Overnight Pain Treatment Investigating Opioids vs. Nonopioids

A Pilot Randomized Trial of Opioids Versus Nonopioids for Pain Control After Osmotic Dilator Placement for Abortion Care

The purpose of this study is to compare maximum pain scores between patients seeking induced abortion and requiring cervical preparation with osmotic dilators. Patients will be randomized to receive prescription for ibuprofen alone or to receive prescription for ibuprofen + oxycodone for overnight pain management after cervical preparation with osmotic dilators. Data collected in-person and through a text-messaging platform.

Inclusion Criteria:

• English-speaking women
• 18 years or older
• Access to cell phone with text-messaging capability/data
• Receiving cervical preparation for induced abortion
• Able to complete baseline survey on smartphone/tablet at screening visit

Exclusion Criteria:

• History of opioid or alcohol abuse
• Contraindications or allergy to ibuprofen
• Contraindications or allergy opioid medications
• Seeking uterine evacuation for premature preterm rupture of membranes or advanced - cervical dilation or intrauterine fetal demise