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Intrauterine Lidocaine for Laminaria

Intrauterine Lidocaine for Pain Control During Laminaria Insertion Prior to Dilation & Evacuation (D&E)

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01541293
Enrollment
72
Registered
2012-02-29
Start date
2012-09-30
Completion date
2013-10-31
Last updated
2014-05-14

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

Conditions

Abortion, Induced, Pain Management

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

DRUGLidocaine

100mg of liquid lidocaine, single dose, instilled into the uterine cavity via a flexible trans-cervical catheter immediately prior to laminaria insertion.

DRUGNormal Saline

5mL of normal saline, instilled into the uterus via a flexible trans-cervical catheter immediately prior to laminaria insertion.

Sponsors

University of North Carolina, Chapel Hill
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

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

MeasureTime frame
Patient self-report of pain score during laminaria insertion, scored on a 100mm Visual Analog ScaleImmediately following laminaria insertion

Secondary

MeasureTime frame
Patient self-report of maximum recalled pain during interval between laminaria insertion and abortion procedure, scored on a 100mm Visual Analog Scale24-48 hours after laminaria insertion

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026