To assess if paracervical block is effective at reducing discomfort during placement of
intracervical laminaria for pre-operative cervical preparation.
Pre-operative dilation of the cervix with use of osmotic dilators (e.g. laminaria,
dilapan-S) is commonly done prior to pregnancy termination to make the procedure safer. This
study seeks to assess whether paracervical blocks are effective at reducing pain associated
with placement of laminaria. Secondarily, this study will evaluate if paracervical blocks
are effective at reducing overall procedural pain and increasing overall patient
satisfaction for the intracervical laminaria placement procedure.
- Pregnant women between the ages of 18-49 years
- Desiring surgical termination of pregnancy or surgical management of a fetal demise
- Treatment plan involves cervical preparation with laminaria
- Participant able to provide informed consent in English and willing to participate in
- Unable to read/speak/understand English
- Contraindications to receiving lidocaine