Patient Preferences in Anesthesia for Abortion Care

Overview

This study will use semi-structured interviews with participants in a prospective cohort study to explore women's experiences of pain and preferences in pain management during first trimester surgical abortion to create a more patient centered experience. We will analyze two study cohorts of women undergoing first trimester surgical abortion: women choosing oral anesthesia and women choosing nitrous oxide.

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: February 23, 2022

Detailed Description

This study will utilize an open-ended semi-structured interview format to elicit a broader understanding of the multi-dimensional pain experience of woman undergoing an abortion procedure. This study seeks to provide further evaluation of the pain experience and preferences of women receiving alternative methods of pain management such as oral sedation and nitrous oxide. The study will use semi-structured interviews to explore women's experiences of pain and preferences in pain management during first trimester surgical abortion and will include a procedural pain outcome using the visual analog scale (VAS) to create a more patient centered experience.

Arms, Groups and Cohorts

  • Oral Sedation
    • Patients in this group will receive a standard procedure first trimester abortion using oral sedation for pain management following the clinic’s protocol. Patients in both groups will be administered a Visual Analog Scale (VAS) assessing pain on an unmarked 100mm VAS scale with anchors at 0mm (left) being “no pain” and 100mm (right) being “pain as bad as it could be” before their procedure and immediately following procedure completion.
  • Nitrous Oxide
    • Patients in this group will receive a standard procedure first trimester abortion using titrated nitrous oxide for pain management following the clinic’s protocol. Patients in both groups will be administered a Visual Analog Scale (VAS) assessing pain on an unmarked 100mm VAS scale with anchors at 0mm (left) being “no pain” and 100mm (right) being “pain as bad as it could be” before their procedure and immediately following procedure completion.

Clinical Trial Outcome Measures

Primary Measures

  • Identify Patient Priorities and Preferences for pain and pain management through Qualitative Analysis
    • Time Frame: through patient completion in study, up to one week following the procedure
    • To identify patient priorities and preferences for pain and pain management using Qualitative Analysis prior to their first trimester surgical abortion under local anesthesia with oral or nitrous oxide sedation.

Secondary Measures

  • Compare quantitative and qualitative assessment of pain
    • Time Frame: through patient completion in study, up to one week following the procedure
    • Compare the quantitative objective assessment of maximum procedural pain using the visual analog scale (VAS) with the qualitative assessment of pain obtained via semi-structured interviews.

Participating in This Clinical Trial

Inclusion Criteria

  • women undergoing first trimester surgical abortion choosing between oral anesthesia or nitrous oxide for pain management – women who are able to read and understand English – women who are 18 years old or older Exclusion Criteria:

  • under the age of 18 – women unable to consent and/or are cognitively impaired – women who are incarcerated – women who do not speak English

Gender Eligibility: Female

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • University of New Mexico
  • Collaborator
    • Society of Family Planning
  • Provider of Information About this Clinical Study
    • Principal Investigator: Rameet Singh, Chief, Division of Family Planning – University of New Mexico
  • Overall Official(s)
    • Rameet Singh, MD, MPH, Principal Investigator, University of New Mexico Health Sciences Center

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