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Phase 4 N=332 Randomized Single-blind Treatment

Refining Paracervical Block Techniques for Pain Control in First Trimester Surgical Abortion

Pain

Enrolled (actual)
332
Serious AEs
0.0%
Results posted
Jul 2017
Primary outcome: Primary: Patient Perception of Pain — 60; 68; 56; 63 mm

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Paracervical block technique with lidocaine (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
Female
Sponsor
Oregon Health and Science University
Primary completion
May 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Patient Perception of Pain
60; 68; 56; 63
SECONDARY
Pain Scores Throughout Procedure at Various Time Points
7.65; 4.84; 4.2; 6; 29.35; 27.31

Summary

The purpose of this study is to determine the level of pain women experience with a surgical abortion and the effect that varying paracervical block techniques might have on that pain. These different techniques involve wait time following the injection as well as the number of sites injected.

Eligibility Criteria

Inclusion Criteria

  • age 18 years or older
  • voluntarily requesting pregnancy termination
  • ultrasound-confirmed intrauterine pregnancy up to 10 6/7 weeks gestational age
  • generally healthy
  • English or Spanish speaking
  • able or willing to sign an informed consent and agree to terms of the study

Exclusion Criteria

  • gestational age over 10 6/7 weeks (due to routine use of misoprostol starting at this gestational age at the study sites)
  • incomplete abortion
  • failed medical abortion
  • required or requested IV sedation (prior to randomization)
  • patient who declines Ibuprofen, Lorazepam or PCB
  • medical contraindication or allergy to any of the study medications
  • chronic use of narcotic pain medication or heroin
  • significant physical or mental health condition
  • adnexal mass or tenderness on pelvic exam consistent with inflammatory disease
  • known hepatic disease
  • women who, in the opinion of the investigator, are not suitable for the study protocol
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01466491). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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