Objective: Examine the effectiveness of IV sedation in addition local analgesia compared to local analgesia alone for LEEP pain management.
Methods: This quality improvement project surveyed 89 patients who underwent a LEEP procedure: 26 in the local only group and 63 in the IV + local group. Patients completed a visual analog scale and pain survey immediately following their LEEP.
Results: The local analgesia + IV sedation group reported a lower average pain score compared to the local analgesia only group (2.4 ± 2.2 v 3.6 ± 2.7). However, this was not statistically significant, p 0.47. Patients found it was helpful to know what to expect prior to the LEEP and utilized various means of pain relief in addition to the primary treatments assessed.
Conclusions: There is a need for high quality trials to determine best practices of pain management.
Keywords: LEEP, loop electrosurgical excision procedure, analgesia, anesthetic, local
How to Cite: Frahm AJ, Hardy-Fairbanks AJ, Stockdale CK. Look before you LEEP: patient reported pain with IV sedation vs local analgesia. Proc Obstet Gynecol. 2022;11(1): Article 8 [ 6 p.]. Available from: https://pubs.lib.uiowa.edu