Patient Preferences in Anesthesia for Abortion Care

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Patient Preferences in Anesthesia for Abortion Care

Conditions
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Pregnancy Termination in First Trimester

Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Oral Sedation<br>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<br>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. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Identify Patient Priorities and Preferences for pain and pain management through Qualitative Analysis | 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. | through patient completion in study, up to one week following the procedure | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Compare quantitative and qualitative assessment of pain | 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. | through patient completion in study, up to one week following the procedure | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pain management, Nitrous