The relationship between pain at IUD insertion and negative perceptions, anxiety and previous mode of delivery

Akdemir, Yeşim; Karadeniz, Mustafa

doi:10.1080/13625187.2019.1610872

Cited by 19 publications

(15 citation statements)

References 16 publications

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“…Alternative studies were stratified based on parity and delivery types and have found increased pain scores in women with prior cesarean sections when compared with those in prior vaginal birth and further in the nulliparous patient. 16,17 As in many prior studies, it is difficult to assess pain in a single inciting event and we recognize that there are multiple components to a patients perception during a procedure. Another key limitation of our study design is that the research staff and study participants were not blinded to the group assignment.…”

Section: Discussionmentioning

confidence: 96%

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Cold Compress for Intrauterine Device Insertional Pain: A Randomized Control Trial

Hylton

Milton

Šíma

et al. 2020

Women's Health Reports

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Background: Pain with intrauterine device (IUD) insertion is identified as a barrier to uptake of this highly effective long-acting reversible contraceptive. Several studies have assessed the efficacy of interventions to alleviate patient discomfort associated with IUD insertion, but no interventions have been clearly shown to improve procedural pain. The aim of this study was to determine whether use of a cold compress on the abdomen during IUD insertion reduces pain. Materials and Methods: This was a prospective randomized control trial of women presenting to Virginia Commonwealth University for insertion of IUD from September 2016 to October 2017. A power analysis determined that 69 subjects were needed in each arm to detect a 30% reduction in pain with a power of 80%, significance value of p < 0.05. One hundred forty-two participants were consented for the study, 69 were randomized to the control group, which received the usual management, and 73 were randomized to the study group, which received a cold compress to the abdomen before the procedure. In addition to data on the difference from pre-to postprocedure pain scales, we collected information regarding inserting provider type, gravidity/parity, body mass index, demographic information (age, race, insurance type, and level of education), history of IUD placement or cervical procedure, history of chronic pain, and the use of regular pain medications (defined as more than once per week). Statistical analysis was accomplished using t-test and chi square tests. Results: There was no difference in pre and postinsertional pain in those who received a cold compress versus the control during insertion of an IUD (3.4 vs. 3.5). The insertional pain was rated at 4.3 and 4.6 for patients who received the cold compress and the control group, respectively (p = 0.805). Conclusion: Although a cold compress is a simple, inexpensive, and safe method of pain control, this study shows no reduction in insertional pain for IUD placement.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Cold Compress for Intrauterine Device Insertional Pain: A Randomized Control Trial

Hylton

Milton

Šíma

et al. 2020

Women's Health Reports

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“…Paritas dapat mempengaruhi tingkat kecemasan pada akseptor IUD, wanita yang mempunyai riwayat pemeriksaan vagina yang menyakitkan dapat berkontribusi pada persepsi nyeri dan meningkatkan kecemasan serta rasa sakit saat akan dipasang IUD. Penelitian juga membuktikan bahwa wanita yang memiliki riwayat persalinan Caesar dan memiliki persepsi negatif tentang IUD memiliki kecemasan dan skor nyeri yang lebih tinggi dibandingkan ibu yang mempunyai pengalaman melahirkan secara pervaginam (Akdemir and Karadeniz, 2019).…”

Section: Metodeunclassified

“…Kecemasan merupakan faktor utama yang mempengaruhi terjadinya nyeri saat pemasangan IUD. Wanita yang mengalami kecemasan pada sebelum pemasangan akan merasakan nyeri lebih tinggi dibandingkan dengan wanita yang tidak mengalami kecemasan (Akdemir and Karadeniz, 2019). Salah satu cara untu mengurangi kecemasan pada akseptor IUD adalah dengan terapi non farmakologi berupa intervensi relaksasi nafas dalam (slow deep breathing) (Passmore and Gold, 2019).…”

Section: Metodeunclassified

Untitled

2020

JIK

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Latar belakang: Salah satu kendala penggunaan IUD sebagai metode kontrasepsi adalah tingkat kecemasan prosedur pemasangan. Sebagai upaya menurunkan kecemasan tersebut dapat menggunakan tehnik Slow Deep Breathing. Penelitian ini bertujuan untuk mengetahui pengaruh tehnik Slow Deep Breathing terhadap kecemasan calon akseptor KB IUD. Metode: Jenis penelitian ini adalah penelitian quasi eksperimental dengan pendekatan one group pre test dan post test tanpa menggunakan kelompok kontrol. Populasi dalam penelitian ini adalah calon akseptor IUD sebanyak 50 orang. Analisis data menggunakan wilcoxon. Hasil: Terdapat penurunan tingkat kecemasan calon akseptor IUD sebelum dan sesudah mendapatkan terapi non farmakologis tehnik relaksasi nafas dalam (slow deep breathing) sebanyak 10.5 point. Berdasarkan hasil perhitungan Wilcoxon signed rank test didapatkan nilai Z sebesar-6.169 dengan nilai signifikansi < 0.000 (p < 0.05) sehingga terdapat perbedaan yang bermakna sebelum dan sesudah intervensi. Kesimpulan: Terdapat perbedaan tingkat kecemasan sebelum dan setelah mendapatkan terapi non farmakologi berupa intervensi relaksasi nafas dalam (slow deep breathing). Tingkat kecemasan menyebabkan peningkatan skor nyeri pada akseptor IUD oleh sebab itu penting dilakukan manajemen kecemasan untuk meningkatkan kenyamanan dalam pemasangan IUD sehingga diharapkan dapat meningkatkan cakupan penggunaan kontrasesi IUD.

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“…The pain experienced during insertion is often affected by anxiety and anticipated pain (71,81). To examine whether nursing interventions have proven to be efficient in reducing pain during IUD insertion or not, a literature review of the results from eight publications was conducted (82).…”

Section: Pain Management During Iud Insertionmentioning

confidence: 99%

Intrauterine mepivacaine instillation for pain relief during intrauterine device insertion in nulliparous women: a double-blind, randomized, controlled trial

Envall

Lagercrantz

Sunesson³

et al. 2019

Contraception

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The relationship between pain at IUD insertion and negative perceptions, anxiety and previous mode of delivery

Cited by 19 publications

References 16 publications

Cold Compress for Intrauterine Device Insertional Pain: A Randomized Control Trial

Cold Compress for Intrauterine Device Insertional Pain: A Randomized Control Trial

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Intrauterine mepivacaine instillation for pain relief during intrauterine device insertion in nulliparous women: a double-blind, randomized, controlled trial

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