difference in pain after application of
      an analgesic protocol indexed on predictive factors of pain.

      The study will be carried out in two successive periods:

      A first period of 4 months will consist in evaluating the pain felt by women having a medical
      abortion or by aspiration under local anesthesia.

      A second period of 4 months will evaluate the pain felt by women undergoing medical or
      aspiration abortion under local anesthesia following the application of an analgesic protocol
      indexed on the predictive factors of pain.

      The expected benefit of this study is the improvement of care and professional practices for
      better management of pain during outpatient abortion.

      The abortion will take place in the usual way according to the chosen method. An information
      and non-objection note will be distributed to patients during the first consultation for an
      abortion.

      Patients agreeing to participate in the study will answer the usual questions from the doctor
      or nurse.

      A data collection sheet related to care will be integrated into the medical records. The CIVG
      doctors taking part in the study will report the data collected on this form.

      The maximum pain felt during the abortion and in the following 4 days will be evaluated using
      an VAS according to usual practice.
    

Detailed description: 
      Procedure in two successive periods (Phase 1 and Phase 2) of 4 months each:

      Phase 1: Evaluation of the pain felt by women undergoing medical or aspiration abortion under
      local anesthesia at the CIVG in Louis-Mourier.

      Phase 2: Evaluation of the pain felt by women having a medical abortion or by aspiration
      under local anesthesia following the application of an analgesic protocol indexed on the
      predictive factors of pain at the CIVG of Louis-Mourier.

      The progress of each of the phases is identical, only the management of the pain will be
      different.

      During Phase 1, the analgesic choice will be left to the discretion of the doctor, as is
      already done at the CIVG of Louis Mourier.

      During phase 2, analgesic management will be directed according to the presence of predictive
      factors of pain. The usual analgesics were integrated into an analgesic protocol indexed on
      the presence of predictive factors of pain.
    

Intervention name(s): Evaluation of pain during voluntary termination of pregnancy with medication following consideration of predictive factors of pain without an established analgesic protocol; Evaluation of pain during a voluntary medical termination of pregnancy following consideration of predictive factors of pain with an established analgesic protocol; Assessment of pain during voluntary termination of pregnancy by aspiration under local anesthesia following consideration of predictive factors of pain without an established analgesic protocol; Assessment of pain during voluntary termination of pregnancy by aspiration under local anesthesia following consideration of predictive factors of pain with established analgesic protocol
Intervention type(s): Other; Other; Other; Other
Intervention description(s): Evaluation of the pain felt by women having an abortion by aspiration under local anes!thesia.
The intensity of the pain of patients during an abortion by aspiration under local anesthesia will be quantified by a Visual Analogue Scale (VAS) at the time of the abortion and in the following 4 days.; Evaluation of the pain felt by women having a medical abortion following the application of an analgesic protocol indexed on the predictive factors of pain.
The intensity of the pain of patients during a medical abortion will be quantified by a Visual Analogue Scale (VAS) at the time of the abortion and in the following 4 days.; Evaluation of the pain felt by women having an abortion by aspiration under local anesthesia.
The intensity of the pain of patients during an abortion by aspiration under local anesthesia will be quantified by a Visual Analogue Scale (VAS) at the time of the abortion and in the following 4 days.Evaluation of the pain felt by women having an abortion by aspiration under local anesthesia.
The intensity of the pain of patients during an abortion by aspiration under local anesthesia will be quantified by a Visual Analogue Scale (VAS) at the time of the abortion and in the following 4 days.; Evaluation of the pain felt by women having an abortion by aspiration under local anesthesia following the application of an analgesic protocol indexed on the predictive factors of pain.
The intensity of the pain of patients during an abortion by aspiration under local anesthesia will be quantified by a Visual Analogue Scale (VAS) at the time of the abortion and in the following 4 days.
Intervention MeSH terms: Analgesics; Anesthetics
Observational model: Other
Time perspective: Prospective
Sampling method: Probability Sample
Study population: 
        All women over the age of 15, benefiting from a medical abortion or by aspiration under
        local anesthesia.