OPIOID Study - Pain With Osmotic Dilators

OPIOID Study: Opioid Use and Pain After Insertion of Osmotic Dilators

Comparison of pain levels and pain medications utilized following insertion of two different types of osmotic dilators.

This is a randomized controlled trial to assess and compare pain levels and pain medication needs following placement of Laminaria versus Dilapan-S for cervical preparation prior to second-trimester dilation and evacuation (D&E) procedures. Pain levels and medication usage will also be assessed following the D&E procedure itself, up to 7 days after the procedure.

Inclusion Criteria:

• scheduled D&E for 15+0 to 23+6 wga
• ability to speak and read in English
• ownership of smartphone with internet access and data plan

Exclusion Criteria:

- chronic pain, fibromyalgia, active pelvic infection, inability to take NSAIDS, current use of narcotics