OBJECTIVE: To compare the impact of 5 IU (international units) of oxytocin administered during surgical termination of first-trimester pregnancy compared to no oxytocin, on postoperative bleeding, pain and nausea. DESIGN: A randomized controlled single-blinded study. SETTING:A Norwegian community hospital with 1,064 consecutive legal abortions in the 20 months of study period. SAMPLE: A total of 378 women undergoing surgical termination of first-trimester pregnancy and willing to participate in the study. METHODS: Women were randomized into two groups: Group 1, receiving a standard procedure of 5 IU of oxytocin during the surgical procedure, or Group 2, receiving no oxytocic agent. All women had preoperative misoprostol. MAIN OUTCOME MEASURES: Vaginal bleeding, pain and nausea recorded by weighing pads immediately after the surgical procedure and counting pads during the three following days. RESULTS: No significant differences between the two groups could be demonstrated with regard to the recorded postoperative blood loss, pain and nausea. CONCLUSIONS: The standard routine of administering oxytocin during surgical termination of first-trimester pregnancy should be revised.
RCT Entities:
OBJECTIVE: To compare the impact of 5 IU (international units) of oxytocin administered during surgical termination of first-trimester pregnancy compared to no oxytocin, on postoperative bleeding, pain and nausea. DESIGN: A randomized controlled single-blinded study. SETTING: A Norwegian community hospital with 1,064 consecutive legal abortions in the 20 months of study period. SAMPLE: A total of 378 women undergoing surgical termination of first-trimester pregnancy and willing to participate in the study. METHODS:Women were randomized into two groups: Group 1, receiving a standard procedure of 5 IU of oxytocin during the surgical procedure, or Group 2, receiving no oxytocic agent. All women had preoperative misoprostol. MAIN OUTCOME MEASURES: Vaginal bleeding, pain and nausea recorded by weighing pads immediately after the surgical procedure and counting pads during the three following days. RESULTS: No significant differences between the two groups could be demonstrated with regard to the recorded postoperative blood loss, pain and nausea. CONCLUSIONS: The standard routine of administering oxytocin during surgical termination of first-trimester pregnancy should be revised.