Findings

What do systematic reviews say?

85 questions · 86 findings · 4 reviews

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No studies found 36 · 41.9%GRADE not reported 2 · 2.3%Very low 12 · 14%Low 16 · 18.6%Moderate 11 · 12.8%High 9 · 10.5%

Paracervical vs placebo

Pain dilating cervix · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
4 studies · 381 participants
High

Paracervical vs no anaesthesia

Pain score assessed up to 10 minutes after the procedure · patients with cervical dilatation and uterine intervention

2 findings from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
1 study · 58 participants
GRADE not reported
Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
1 study · 58 participants
GRADE not reported

Paracervical vs systemic analgesia

Pain during uterine intervention · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 402 participants
Low

Paracervical vs systemic analgesia

Postoperative pain · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 984 participants
High

Paracervical vs systemic analgesia

Need for analgesic prescription for pain (supplemental analgesic requirements) · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
1 study · 166 participants
Low

Paracervical vs placebo

Pain during uterine intervention ‐ Risk of any pain · patients with cervical dilatation and uterine intervention

Paracervical showed no clear difference in pain during uterine intervention ‐ Risk of any pain compared with placebo (low certainty).

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
RR 0.85 [0.54, 1.34]
2 studies · 242 participants
Low

Paracervical vs systemic analgesia

Adverse effects · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 571 participants
Low

Paracervical vs systemic analgesia

Patient satisfaction · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
1 study · 166 participants
Low

Paracervical vs placebo

Pain during uterine intervention ‐ Risk of severe pain · patients with cervical dilatation and uterine intervention

Paracervical probably leads to lower pain during uterine intervention ‐ Risk of severe pain compared with placebo (moderate certainty).

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
RR 0.16 [0.04, 0.74]
2 studies · 242 participants
Moderate

Paracervical vs placebo

Postoperative pain ‐ Immediately after the procedure · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 223 participants
Low

Paracervical vs placebo

Adverse event nausea and vomiting (0 to 24 hours) · patients with cervical dilatation and uterine intervention

Paracervical showed no clear difference in adverse effects ‐ Nausea and vomiting compared with placebo (moderate certainty).

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
RR 0.24 [0.02, 2.8]
3 studies · 429 participants
Moderate

Paracervical vs placebo

Adverse effects ‐ Sweating · patients with cervical dilatation and uterine intervention

Paracervical showed no clear difference in adverse effects ‐ Sweating compared with placebo (moderate certainty).

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
RR 1.08 [0.7, 1.67]
1 study · 142 participants
Moderate

Paracervical vs placebo

Adverse events: hypotension · patients with cervical dilatation and uterine intervention

Paracervical probably leads to higher adverse effects ‐ Hypotension compared with placebo (moderate certainty).

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
RR 3.06 [1.21, 7.78]
2 studies · 171 participants
Moderate

Paracervical vs no anaesthesia

Pain during procedure ‐ not measured · patients with cervical dilatation and uterine intervention

Paracervical showed no clear difference in pain during the procedure compared with no anaesthesia (high certainty).

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
OR 0.99 [0.52, 1.86]
1 study · 215 participants
High

Paracervical vs no anaesthesia

Postoperative pain ‐ Immediately after the procedure · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 273 participants
High

Paracervical vs other regional anaesthesia

Pain during procedure ‐ not measured · patients with cervical dilatation and uterine intervention

Paracervical block showed no clear difference in pain during the procedure compared with other regional anaesthesia (moderate certainty).

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
OR 1.41 [0.68, 2.91]
1 study · 120 participants
Moderate

Paracervical vs other regional anaesthesia

Pain during cervical dilatation · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 163 participants
Low

Paracervical vs other regional anaesthesia

Pain during uterine intervention: continuous · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 271 participants
Very low

Paracervical vs other regional anaesthesia

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 307 participants
High

Paracervical vs other regional anaesthesia

Adverse effects · patients with cervical dilatation and uterine intervention

1 finding from 1 review

Paracervical local anaesthesia for cervical dilatation and uterine intervention 2013 · Cochrane Headline outcomes only
no estimate extracted
1 study · 55 participants
Low