Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Control During First Trimester Abortion
Status: | Enrolling by invitation |
---|---|
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 12/9/2018 |
Start Date: | October 16, 2017 |
End Date: | March 2019 |
Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Control During First Trimester Abortion: A Blinded Randomized Controlled Trial
High-frequency, high-intensity transcutaneous electrical nerve-stimulation (TENS) is an
inexpensive and non-invasive pain control approach. TENS, pulsating electrical currents that
activate underlying nerves, does not have drug interactions or risk of overdose. Cochrane
review of TENS for acute pain found inconclusive evidence. One previous abortion trial
comparing TENS to IV sedation only looked at pain control in the recovery room. The
investigators propose a randomized controlled trial comparing TENS to IV sedation (in
conjunction with local anesthesia) among women presenting for first-trimester surgical
abortion. Primary outcome will be perceived pain by Visual Analogue Scale (VAS) during
cervical dilation.
inexpensive and non-invasive pain control approach. TENS, pulsating electrical currents that
activate underlying nerves, does not have drug interactions or risk of overdose. Cochrane
review of TENS for acute pain found inconclusive evidence. One previous abortion trial
comparing TENS to IV sedation only looked at pain control in the recovery room. The
investigators propose a randomized controlled trial comparing TENS to IV sedation (in
conjunction with local anesthesia) among women presenting for first-trimester surgical
abortion. Primary outcome will be perceived pain by Visual Analogue Scale (VAS) during
cervical dilation.
Inclusion criteria:
- Presenting for surgical abortion
- Gestational age <12 weeks
- < 18 years of age
- Agrees to be randomized
Exclusion criteria:
- Allergy to study medications (lidocaine, fentanyl, midazolam)
- > 18 years of age
- Fetal demise
- Pre-procedure use of misoprostol
- No means of transportation following procedure
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