Lidocaine and Pain Management in First Trimester Abortions
A Comparison of Intrauterine Lidocaine Infusion and Paracervical Block for Pain Management in First Trimester Abortions
1 other identifier
interventional
80
1 country
2
Brief Summary
The purpose of this study is to examine the effect of lidocaine (a numbing medication) inside the uterus on patient pain during an early abortion, compared to the paracervical block (lidocaine injected on either side of the cervix).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable pain
Started Sep 2007
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2007
CompletedFirst Submitted
Initial submission to the registry
January 31, 2008
CompletedFirst Posted
Study publicly available on registry
February 13, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2008
CompletedResults Posted
Study results publicly available
July 31, 2017
CompletedJuly 31, 2017
July 1, 2017
8 months
January 31, 2008
April 29, 2017
July 28, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The Effects of an Intrauterine Lidocaine Infusion to Standard Paracervical Block on Decreasing Patient Pain Measured by Visual Analog Scale in First Trimester Abortions.
Subjects perception of pain is measured using a 100mm visual analog scale (VAS).The 100mm Pain Visual Analog Scale (VAS) is an instrument used to capture subjective attitudes that cannot be directly measured. When responding to a VAS item, respondents specify their level of pain by indicating a position along a 100mm continues line: pain scores can range from 0 (no pain) to 100 (worst pain imaginable).
Immediately (time zero) at uterine aspiration
Study Arms (2)
Lidocaine infusion
EXPERIMENTAL5 milliliter intrauterine infusion of 4% lidocaine, infusion will be placed slowly over 3 minutes.
Paracervical block only
ACTIVE COMPARATORStandard paracervical block (8 milliliter 1% lidocaine at 4 and 8 o'clock at the cervical-vaginal reflection) will be placed.
Interventions
5 milliliter intrauterine infusion of 4% lidocaine, infusion will be placed slowly over 3 minutes.
Eligibility Criteria
You may qualify if:
- Good general health
- Age\>18years
- English speaking
- Voluntarily requesting pregnancy termination
- Have an estimated gestation of up to 76 days since the first day of the preceding menstrual period
- Confirmed by ultrasound
- Be able and willing to sign an informed consent
- Agree to the terms of the study
- All patients must be premedicated with Ibuprofen and Valium (per clinic protocols)
You may not qualify if:
- Significant physical or mental health condition
- A gestational age of 77 days or more
- Adnexal mass or tenderness on pelvic exam consistent with pelvic inflammatory disease
- Patients who require or request IV/intramuscular sedation
- Patients who refuse Ibuprofen, Valium and/or paracervical blocks
- Patients allergic to lidocaine
- Patients with known hepatic disease
- Patients weighing less than 100 lbs
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Planned Parenthood of the Columbia Willamette
Portland, Oregon, 96822, United States
Oregon Health and Science University
Portland, Oregon, 97239, United States
Related Publications (1)
Edelman A, Nichols MD, Leclair C, Jensen JT. Four percent intrauterine lidocaine infusion for pain management in first-trimester abortions. Obstet Gynecol. 2006 Feb;107(2 Pt 1):269-75. doi: 10.1097/01.AOG.0000194204.71925.4a.
PMID: 16449111BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Alison Edelman
- Organization
- Oregon Health & Science University
Study Officials
- PRINCIPAL INVESTIGATOR
Alison Edelman, M.D., M.P.H
Oregon Health and Science University
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistant Professor
Study Record Dates
First Submitted
January 31, 2008
First Posted
February 13, 2008
Study Start
September 1, 2007
Primary Completion
May 1, 2008
Study Completion
May 1, 2008
Last Updated
July 31, 2017
Results First Posted
July 31, 2017
Record last verified: 2017-07