Study: NCT02354092

Intervention type: PROCEDURE
Group type: EXPERIMENTAL
Intervention: Local anesthetic for tenaculum placement
Description: 2 mL of buffered Lidocaine injected superficially at anterior lip of cervix in 12 o'clock position Drug: 1% Lidocaine Hydrochloride, 8.4% Sodium Bicarbonate

Intervention type: PROCEDURE
Group type: SHAM_COMPARATOR
Intervention: Local anesthetic for tenaculum placement
Description: 2 mL of buffered Lidocaine injected superficially at anterior lip of cervix in 12 o'clock position Drug: 1% Lidocaine Hydrochloride, 8.4% Sodium Bicarbonate

Intervention type: PROCEDURE
Group type: SHAM_COMPARATOR
Intervention: Sham
Description: Over 60 seconds, without moving the tenaculum, a capped needle gently touches the vaginal sidewall at the level of the external os at 4 and 8 o'clock positions

Intervention type: PROCEDURE
Group type: EXPERIMENTAL
Intervention: Paracervical Block
Description: 18 mL of buffered Lidocaine is slowly injected into the vaginal fornices and equally distributed at 4 and 8 o'clock. The injection is continuous from superficial to deep (3cm) to superficial (injecting with insertion and withdrawal) Drug: 1% Lidocaine Hydrochloride, 8.4% Sodium Bicarbonate

Intervention type: PROCEDURE
Group type: EXPERIMENTAL
Intervention: Dilator Placement
Description: Osmotic dilators will be placed in the usual fashion with a combination of Dilapan-S and laminaria per clinician preference~Drugs:~Dilapan-S is a hygroscopic cervical dilator made of a patented hydrogel called AQUACRYL. It is a rigid hydrophilic stick that increases in volume by absorbing fluids and comfortably dilating the cervix.~Laminaria is an herbal medicine used to induce labor and abortion. The dried stem of Laminaria mechanically dilates the cervical opening by absorbing water and swelling to several times its original diameter.

Intervention type: PROCEDURE
Group type: SHAM_COMPARATOR
Intervention: Dilator Placement
Description: Osmotic dilators will be placed in the usual fashion with a combination of Dilapan-S and laminaria per clinician preference~Drugs:~Dilapan-S is a hygroscopic cervical dilator made of a patented hydrogel called AQUACRYL. It is a rigid hydrophilic stick that increases in volume by absorbing fluids and comfortably dilating the cervix.~Laminaria is an herbal medicine used to induce labor and abortion. The dried stem of Laminaria mechanically dilates the cervical opening by absorbing water and swelling to several times its original diameter.

Intervention type: BEHAVIORAL
Group type: EXPERIMENTAL
Intervention: Post-procedural assessment
Description: 15 minutes after procedure, subjects will complete a questionnaire that collects information about pain, negative symptoms, and assessment of how effective their pain management was.

Intervention type: BEHAVIORAL
Group type: SHAM_COMPARATOR
Intervention: Post-procedural assessment
Description: 15 minutes after procedure, subjects will complete a questionnaire that collects information about pain, negative symptoms, and assessment of how effective their pain management was.

Intervention type: DRUG
Group type: EXPERIMENTAL
Intervention: Preprocedural pain control
Description: 800 mg Ibuprofen taken before dilator placement

Intervention type: DRUG
Group type: SHAM_COMPARATOR
Intervention: Preprocedural pain control
Description: 800 mg Ibuprofen taken before dilator placement