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143086

Paracervical Block for Oocyte Retrieval: Experience at a Public Health Facility in Nigeria

Article

Last updated: 03 Jan 2025

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Abstract

Background: Transvaginal Ultrasound Guided Oocyte Retrieval
(TUGOR) for in vitro fertilization is one of the most common minor
surgical procedures. Despite this, it is stressful and painful for the
patient and thus requires some form of analgesia with or without sedation. The effects of various anesthetic techniques used for TUGOR
on reproductive outcomes remain controversial.
Aims: This study assessed patients' perception of pain using paracervical block and its effect on IVF outcomes.
Methods: A cross sectional study of 66 eligible patients that underwent assisted reproduction program in our facility. All clients were
treated with antagonist protocol for Controlled Ovarian Hyperstimulation. Self- administered questionnaires was used as the research instrument. Pain was assessed using a 10cm Visual Analogue Scale while
clients' overall satisfaction was rated using Likert scoring system.
Results: Client's aged 32.8 ±3.4. More than half had primary infertility with mean duration of 4.6 ± 2.4. Female factor infertility was
the commonest cause of infertility. The pregnancy rate per embryo
transfer was 36.4%, miscarriage rate was 9.1%, while the live rate
was 27.3%. The mean VAS scores at 1hour, 6 hours, 24 hours and
at embryo transfer were 7.1 ± 2.8, 4.6 ±1.4, 2.8 ±1.2 and 1.0 ± 0.9
respectively. The mean Likert score was 2.4 ± 0.9.
Conclusion:Paracervical block is a safe and effective anaesthesia/
analgesia option for TUGOR.
However a multimodal approach of analgesia/anaesthesia for TUGOR is recommended to further improve on clients' satisfaction and
acceptance.

DOI

10.21608/egyfs.2021.143086

Keywords

in vitro fertilization, oocyte retrieval paracervical block, anaethesia, Nigeria

Authors

First Name

Omokanye

Last Name

Omotayo

MiddleName

Lukman

Affiliation

Consultant Obstetrician and Gynaecologist, Department of Obstetrics and Gynaecology, College of Health Sciences, University of Ilorin, Ilorin; Nigeria

Email

omostuff1111@yahoo.com

City

Ilorin; Nigeria

Orcid

-

Volume

25

Article Issue

1

Related Issue

21113

Issue Date

2021-01-01

Receive Date

2021-01-25

Publish Date

2021-01-01

Page Start

30

Page End

36

Print ISSN

1110-6352

Online ISSN

2536-9768

Article File

EGYFS_Volume 25_Issue 1_Pages 30-36.pdf

PDF . 1.7MB

Link

https://egyfs.journals.ekb.eg/article_143086.html

Detail API

https://egyfs.journals.ekb.eg/service?article_code=143086

Order

4

Type

Original Article

Type Code

319

Publication Type

Journal

Publication Title

The Egyptian Journal of Fertility of Sterility

Publication Link

https://egyfs.journals.ekb.eg/

MainTitle

Paracervical Block for Oocyte Retrieval: Experience at a Public Health Facility in Nigeria

Details

Type

Article

Created At

22 Jan 2023