Findings

What do systematic reviews say?

28 questions · 29 findings · 3 reviews

No studies found 0 · 0%GRADE not reported 2 · 6.9%Very low 1 · 3.4%Low 16 · 55.2%Moderate 5 · 17.2%High 5 · 17.2%

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

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

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

Rate of cervical dilatation (cm/h) · women in labour

1 finding from 1 review

Antispasmodics for labour 2013 · Cochrane Headline outcomes only
no estimate extracted
6 studies · 820 participants
Low

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

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

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

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