Abortion, Induced, Pain Management
Conditions
Keywords
Abortion, Induced, Laminaria, Pain management, Cervical preparation, Dilation and Evacuation
Brief summary
This is a study to investigate whether instilling a small amount of liquid lidocaine into the uterus will decrease pain felt by women during laminaria insertions done for cervical dilation prior to second trimester abortion. The investigators hypothesize that women who receive intrauterine lidocaine in addition to a paracervical block will experience less pain than women who receive only a paracervical block.
Interventions
100mg of liquid lidocaine, single dose, instilled into the uterine cavity via a flexible trans-cervical catheter immediately prior to laminaria insertion.
5mL of normal saline, instilled into the uterus via a flexible trans-cervical catheter immediately prior to laminaria insertion.
Sponsors
Study design
Eligibility
Inclusion criteria
* Can sign informed consent * Healthy pregnant females * Weight over 45kg * Seeking abortion by dilation and evacuation in the second trimester of pregnancy * Gestational age 14-24 weeks confirmed by clinic ultrasound
Exclusion criteria
* Known allergy or previous reaction to lidocaine, bupivicaine or other anesthetic agent * Known allergy or previous reaction to ibuprofen or other NSAID
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient self-report of pain score during laminaria insertion, scored on a 100mm Visual Analog Scale | Immediately following laminaria insertion |
Secondary
| Measure | Time frame |
|---|---|
| Patient self-report of maximum recalled pain during interval between laminaria insertion and abortion procedure, scored on a 100mm Visual Analog Scale | 24-48 hours after laminaria insertion |
Countries
United States