Topical Anesthesia During Catheter Insertion for Cervical Ripening (TOLERANCE)

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexFemale
Age18+
SponsorBnai Zion Medical Center

About this trial

The goal of this RCT is to learn if application of topical anesthetic cream to the perineum and posterior wall of vagina prior to balloon catheter insertion as part of labor induction will reduce pain levels experienced by pregnant individuals.

All participants are 18 or older, carrying a singleton in vertex position and in need of labor induction, are late-preterm or term (34 weeks gestation and onward) and without contraindication to vaginal delivery.

Investigators seek to compare pain levels and patient satisfaction between two groups:

Nulliparous patients, using EMLA or placebo (randomized, double blinded). Multiparous patients, EMLA or placebo.

Eligibility criteria

Qualifiers

Women scheduled for labor induction with balloon catheter.

18 years of age or older.

Singleton pregnancy with a cephalic presentation.

≥ 34 completed gestational weeks.

Disqualifiers

Unable or unwilling to provide and sign informed consent forms.

Known sensitivity to EMLA or placebo substance.

Known vulvodynia or vaginismus - rendering vaginal examination not possible.

Any chronic pain syndrome

Trial design

Treatments tested in this trial

  • Topical Analgesia with Lidocaine-Prilocaine cream
  • Placebo

Treatment groups

200 Participants
are divided into 2 treatment groups

Sponsors and collaborators