Inhaled Lavender Effect on Anxiety and Pain Caused From Intrauterine Device Insertion

Shahnazi, Mahnaz; Nikjoo, Roya; Yavarikia, Parisa; Mohammad‐Alizadeh‐Charandabi, Sakineh

doi:10.5681/jcs.2012.035

Cited by 13 publications

(6 citation statements)

References 21 publications

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“…On the basis of previous work by Shahnazi et al, 16 we assumed a mean (SD) change in anxiety in the experimental group of −4.19 (6.39) and in the placebo group of −.74 (4.18). Using a two-sided twosample t test and assuming unequal variance, we learned that 62 patients (31 per trial arm) were needed to obtain a power of 80% at alpha .05.…”

Section: Methodsmentioning

confidence: 99%

“…28 For example, one prior study investigated the use of aromatherapy during IUD insertion and found a statistically significant decrease in anxiety measured before IUD insertion with use of LA compared with baseline anxiety levels. 16 No study, to our knowledge, has assessed use of aromatherapy during IUI procedures. In the present randomized controlled trial, we aimed to evaluate the use of LA for patients undergoing IUI, with assessment for patient anxiety, pain, and satisfaction before, during, and after IUI.…”

Section: Introductionmentioning

confidence: 99%

“…This baseline anxiety regarding the procedure has been shown to affect patient decision-making and, ultimately, avoidance of IUD placement. 16 Similarly, women have different levels of anxiety, stress, and pain during infertility treatment procedures, including IUI. Patients with infertility specifically report anxiety and pain due to physical discomfort and the eagerness and anticipation of a long-awaited pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Lavender Aromatherapy to Reduce Anxiety During Intrauterine Insemination: A Randomized Controlled Trial

Jones

Purdy

Stewart

et al. 2021

Glob Adv Health Med

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Background Infertility is a global public health issue. Therapies such as intrauterine insemination (IUI) are effective but may be associated with considerable anxiety. Preliminary data suggest that decreasing this anxiety might lead to improved outcomes. Objective To determine whether lavender aromatherapy (LA) reduces anxiety during an IUI procedure. Methods A randomized controlled trial of women undergoing IUI at a hospital-based fertility clinic. The intervention and comparison were the use of LA vs water. Measurements were the change in anxiety level during an IUI procedure, with secondary assessment of pain scores, patient satisfaction, and pregnancy rates. Results In total, 67 women were screened, and 62 women randomly assigned to either placebo (n = 31) or LA (n = 31). No differences were observed in baseline demographic characteristics or visual analog scores for anxiety before IUI (mean [95% CI], 33.9 [25.2 to 45.6] mm vs 41.0 [33.0 to 49.0] mm) in the LA and placebo groups. However, a statistically significant change in anxiety was observed after LA inhalation during the procedure (mean [95% CI], −11.2 [−19.1 to −3.2]) compared with placebo (mean [95% CI], 1.3 [−5.6 to 8.2]; P = .02). No significant difference was observed in pain during IUI in the LA group vs placebo group. Patient satisfaction was high, with 93% of respondents in the LA group satisfied with the aromatherapy during their procedure. Additionally, 76% of participants who received placebo reported that they would prefer to use LA during their IUI. No statistically significant difference was detected in pregnancy rates between the 2 groups: 19.4% with LA vs 9.7% with placebo ( P = .47). Conclusion LA reduced anxiety and was preferred by women during IUI fertility treatments.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Lavender Aromatherapy to Reduce Anxiety During Intrauterine Insemination: A Randomized Controlled Trial

Jones

Purdy

Stewart

et al. 2021

Glob Adv Health Med

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“…Twelve studies examined lidocaine, misoprostol, nonsteroidal anti-inflammatory drugs (NSAIDs), and other pharmacological interventions to relieve pain and anxiety during IUD insertion [9][10][11][12][13][14][15][16][17][18][19][20]. Lidocaine 1% (10mL) paracervical block significantly decreased the pain when compared to placebo during IUD insertion and reduced pain after IUD insertion (5min) compared to placebo [9].…”

Section: Pharmacological Interventionsmentioning

confidence: 99%

“…Very few studies retrieved measured anxiety before IUD insertion. In a randomized controlled clinical trial, researchers found that inhaled lavender, compared to placebo on pain and anxiety during IUD, had significantly decreased mean anxiety scores after the use (compared with before the use of lavender) (43.2 ± 9.2 to 39.0 ± 10.5; p< 0.001); however, the levels of pain after IUD insertion in the intervention and placebo groups were not significantly different [ 19 , 20 ]. Other non-pharmacological interventions include applying vulsellum slowly versus quickly, applying it during, before, or after the menstrual cycle, inhaling 50% nitrous oxide and 50% oxygen versus oxygen, using a dental armamentarium to apply paracervical block analgesia, and applying paracervical block anesthesia with a jet injector rather than needle and syringe [ 20 ].…”

Section: Reviewmentioning

confidence: 99%

Advancing Pain Management Protocols for Intrauterine Device Insertion: Integrating Evidence-Based Strategies Into Clinical Practice

Estevez,

Hem-Lee-Forsyth,

Viechweg

et al. 2024

Cureus

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The discomfort and anxiety associated with the intrauterine device (IUD) insertion process is a significant barrier to its adoption as a form of contraception despite its high efficacy. This study aimed to classify and identify methods for minimizing pain and anxiety in IUD implantation in women below the age of 49. A search of publications from online databases, PubMed and Google Scholar, revealed 14 articles that met the inclusion criteria. An analysis of the selected studies showed that several pharmacological and non-pharmacological measures effectively minimized patient discomfort associated with IUD insertion. Of the 14 studies, 12 evaluated pharmacological methods for pain management in IUD insertion, while two studies assessed non-pharmacological methods. The results showed that although the IUD is more effective than other forms of contraceptives, fear of pain related to the insertion process is one of the most significant barriers to the use of an IUD among women. Most studies identified pharmacological methods of pain management for IUD insertion, highlighting a need for more research on non-pharmacological methods to improve patient experiences and reduce associated fears.

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Interventions for pain with intrauterine device insertion

Lopez

Bernholc

Zeng

et al. 2015

Cochrane Database of Systematic Reviews

108

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Inhaled Lavender Effect on Anxiety and Pain Caused From Intrauterine Device Insertion

Cited by 13 publications

References 21 publications

Lavender Aromatherapy to Reduce Anxiety During Intrauterine Insemination: A Randomized Controlled Trial

Lavender Aromatherapy to Reduce Anxiety During Intrauterine Insemination: A Randomized Controlled Trial

Advancing Pain Management Protocols for Intrauterine Device Insertion: Integrating Evidence-Based Strategies Into Clinical Practice

Interventions for pain with intrauterine device insertion

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