Intrauterine techniques: contentious or consensus opinion?

Tolcher, Ros

doi:10.1783/147118903101196846

Cited by 19 publications

(12 citation statements)

References 3 publications

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“…The factors that cause increased pain during IUD insertion include being nullipara by the person, the age of more than 30 years, long time distance from the last menstruation or pregnancy and breastfeeding, and lack of natural childbirth, history of inserting IUD [9]. In the case of non-relieving of the pain, these factors increase the risk of shock and vasovagal and dangerous cardiac arrhythmia [10] [11]. In many of the clinics, ibuprofen and preparations, non-steroidal drugs, anti-inflammatory drugs, and cervical emollient drugs (misoprostol) and a topical anesthetics to alleviate the pain during the IUD insertion are used [5] [7] [10].…”

Section: Introductionmentioning

confidence: 99%

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

Boryri¹,

Khojasteh²

2017

IJCM

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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.

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Section: Introductionmentioning

confidence: 99%

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

Boryri¹,

Khojasteh²

2017

IJCM

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“…In contrast, there are reports that most patients are satisfied with the use of LA for IUD insertion, and are happy to undergo a repeat procedure involving LA in the future 12 13. Moreover, other health professionals have reported LA use to be beneficial for IUD insertion 2 14…”

Section: Discussionmentioning

confidence: 99%

“…The procedure for the insertion of an intrauterine device (IUD) is associated with pain and/or discomfort in some women, which is a known barrier to intrauterine contraception use. Health professionals differ in their opinions on women's perceptions of pain or discomfort, as well as about the use of local anaesthesia (LA) for IUD insertions 2. There is also no form or type of analgesic or local anaesthetic licensed for IUD insertion that is proven to be of value in reducing IUD insertion pain 3.…”

Section: Introductionmentioning

confidence: 99%

The use of local anaesthesia for intrauterine device insertion by health professionals in the UK

Akintomide¹,

Sewell

Stephenson

2013

J Fam Plann Reprod Health Care

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Background Pain associated with the insertion of an intrauterine device (IUD) is a known barrier to intrauterine contraception use in the UK. It is good practice for health professionals to discuss pain relief and use with women prior to the insertion of an IUD. Objectives This study aimed to determine the prevalence of and reasons for and against the use of local anaesthesia (LA) for IUD insertion. Methods A survey was undertaken using paper questionnaires to determine LA use for IUD insertion by UK health professionals. Results Overall, approximately one quarter (n=129) of all respondents use LA routinely, one quarter hardly ever or never use LA, while the remaining half use it sometimes. Use of LA was more prevalent among health professionals who worked in integrated sexual and reproductive health and contraception-only services, compared to general practice. UK health professionals who hardly ever or never used LA for the insertion of IUDs were more likely to be working in general practice. Conclusions The results of this survey suggest that more UK health professionals need to routinely discuss pain relief and offer this to their patients prior to IUD insertion as part of the care pathway for patients who choose to use intrauterine contraception.

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“…such as in a questionnaire survey recently reported in this Journal. 15 Selecting the 'specific' diagnosis option within PubMed Clinical Queries, and searching on 'pelvic inflammatory disease' [MeSH] ('limited' to core clinical journals, human, women and English language) retrieved 24 references. Seven titles merited a glance at their abstracts.…”

Section: Diagnosis (Cross-sectional Study)mentioning

confidence: 99%

Evidence-based family planning: finding answers to clinical questions

Crilly¹,

Foy²

2003

j fam plann reprod health care

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Intrauterine techniques: contentious or consensus opinion?

Abstract: Context. Insertion of intrauterine devices (IUDs) is a routine procedure in Contraception

Cited by 19 publications

References 3 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

The use of local anaesthesia for intrauterine device insertion by health professionals in the UK

Evidence-based family planning: finding answers to clinical questions

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