Comparison of pain levels and pain medications utilized following insertion of two different types of osmotic dilators.
This is a randomized controlled trial to assess and compare pain levels and pain medication needs following placement of Laminaria versus Dilapan-S for cervical preparation prior to second-trimester dilation and evacuation (D\&E) procedures. Pain levels and medication usage will also be assessed following the D\&E procedure itself, up to 7 days after the procedure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
68
Albany Medical Center Obstetrics and Gynecology
Albany, New York, United States
Maximum pain above baseline following Laminaria versus Dilapan-S placement
Timed surveys measuring pain on Numeric Rating Scale (0-10), administered approximately 24 hours after dilator placement
Time frame: First 24 hours after dilator placement
Time of maximum pain above baseline following Laminaria versus Dilapan-S placement
Timing of maximum Numeric Rating Scale (0-10) pain difference among measurements approximately 24 hours after dilator placement
Time frame: First 24 hours after dilator placement
Pain medication use after Laminaria versus Dilapan-S placement
Timed surveys of pain medication usage at 2 hours, 4 hours, 8 hours, and approximately 24 hours after dilator placement
Time frame: First 24 hours after dilator placement
Maximum pain increase over baseline following D&E procedure
Timed surveys measuring pain on Numeric Rating Scale (0-10), administered at 1 hour, 4 hours, 24 hours, 48 hours, and 1 week after D\&E procedure
Time frame: First week after D&E
Pain medication use after D&E
Timed surveys of pain medication usage, administered at 4 hours, 24 hours, 48 hours, and 1 week after D\&E procedure
Time frame: First week after D&E
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