Use and effectiveness of oral analgesia when fitting an intrauterine device

Murty, Judy

doi:10.1783/147118903101197539

Cited by 37 publications

(35 citation statements)

References 0 publications

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“…The prohibited use of IUD included pregnancy, genital infection, the risk of pelvic infections or sexually transmitted disease (in the current conditions or within the last three months), cervical or endometrial cancer, or undiagnosed genital bleeding, uterine abnormalities and fibroid tumors caused uterine cavity deformation, allergy to copper and Wilson disease [3]. Exclusion criteria included no-use of pain relief drugs in 6 hours, the lack of a history of severe stress, allergy to EMLA cream, withdrawal of the person to participate in research, and uterine depth less than 6 or 9 cm.…”

Section: Methodsmentioning

confidence: 99%

“…In addition, it also reduces the risk of endometrial cancer, and IUD is suggested as emergency contraception in cases that one of them has no protection [2]. One of the obstacles to use this method of contraception is the fear and the pain caused by its insertion [3]. Female genital tract mucous membranes is very sensitive to pain, and many of small procedures in this area are conducted without analgesia [4] [5] IUD, as some of the methods of diagnosis and surgery in some individuals, may be associated with high anxiety and pain, and it can make the insertion of the IUD difficult [6].…”

Section: Introductionmentioning

confidence: 99%

“…Studies have shown that about half of the people suffer moderate to severe pain during the insertion of IUD [7]. This feeling varies from low pain and discomfort to severe cramps, along with nausea and weakness [3].…”

Section: Introductionmentioning

confidence: 99%

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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: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Boryri¹,

Khojasteh²

2017

IJCM

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“…Cultural background may be a factor influencing outcomes. Lower levels of pain have been observed in Chile 17 , Denmark 19 and developing countries 20,21 in comparison to the United Kingdom 22 and Sweden 23 .…”

Section: Differences In Results In Relation To Other Studiesmentioning

confidence: 96%

“…Less anxious and better informed patients suffer less pain than their more anxious counterparts 22,25,26 . Therapies including analgesia, lavender and 'verbal anaesthesia' have been used and recommended respectively to reduce anxiety and pain perceived by patients during IUD insertion 22,27,28 .…”

Section: Relevance Of Findings: Implications For Clinicians and Policmentioning

confidence: 99%

Patients’ experiences and providers’ observations on pain during intrauterine device insertion

Akintomide¹,

Brima

Sewell

et al. 2015

The European Journal of Contraception & Reproductive Health

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ObjectiveTo determine women's (patients') experiences of intrauterine device (IUD) insertion under our current practice and the extent to which these agreed with the observations of the health professionals (providers) who had performed the IUD insertion procedures. MethodQuestionnaires were used to collect information on women's experiences of the IUD insertion procedure from both patients and providers in a sexual and reproductive health service. ResultsOverall response rates were high (77%, 284 responses in total). Seventy-three percent of patients were nulliparous and over half nulligravid. The providers predominantly used local anaesthesia for IUD insertions (93%). Most patients reported being anxious before their procedure (86%). Patients mainly described the overall experience of their IUD insertion procedure as being associated with 'minimal discomfort/nothing' (42%) or 'uncomfortable' (41%). 'Minimal discomfort/nothing' (56%) and 'uncomfortable' (33%) were the main observations of providers. When responses of patients and their providers were compared, agreement was slight for reported pain levels (k = 0.167 CI [0.13 -0.24]). Patients' reported pain levels were significantly higher than those reported to have been observed by their providers (P < 0.001). ConclusionPatients' and providers' responses suggested that the IUD insertion procedure under our current practice appeared acceptable to most patients. However, providers were not usually accurate in their observations and tended to underestimate the degree of pain experienced by their patients during IUD insertion procedures.

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