Effectiveness of Anti-Inflammatory Drugs for Preventing Pain Versus Treating Pain During Medical Abortion From 13 to 22 Weeks at Hung Vuong Hospital

Le Thi Kieu Trang

Status: Not yet enrolling

Conditions: Anti-Inflammatory Agents, Non-Steroidal; Abortion, Spontaneous; Pain Management

Treatments: Drug: Prophylactic NSAID Administration; Drug: On-Demand NSAID Administration

Study type: Interventional

Funder types: Other

Identifiers

NCT06696573

Hung Vuong Hospital

Details and patient eligibility

About

The goal of this clinical trial is to assess the effectiveness of non-steroidal anti-inflammatory drugs (NSAIDs) for prophylactic pain relief compared to on-demand pain relief during medical abortion for pregnancies between 13 and 22 weeks at Hung Vuong Hospital in Ho Chi Minh City. The main questions it aims to answer are:

1. Does prophylactic use of NSAIDs reduce pain compared to on-demand use during medical abortion?
2. What are the potential adverse effects of NSAIDs in this context?

Researchers will compare a group receiving prophylactic NSAIDs to a control group receiving on-demand pain relief to determine if the prophylactic approach leads to improved pain management outcomes.

Participants will:

• Be given NSAIDs either as a preventative measure or upon the onset of pain.
• Be monitored for pain levels using validated pain scales, any side effects, and outcomes of the abortion procedure.

Enrollment: 180 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Pregnant women aged 18 years or older.
• No mental illness.
• Gestational age between 13 and 22 weeks (based on the last menstrual period with a regular menstrual cycle and accurate recall of the last menstrual period, or based on a first-trimester ultrasound) with an indication of stillbirth, fetal malformation requiring termination, or voluntary abortion with counseling and understanding of the abortion procedure.
• Willing to participate in the study.
• Capable of reading and signing the informed consent form.
• Able to provide personal information independently.

Exclusion criteria

• Medical conditions contraindicating medical abortion: bleeding disorders, anticoagulant use, moderate to severe anemia.
• Cardiovascular conditions: heart failure, mitral valve stenosis, embolism, uncontrolled hypertension.
• Other medical conditions: renal failure, adrenal gland disorders, severe asthma, liver and biliary diseases, glaucoma.
• Active pelvic inflammatory disease or acute genital infections.
• Previous uterine surgery.
• Placenta previa or central placenta previa.
• Uterine malformations.
• History of allergy to NSAIDs, Mifepristone, or Misoprostol.
• Unwillingness to participate in the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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180 participants in 2 patient groups

Prophylactic NSAID Group for Pain Management in Medical Abortion

Experimental group

Description:

Participants in this group will receive a prophylactic administration of a non-steroidal anti-inflammatory drug (NSAID) to manage pain before its onset during the medical abortion process for pregnancies between 13 and 22 weeks. The intervention will involve the use of a generic NSAID (e.g., Ibuprofen), administered in oral tablet form at a specified dosage, such as 400 mg. The medication will be taken prior to the expected onset of uterine contractions and will be monitored for efficacy and safety throughout the duration of the procedure. The administration may be repeated based on the clinical protocol, with an appropriate frequency adjusted according to the needs and response of the participant. The aim is to evaluate pain reduction, overall satisfaction, and any potential side effects or adverse events associated with this prophylactic approach.

Treatment:

Drug: Prophylactic NSAID Administration

On-Demand NSAID Group for Pain Management in Medical Abortion

Experimental group

Description:

Participants in this group will receive non-steroidal anti-inflammatory drugs (NSAIDs) on an as-needed basis during the medical abortion process for pregnancies between 13 and 22 weeks. The administration will occur once participants report experiencing pain, with the goal of managing pain symptoms as they arise. The intervention involves a specified dosage of a generic NSAID (e.g., Ibuprofen) in oral tablet form, typically 400 mg, administered as required to control pain. The effectiveness of on-demand NSAID administration will be evaluated in terms of pain relief, safety, and participant satisfaction throughout the procedure.

Treatment:

Drug: On-Demand NSAID Administration