Effect of lignocaine spray in addition to paracervical block as analgesia for uterine curretage- An observational study

Patients fulfilling the eligibilty criteria will be included after obtaining informed  consent. Detailed history, clinical examination and routine preoperative investigation will be done and patients will be allocated into group 1 and group 2.In Group 1 patients 10ml of 1% lignocaine will be injected paracervically at 5 and 7 o’ clock at the junction of cervix and vagina for Paracervical block(PCB). In Group 2 patients,3 puffs of lignocaine spray(30mg of 10% lignocaine) will be directed on cervix and vaginal vault. After a waiting period of 2 minutes cervix will be held with  an instrument and another 3 puffs will be directed towards the cervical external os. After further waiting period of 2 minutes 10ml of lignocaine will be injected paracervically at 5 and 7 o’clock at the junction of cervix and vagina for PCB .After PCB patients will undergo uterine curettage procedures according to the institution protocol. Pain score will be qualified by numeric pain rating scale(NPRS) which will be explained to the patient before the procedure. NPRS will be used after holding the cervix, immediately after the procedure,30 minutes and 1 hour after the procedure.