Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc
Journal website https://www.jcgo.org

Original Article

Volume 9, Number 4, December 2020, pages 96-101


Gabapentin for Peri-Operative Pain Relief in Office Gynecological Surgery: A Double-Blind Randomized Controlled Trial

Figure

Figure 1.
Figure 1. CONSORT flow diagram of participant recruitment, enrollment, randomization, follow-up, and analysis. CONSORT: Consolidated Standards of Reporting Trials.

Tables

Table 1. Patient Characteristics
 
CharacteristicGabapentin (n = 107)Placebo (n = 109)Total (n = 216)
Data are presented as mean (SD) or N (%). aMissing data are excluded from percentage calculations (gabapentin = 82; placebo = 88; total = 170). SD: standard deviation.
Age27.7 (6.26)27.1 (6.03)27.4 (6.13)
Race/ethnicity
  Hispanic/Latino36 (33.6)47 (43.1)83 (38.4)
  White/Caucasian53 (49.5)39 (36.1)92 (42.8)
  Black/African American20 (18.7)18 (16.7)38 (17.7)
  Asian6 (5.6)5 (4.6)11 (5.1)
  Hawaiian/Pacific Islander3 (2.8)0 (0.0)3 (1.4)
  American/Alaskan Native5 (4.7)3 (2.8)8 (3.7)
  Other17 (15.9)33 (30.6)50 (23.3)
  More than one3 (2.8)10 (9.3)13 (6.0)
Living arrangements
  Alone13 (12.1)10 (9.2)23 (10.6)
  With partner44 (41.1)46 (42.2)90 (41.7)
  With children28 (26.2)44 (40.4)72 (33.3)
  With friends7 (6.5)7 (6.4)14 (6.5)
  With family37 (34.6)35 (32.1)72 (33.3)
Pregnancy history
  Previous pregnancies (“Yes”)82 (76.6)88 (80.7)170 (78.7)
  History of vaginal deliveriesa40 (48.8)59 (67.0)99 (58.2)
  History of cesarean deliveriesa18 (22.0)23 (26.1)41 (24.1)
  History of abortionsa51 (62.2)47 (53.4)98 (57.6)
  History of miscarriagesa23 (28.0)20 (22.7)43 (25.3)
  History of stillbirthsa0 (0.0)4 (4.5)4 (2.4)
  History of ectopic pregnanciesa0 (0.0)5 (5.7)5 (2.9)
  History of prior surgical abortions46 (43.0)44 (40.4)90 (41.7)
Gestational age
  5 - 12 weeks73 (68.2)73 (67.0)146 (67.6)
  13 - 18 weeks30 (28.0)32 (29.4)62 (28.7)
  19 - 24 weeks4 (3.7)4 (3.7)8 (3.7)

 

Table 2. Patient Symptoms, Expectations, and Satisfaction Pre- and Post-Operatively
 
CharacteristicGabapentinPlaceboTotal
Data are presented as median (Q1, Q3; n).
Nervousness
  Nervous about surgery63 (63, 86; 107)60 (35.5, 84.5; 109)63 (34, 85.75; 216)
  Nervous about expected pain65 (39, 89; 107)63 (36.5, 88; 109)64 (39, 88.75; 216)
Pain
  Expected pain with procedure55 (34, 68; 107)53 (25, 69.5; 109)53.5 (30.25, 69; 216)
  Baseline0 (0, 3; 107)0 (0, 4; 109)0 (0, 4; 216)
  5 min17 (0, 60; 107)17 (2, 53; 109)17 (1, 56.5; 216)
  30 min20 (3, 55; 107)23 (3, 57; 109)21.5 (3, 56.75; 216)
  24 h0 (0, 20; 67)1 (0, 12.5; 61)1 (0, 13.75; 128)
Satisfaction
  Surgical procedure (24 h)100 (90, 100; 67)100 (100, 100; 61)100 (100, 100; 128)
  Entire procedure96 (85, 100; 107)97 (84.5, 100; 109)96 (85, 100; 216)
  With pain control (30 min)90 (70, 98; 107)92 (73.5, 99; 109)91.5 (71.25, 99; 216)
  With pain control (24 h)100 (80, 100; 67)100 (80, 100; 61)100 (80, 100; 128)