Interventions for pain with intrauterine device insertion

Allen, Rebecca H.; Bartz, Deborah; Grimes, David A.; Hubacher, David; O’Brien, P. T.

doi:10.1002/14651858.cd007373

Cited by 33 publications

(43 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To determine the sample size on the basis of Allen et al [16] study, the number of samples was considered 32 people for each group and 40 people in each group considering the drop out possibility of the samples, using M = 3.6 and SD = 1.1 and considering α = 0.05 and power = 90% for diagnosis of at least reduction in pain level.…”

Section: Methodsmentioning

confidence: 99%

Comparing EMLA Cream and Ibuprofen on Pain after Insertion of Copper Intrauterine Device

Boryri¹,

Khojasteh²

2017

IJCM

View full text Add to dashboard Cite

Background and Objective: IUD is a safe, effective, and reversible method throughout the world, particularly in areas where population growth is too much. One of the main barriers to use IUD is the fear and pain of its insertion. Therefore, it is necessary to take measures to reduce the pain, and this study was conducted to investigate the effect of EMLA cream and ibuprofen on pain during IUD insertion. Materials and Methods: This randomized controlled clinical trial study was conducted on 120 women who admitted to Imam Javad health center in Zahedan in 2015-2016 for insertion of IUD. Women who admitted to this center were randomly assigned into 3 groups of EMLA group (n = 40), ibuprofen (n = 40), and control or placebo (n = 40). These women have no problem to insert IUD. Demographic data and pain level were recorded in a questionnaire based on Johnson's Visual analog scale of pain at 3 stages of IUD insertion, and all IUDs were inserted by a midwife and then data were analyzed by SPSS software. Findings: The results of this research show that the lowest level of pain severity at three stages of insertion related to the EMLA cream (P < 0.01), while the maximum level of pain in the 3 groups related to Tenaculum. Conclusion: The results of the study showed that, compared to ibuprofen and placebo, EMLA cream is a safe method in reducing pain caused by IUD insertion in all stages of IUD insertion.

show abstract

Section: Methodsmentioning

confidence: 99%

Comparing EMLA Cream and Ibuprofen on Pain after Insertion of Copper Intrauterine Device

Boryri¹,

Khojasteh²

2017

IJCM

View full text Add to dashboard Cite

show abstract

“…However, problems such as limited access to healthcare institutions and sociocultural restrictions, as well as possible complications such as pain and bleeding restrict their use [13]. The IUD use rate was 78.7% in the teenager mothers in our study.…”

Section: Discussionmentioning

confidence: 57%

Postpartum Contraception in Indonesian Teenager

Amelya¹

2016

Kme

View full text Add to dashboard Cite

Background. Teenage pregnancy is a worldwide problem bearing serious social and medical implications relating to maternal and child health. Postpartum contraception in Indonesia teenager still being controversy issue in Indonesia, some opinion said contraception using in teenager will increase risk of sexual transmitted disease and against sociocultural. However, contraception is still important to prevent another unintended pregnancies. We aimed to evaluate the postpartum contraception preferences of teenagers. Methods. This is a cross sectional study performed over a period of 2 Years ( January 1, 2013 to December 31, 2014) in Dr. Cipto Mangunkusumo Hospital as tertiary center and teaching hospital in Indonesia, 350 randomly selected teenage mothers (aged 12-19) were compared with 350 randomly adult primigravida mothers (20-39 years). Variables of interest were the demographic characteristics of the women, their obstetric complications and the outcome compare with contraception preferences. Results. There were a total of 5449 deliveries during the study period, out which 372 (6.8%) were teenagers. In teenage group, the mean of age was 17,3 years old, most of the teenage mother latest education were junior high school (78,3%), unemployed (55,1%), married < 6 month (40,8%), unintended pregnancy (56,6%), labor husband occupation (56%). The most commonly used postpartum contraceptive method was IUD (78,9%), DMPA injection (10%), implant (0,3%), and some of adolescent mothers did not use contraception (10,9%). There is significantly different contraception preferences between teenage mothers and adult primigravida mothers (p = 0.009). Post partum contraception preferences in teenage mothers were significantly correlate with mother occupation (p = 0.002), marital status (p = 0.000), marriage age (p = 0.000), unintended pregnancy (p = 0.004), husband occupation (p = 0.000), complications during pregnancy and delivery (p = 0.000), gestational age (p = 0.000), and babies birth weight (p = 0.000). Teenage mother were given information about contraception by doctor after she came at delivery room. The doctor offered several postpartum contraception that can be used after delivery. Teenagers select a contraceptive method with consider the benefits and risks. Conclusion. Providing adequate postpartum contraceptive education is therefore important for teenage mother.

show abstract

“…[24][25][26] It was shown that paracervical blockage in injectable applications of local anesthetics mitigates IUD application pain but intracervical injectival application is not effective on the pain. 3,27 In consideration of injection's own pain and possible adverse reactions, topical application of local anesthetics is regarded as being more advisable.…”

Section: Discussionmentioning

confidence: 99%

Intrauterine levobupivacaine for pain control during intrauterine device insertion

Akgün

Keskin

Kalem

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Safe, effective, long term and a reversible contraception method is offered by intrauterine devices (IUDs). The objective was to determine the potency of intrauterine administration of 5 cc levobupivacain for pain relief with IUD insertion, when compared with saline placebo.Methods: This was a prospective randomized, double blind placebo-controlled trial undergoing İUD insertion. The trial medication was intrauterine anesthesia, either 5 mL 0.9% saline (control group), or 5 mL 0.5% levobupivacaine. Our primary outcome was self-reported pain scores on a 10 cm visual analogue scale (VAS) immediately following IUD insertion.Results: 95 women were enrolled, and data for 88 women were analyzed. In IUD insertion procedure, no difference was observed between groups during teneculum placement and solution administration, in the course of VAS scores (p=0.349, p=0.396). There was a significant difference in the VAS scores measuring pain suffering during and after IUD procedure (p=0.001).Conclusions: Intrauterine instillation of 5 cc of levobupivacaine along with saline solution reduces pain with IUD insertion when compared to intrauterine saline placebo. Broad deviation in pain scores and persistent pain after IUD insertion recommends that patient would benefit from more functioning method of pain control than before at IUD insertion and during the post interval.

show abstract

Interventions for pain with intrauterine device insertion

Cited by 33 publications

References 6 publications

Comparing EMLA Cream and Ibuprofen on Pain after Insertion of Copper Intrauterine Device

Comparing EMLA Cream and Ibuprofen on Pain after Insertion of Copper Intrauterine Device

Postpartum Contraception in Indonesian Teenager

Intrauterine levobupivacaine for pain control during intrauterine device insertion

Contact Info

Product

Resources

About