Interventions for the prevention of pain associated with the placement of intrauterine contraceptives: An updated review.
contraception
intrauterine contraception
intrauterine device
nonsteroidal anti-inflammatory drugs
pain
women
Journal
Acta obstetricia et gynecologica Scandinavica
ISSN: 1600-0412
Titre abrégé: Acta Obstet Gynecol Scand
Pays: United States
ID NLM: 0370343
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
07
12
2018
accepted:
11
05
2019
pubmed:
22
5
2019
medline:
31
3
2020
entrez:
22
5
2019
Statut:
ppublish
Résumé
A 2013 review found no evidence to support the routine use of pain relief for intrauterine contraceptive (IUC) placement; however, fear of pain with placement continues to be a barrier to use for some women. This narrative review set out to identify (1) new evidence that may support routine use of pain management strategies for IUC placement; (2) procedure-related approaches that may have a positive impact on the pain experience; and (3) factors that may help healthcare professionals identify women at increased risk of pain with IUC placement. A literature search of the PubMed and Cochrane library databases revealed 550 citations, from which we identified 43 new and pertinent studies for review. Thirteen randomized clinical trials, published since 2012, described reductions in placement-related pain with administration of oral and local analgesia (oral ketorolac, local analgesia with different lidocaine formulations) and cervical priming when compared with placebo or controls. Four studies suggested that ultrasound guidance, balloon dilation, and a modified placement device may help to minimize the pain experienced with IUC placement. Eight publications suggested that previous cesarean delivery, timing of insertion relative to menstruation, dysmenorrhea, expected pain, baseline anxiety, and size of insertion tube may affect the pain experienced with IUC placement. Oral and local analgesia and cervical priming can be effective in minimizing IUC placement-related pain when compared with placebo, but routine use remains subject for debate. Predictive factors may help healthcare professionals to identify women at risk of experiencing pain. Targeted use of effective strategies in these women may be a useful approach while research continues in this area.
Identifiants
pubmed: 31112295
doi: 10.1111/aogs.13662
pmc: PMC6900125
doi:
Substances chimiques
Analgesics
0
Lidocaine
98PI200987
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1500-1513Informations de copyright
© 2019 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology(NFOG).
Références
BMC Med. 2017 Feb 20;15(1):35
pubmed: 28215182
Contraception. 2013 Dec;88(6):730-6
pubmed: 24012096
J Fam Plann Reprod Health Care. 2016 Apr;42(2):83-7
pubmed: 25759418
BMJ Sex Reprod Health. 2018 Nov 5;:
pubmed: 30396906
Contraception. 2017 Dec;96(6):426-431
pubmed: 28844878
BJOG. 2017 Jan;124(2):299-305
pubmed: 28012273
Fertil Steril. 2015 Feb;103(2):422-7
pubmed: 25455873
Am J Obstet Gynecol. 2019 Feb;220(2):177.e1-177.e7
pubmed: 30444982
Hum Reprod. 2013 Aug;28(8):2118-25
pubmed: 23739219
Hum Reprod. 2015 Aug;30(8):1861-6
pubmed: 26040478
Int J Pharm. 2018 Mar 1;538(1-2):279-286
pubmed: 29360560
J Adolesc Health. 2018 Jul;63(1):37-42
pubmed: 30060855
Contraception. 2014 Jul;90(1):60-5
pubmed: 24794720
Contraception. 2013 Jul;88(1):164-8
pubmed: 23507169
Eur J Contracept Reprod Health Care. 2011 Apr;16(2):126-34
pubmed: 21417562
Contraception. 2013 Nov;88(5):650-6
pubmed: 23871553
Cochrane Database Syst Rev. 2015 Jul 29;(7):CD007373
pubmed: 26222246
J Obstet Gynaecol. 2014 Apr;34(3):263-7
pubmed: 24483244
Hum Reprod. 2014 Nov;29(11):2439-45
pubmed: 25240012
Eur J Contracept Reprod Health Care. 2017 Apr;22(2):159-161
pubmed: 28256917
Clin Reprod Fertil. 1985 Mar;3(1):65-71
pubmed: 3978537
Contraception. 2011 May;83(5):397-404
pubmed: 21477680
J Womens Health (Larchmt). 2015 May;24(5):349-53
pubmed: 25825986
Am J Obstet Gynecol. 2018 Feb;218(2):236.e1-236.e9
pubmed: 29079143
Obstet Gynecol. 2017 Oct;130(4):795-802
pubmed: 28885425
Int J Gynaecol Obstet. 2016 Nov;135(2):145-148
pubmed: 27481016
Contraception. 1986 Nov;34(5):483-95
pubmed: 3816232
Contraception. 2013 Jul;88(1):37-40
pubmed: 23375352
J Pediatr Adolesc Gynecol. 2018 Aug;31(4):400-404
pubmed: 29462709
Contraception. 2015 Dec;92(6):567-71
pubmed: 26007292
J Fam Plann Reprod Health Care. 2003 Jul;29(3):150-1
pubmed: 12885310
Contraception. 2017 Mar;95(3):251-256
pubmed: 27823944
Syst Rev. 2015 Jan 01;4:1
pubmed: 25554246
J Caring Sci. 2012 Nov 28;1(4):255-61
pubmed: 25276703
Eur J Contracept Reprod Health Care. 2008 Sep;13(3):248-54
pubmed: 18821462
Obstet Gynecol. 2011 May;117(5):1105-1113
pubmed: 21508749
Obstet Gynecol. 2016 Sep;128(3):621-8
pubmed: 27500351
Contraception. 2013 Dec;88(6):725-9
pubmed: 24034580
Obstet Gynecol. 2018 Sep;132(3):575-582
pubmed: 30095776
Fertil Steril. 2012 Mar;97(3):616-22.e1-3
pubmed: 22222193
Obstet Gynecol. 2016 Dec;128(6):1306-1313
pubmed: 27824753
Am J Obstet Gynecol. 2006 Nov;195(5):1272-7
pubmed: 17074548
Contraception. 2016 Jun;93(6):513-8
pubmed: 26852833
Contraception. 2015 Mar;91(3):193-7
pubmed: 25487172
Glob J Health Sci. 2015 Jan 27;7(4):399-404
pubmed: 25946948
Am J Obstet Gynecol. 2014 Mar;210(3):208.e1-5
pubmed: 24215850
Eur J Contracept Reprod Health Care. 2017 Jun;22(3):222-226
pubmed: 28463028
Eur J Contracept Reprod Health Care. 2018 Feb;23(1):32-37
pubmed: 29393690
Eur J Contracept Reprod Health Care. 2017 Oct;22(5):349-353
pubmed: 28978240
Hum Reprod Update. 2013 Jul-Aug;19(4):419-27
pubmed: 23670222
J Obstet Gynaecol Res. 2017 Jun;43(6):1061-1066
pubmed: 28503818
Contraception. 2017 Jun;95(6):538-543
pubmed: 28088498
J Fam Plann Reprod Health Care. 2016 Oct;42(4):241-246
pubmed: 29175841
Hum Reprod Update. 2005 Mar-Apr;11(2):103-4
pubmed: 15618290
Acta Obstet Gynecol Scand. 2019 Dec;98(12):1500-1513
pubmed: 31112295
J Fam Plann Reprod Health Care. 2013 Jul;39(3):207-10
pubmed: 23349532
Contraception. 2011 Nov;84(5):e11-6
pubmed: 22018132
J Obstet Gynaecol Can. 2017 Dec;39(12):1143-1149
pubmed: 28826645
Trials. 2012 Oct 22;13:196
pubmed: 23088906
Obstet Gynecol. 2014 Aug;124(2 Pt 1):345-353
pubmed: 25004340