Abortion in First Trimester Clinical Trial
Official title:
Assessing the Effect of Paracervical Block Volume on Pain Control for Dilation and Curettage: a Randomized Controlled Trial
Verified date | March 2021 |
Source | University of California, San Diego |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The investigators are conducting a study on pain control for dilation and curettage (D&C). Participants are eligible to enroll if they are a planning to have a D&C in a participating clinic. The investigators are studying how different ratios of medication to liquid affect pain when injected around the cervix. Both potential methods use the same dose of medication, though researchers would like to know which one works better. To be in this study, participants must be over the age of 18 with an early pregnancy loss or undesired pregnancy measuring less than 12 weeks gestation undergoing D&C while awake in clinic.
Status | Active, not recruiting |
Enrollment | 113 |
Est. completion date | July 1, 2021 |
Est. primary completion date | December 14, 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: 1. Women over the age of 18 presenting to University of California, San Diego (UCSD) and University of California, Los Angeles (UCLA) 2. Undesired pregnancy or missed abortion < 11 weeks 6 days gestation 3. Must speak English or Spanish 4. Desire surgical termination of pregnancy or management of miscarriage in clinic Exclusion criteria: 1. Women with a diagnosis of inevitable or incomplete abortion 2. Desire for general anesthesia or IV sedation 3. Chronic pain conditions 4. Any medical comorbidities that are a contraindication to performing the procedure in the clinic setting 5. Allergy to or refusal of ketorolac, oral Versed, or a paracervical block 6. If they have taken any pain medications the day of presentation to clinic 7. If they have taken Misoprostol the day of presentation to clinic |
Country | Name | City | State |
---|---|---|---|
United States | University of California, San Diego | La Jolla | California |
Lead Sponsor | Collaborator |
---|---|
University of California, San Diego | University of California, Los Angeles |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Pain during cervical dilation | Distance (mm) from the left of the 100-mm Visual Analogue Scale (VAS) scale (reflecting magnitude of pain) recorded at time of cervical dilation. Pain will be assessed using a 100 mm visual analogue scale with the anchors 0 = none, 100 mm = worst imaginable. We will also assess pain at various time points (including secondary outcomes) immediately upon completion of the respective step. | immediate | |
Secondary | Pain level at other time points (baseline, speculum placement, block placement, uterine aspiration, 10 minutes post-procedure, overall) | pain at different time points | during 1 day of clinic visit | |
Secondary | Patient Satisfaction | How did the paint compare to the expected pain? What could have been better? | during 1 day of clinic visit | |
Secondary | Adverse events | side effects at time of paracervical block placement | immediate | |
Secondary | Survey of provider performing procedure | Clinical questions about the patient and the procedure | during 1 day of clinic visit |
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