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Paracervical Block During II-trimester Abortion

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ClinicalTrials.gov Identifier: NCT01617564
Recruitment Status : Completed
First Posted : June 12, 2012
Last Update Posted : May 18, 2015
Information provided by (Responsible Party):
Kristina Gemzell Danielsson, Karolinska Institutet

Brief Summary:
Paracervical blockage can reduce severe pain during second trimester induced medical abortion.

Condition or disease Intervention/treatment Phase
Second Trimester Medical Abortion Drug: bipuvacain Other: NaCl Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 112 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Triple (Participant, Care Provider, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Paracervical Block (PCB) During II-trimester Abortion- A Randomized Controlled Trial
Study Start Date : May 2012
Actual Primary Completion Date : May 2015
Actual Study Completion Date : May 2015

Resource links provided by the National Library of Medicine

Drug Information available for: Bupivacaine

Arm Intervention/treatment
Active Comparator: Bupivacain Drug: bipuvacain
PCB with 20ml bupivakain or sodium cloride 9mg/ml will be administered one hour following misorpostol administration (first dose).
Other Name: (Marcain® 2,5mg/ml)

Sham Comparator: Sodium Chloride Other: NaCl
PCB with 20ml sodium chloride (9mg/ml) inactive (sham) comparator

Primary Outcome Measures :
  1. Pain score [ Time Frame: at 24 hours ]
    Pain indicated on VAS at specific time intervals during the induction to expulsion

Secondary Outcome Measures :
  1. Efficacy [ Time Frame: after 24h from induction ]
    Number of complete abortions within 24h without the need for surgery

  2. Time to abortion [ Time Frame: at 24hours ]
    Time from induction (first dose of misoprostol) to expulsion

  3. Number of Participants with Adverse Events as a Measure of Safety and Tolerability [ Time Frame: at 6 to 8 weeks ]
    AEs reported during the time period from mifepristone (Day 1)until follow up

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 50 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Women who request second trimester medical abortion (13-22 weeks gestation according to ultrasound)
  • 18 years of age or older
  • able to understand and communicate in Swedish
  • able to understand the study related information and willing to give her
  • informed consent to participation in the study

Exclusion Criteria:

  • Known allergy to bupivakain or related substances

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01617564

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Dept of Obstetrics and Gynecology, Karolinska University Hospital
Stockholm, Sweden, SE17176
Stockholm, Sweden
Sponsors and Collaborators
Kristina Gemzell Danielsson
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Principal Investigator: Kristina Gemzell Danielsson, MD, PhD Karolinska Institutet
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Kristina Gemzell Danielsson, Professor, Karolinska Institutet
ClinicalTrials.gov Identifier: NCT01617564    
Other Study ID Numbers: W2010IM
First Posted: June 12, 2012    Key Record Dates
Last Update Posted: May 18, 2015
Last Verified: May 2015
Keywords provided by Kristina Gemzell Danielsson, Karolinska Institutet:
medical abortion
second trimester
para cervical blockage
pain management
Additional relevant MeSH terms:
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Anesthetics, Local
Central Nervous System Depressants
Physiological Effects of Drugs
Sensory System Agents
Peripheral Nervous System Agents