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A comparison of pain levels following injections of hypotonic saline, sterile water or normal saline: A randomised trial

A comparison of pain levels following injections of hypotonic saline, sterile water or normal saline: A randomised trial in healthy adult females aged 18 to 45 years

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12626000138381
Acronym
HYPOS trial
Enrollment
89
Registered
2026-02-04
Start date
2026-05-07
Completion date
2026-05-22
Last updated
2026-07-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Sterile water injections are used by midwives to manage back pain during labour. The only side effect is the intense pain of the injections due to the lack of salt ions in sterile water. This placebo controlled double blind study aims to assess if a small concentration of salt added to the sterile water (0.2%) will reduce the pain of the injections. We hypothesize that the alternative low salt concentration solution will provide a more acceptable alternative to sterile water improving acceptability while maintaining clinical effectiveness.

Interventions

Intervention group 1: Participants in this group will receive two simultaneous injections of 0.2% sodium chloride solution into the intradermal layer of the skin above the posterior superior iliac spines (PSIS). The injections will done by two registered midwives trained in the procedure. The injections take less than 30 seconds to complete and are given once. The 0.2% sodium chloride solution will be achieved by mixing 0.2mls of 0.9% sodium chloride for injection with 0.8mls of sterile water f

Intervention group 1: Participants in this group will receive two simultaneous injections of 0.2% sodium chloride solution into the intradermal layer of the skin above the posterior superior iliac spines (PSIS). The injections will done by two registered midwives trained in the procedure. The injections take less than 30 seconds to complete and are given once. The 0.2% sodium chloride solution will be achieved by mixing 0.2mls of 0.9% sodium chloride for injection with 0.8mls of sterile water for injection. The volume injected at each site will be 0.1- 0.3mls depending on the visual assessment of the resulting bleb. Consistency in site selection and procedural continuity will be monitored by the administering investigators. Intervention group 2: Sterile water. Participants in this group will receive two simultaneous injections of sterile water into the intradermal layer of the skin above the PSIS. The volume injected at each site will be 0.1-0.3 mls.

Sponsors

The University of Queensland
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

Student enrolled at the University of Queensland Substantially healthy (self assessed) Aged between 18 – 45 years Female sex (at birth)

Exclusion criteria

Pregnancy Chronic or ongoing pain Use of medication for depression, pain, or sleeping disorder 24?h before the experiment Smoking, physical activity, and intake of caffeinated beverages (coffee, tea, or energy drink (e.g., Red Bull)) 2 hrs before the experiment.

Outcome results

None listed

Source: ANZCTR · Data processed: Jul 23, 2026