Akos Csaba1, Melissa C Bush, Carl Saphier. 1. First Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary, H-1088, Hungary.
Abstract
OBJECTIVES: To compare the levels of pain and anxiety associated with amniocentesis (AC), transabdominal chorionic villus sampling (TA-CVS), and transcervical chorionic villus sampling (TC-CVS). METHODS: We prospectively administered a questionnaire about pain and anxiety to 124 women undergoing AC, 40 undergoing TA-CVS, and 24 undergoing TC-CVS for singleton pregnancies. The level of pain was quantified with numerical and pictorial scales and the degree of anxiety was quantified with a numerical scale (0-100 in increments of 10). RESULTS: The mean pain score for TA-CVS, 41.4 +/- 18.1, was significantly higher than that for TC-CVS, 26.4 +/- 25.3, p = 0.008. The mean pain score for AC, 35.1 +/- 27.6, was intermediate. A higher degree of anxiety was associated with younger maternal age and nulliparity. A higher degree of anxiety was associated with a higher level of pain. CONCLUSION: In general, each procedure is associated with a tolerable amount of pain. TA-CVS appears to be the most painful procedure while TC-CVS appears to be the least painful procedure. In certain groups of patients, the procedures may be associated with higher levels of pain and/or anxiety. 2006 John Wiley & Sons, Ltd.
OBJECTIVES: To compare the levels of pain and anxiety associated with amniocentesis (AC), transabdominal chorionic villus sampling (TA-CVS), and transcervical chorionic villus sampling (TC-CVS). METHODS: We prospectively administered a questionnaire about pain and anxiety to 124 women undergoing AC, 40 undergoing TA-CVS, and 24 undergoing TC-CVS for singleton pregnancies. The level of pain was quantified with numerical and pictorial scales and the degree of anxiety was quantified with a numerical scale (0-100 in increments of 10). RESULTS: The mean pain score for TA-CVS, 41.4 +/- 18.1, was significantly higher than that for TC-CVS, 26.4 +/- 25.3, p = 0.008. The mean pain score for AC, 35.1 +/- 27.6, was intermediate. A higher degree of anxiety was associated with younger maternal age and nulliparity. A higher degree of anxiety was associated with a higher level of pain. CONCLUSION: In general, each procedure is associated with a tolerable amount of pain. TA-CVS appears to be the most painful procedure while TC-CVS appears to be the least painful procedure. In certain groups of patients, the procedures may be associated with higher levels of pain and/or anxiety. 2006 John Wiley & Sons, Ltd.
Authors: Katharina Klages; Sudip Kundu; Joachim Erlenwein; Michael Elsaesser; Peter Hillemanns; Alexander Scharf; Ismini Staboulidou Journal: J Pain Res Date: 2017-03-13 Impact factor: 3.133