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J Obstet Gynecol Neonatal Nurs. 2017 Sep - Oct;46(5):755-763. doi: 10.1016/j.jogn.2017.06.003. Epub 2017 Jul 17.

Retrospective Evaluation of the Procedural Sedation Practices of Expert Nurses During Abortion Care.

Abstract

OBJECTIVE:

To evaluate the provision of procedural sedation during abortion by expert nurses and to describe the factors that are associated with time to discharge for women who receive this sedation.

DESIGN:

Retrospective chart review.

METHODS:

Descriptive statistics were generated to describe a retrospective cohort of women presenting for abortion under procedural sedation. Analysis of variance was used to determine significant characteristics that influenced time to discharge.

SETTING:

A single clinical site that employs seven expert nurses.

PARTICIPANTS:

A total of 194 medical records were available for this analysis.

RESULTS:

All women were discharged home with accompaniment, and no incidents of respiratory distress or other adverse complications occurred. Most women (n = 136) received at least 150 μg fentanyl and 3 mg midazolam, and 71% of women in the first trimester and 83% of women in the second trimester entered the recovery area with no pain. Variables significantly associated with time spent in the recovery area were gestational age at time of abortion (t = -2.68, p = .008), pain at entry to recovery area (t = -0.254, p = .008), and pain at 15 minutes (t = 0.25, p = .038).

CONCLUSION:

Expert nurses can administer procedural sedation for pain control associated with abortion and are capable of monitoring women and helping them return to baseline status after the procedure.

KEYWORDS:

abortion; procedural sedation; time to discharge

PMID:
28727994
DOI:
10.1016/j.jogn.2017.06.003
[Indexed for MEDLINE]

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