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Vocal Local.pdf

Vocal local

As effective as pharmacological treatments for pain management of tubal ligation procedures in rural Kenya

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In rural sub-Saharan Africa, the provision of analgesics during tubal ligation procedures can be expensive, subject to frequent stock-outs, and associated with potential side effects. 

In these settings we offer women the option to substitute analgesics for the  non pharmacological pain management technique known as vocal local. No study has so far rigorously evaluated whether this technique is an effective substitution for pain management.To address this evidence gap, we carried out a randomised controlled trial among women choosing tubal ligatons from Marie Stopes International Kenya's mobile outreach sites. The study measured the pain, anxiety and satisfaction women felt with the procedure.

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