Current opinion

Rivera, Roberto; Best, K

doi:10.1016/s0010-7824(02)00304-9

Cited by 35 publications

(2 citation statements)

References 13 publications

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“…2,3 IUDs remain an underutilized method of contraception in the United States despite their well established safety and efficacy. 4–6 Evidence supports the use of IUDs as a first-line contraceptive option. 2,7,8 The low rates of IUD use in the United States may be in part influenced by provider misconception about appropriate candidates.…”

Section: Introductionmentioning

confidence: 99%

Cervical lidocaine for IUD insertional pain: a randomized controlled trial

McNicholas

Madden

Zhao

et al. 2012

American Journal of Obstetrics and Gynecology

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Objective Anticipated pain with intrauterine device (IUD) insertion may be a barrier to widespread use. Our objective was to evaluate the efficacy of intracervical 2% lidocaine gel for pain relief with IUD insertion. Study Design We performed a double-blind, randomized controlled trial of women undergoing IUD insertion. Participants were randomly assigned to 2% lidocaine or placebo gel. Study gel (3ccs) wase placed 3 minutes prior to IUD insertion. Pain scores were measured at various time points using a 10-point visual analog scale. Results Of the 200 participants randomized, 199 completed the study. Pain scores among lidocaine and placebo arms were similar at tenaculum placement (lidocaine and placebo; median 4, range 0–10 p=0.15) as well as with insertion (lidocaine: median 5 range 1–10, placebo: median 6 range 0–10 p=0.16). These results did not differ by parity. Conclusions Topical or intracervical 2% lidocaine gel prior to IUD insertion does not decrease pain scores.

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Section: Introductionmentioning

confidence: 99%

Cervical lidocaine for IUD insertional pain: a randomized controlled trial

McNicholas

Madden

Zhao

et al. 2012

American Journal of Obstetrics and Gynecology

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“…Multiple studies have demonstrated safety and efficacy of the IUD (Beatty & Blumenthal, 2009; Kulier, O’Brien, Helmerhorst, Usher-Patel, & D’Arcangues, 2007; O’Brien, Kulier, Helmerhorst, Usher-Patel, & d’Arcangues, 2008; Rivera & Best, 2002). Safety and efficacy also have been established in women undergoing immediate postabortion IUD insertion, with similarly low rates of perforation and pelvic inflammatory disease when compared with interval insertions (Grimes, Lopez, Schulz, & Stanwood, 2010).…”

Section: Introductionmentioning

confidence: 99%

Immediate Postabortion Intrauterine Device Insertion: Continuation and Satisfaction

McNicholas

Hotchkiss

Madden

et al. 2012

Women's Health Issues

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Background The provision of intrauterine devices (IUDs) immediately postabortion has the potential to decrease unintended pregnancy in the United States. Studies have demonstrated safety and efficacy; however, there are limited data about continuation, satisfaction, and bleeding patterns among women receiving immediate postabortion IUDs. Study Design We performed a retrospective cohort study of women undergoing immediate postabortion IUD insertion. Demographics and clinical data were collected from intake forms and procedure notes. We attempted to contact women by telephone to administer a short questionnaire to assess continuation, satisfaction, and bleeding patterns. Results We were able to contact 77 of 225 (34%). Women lost to follow-up were more likely to have higher parity or a pregnancy of greater gestational age at the time of abortion compared with women who were successfully contacted. Continuation and satisfaction rates were high (80.5% and 80.6%, respectively). Reported bleeding patterns with IUD use were similar to previously reported patterns. Conclusion Follow-up of women undergoing immediate postabortion IUD insertion is challenging. However, we found that women choosing immediate postabortion IUD had high rates of continuation and satisfaction.

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Prescribing Medicines to Adolescent Women

Bagshaw

2014

Medicines for Women

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Current opinion

Cited by 35 publications

References 13 publications

Cervical lidocaine for IUD insertional pain: a randomized controlled trial

Cervical lidocaine for IUD insertional pain: a randomized controlled trial

Immediate Postabortion Intrauterine Device Insertion: Continuation and Satisfaction

Prescribing Medicines to Adolescent Women

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