Anticipated Pain During Intrauterine Device Insertion.
Adolescent
Contraceptive devices
Intrauterine devices
Pain
Journal
Journal of pediatric and adolescent gynecology
ISSN: 1873-4332
Titre abrégé: J Pediatr Adolesc Gynecol
Pays: United States
ID NLM: 9610774
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
05
06
2019
revised:
15
09
2019
accepted:
20
09
2019
pubmed:
30
9
2019
medline:
2
4
2020
entrez:
30
9
2019
Statut:
ppublish
Résumé
To identify predictors of anticipated pain with intrauterine device (IUD) insertion in adolescents and young women. We performed linear regression to identify demographic, sexual/gynecologic history, and mood covariates associated with anticipated pain using a visual analogue scale pain score collected as part of a single-blind randomized trial of women who received a 13.5-mg levonorgestrel IUD. Three academic family planning clinics in Philadelphia Pennsylvania. Ninety-three adolescents and young adult women aged 14-22 years. Participants received either a 1% lidocaine or sham paracervical block. Anticipated pain measured using a visual analogue scale before and perceived pain at 6 time points during the IUD insertion procedure. Black or African American participants had a median anticipated pain score of 68 (interquartile range [IQR], 52-83), White participants had a median anticipated pain of 51 (IQR, 35-68), whereas participants of other races had a median anticipated pain score of 64 (IQR, 36-73); P = .012. In multivariate analysis, race was the only covariate that significantly predicted anticipated pain at IUD insertion. Women with anticipated pain scores above the median had significantly higher perceived pain during all timepoints of the IUD insertion procedure. Increased anticipated pain is associated with increased perceived pain with IUD insertion. Black adolescent women experience greater anticipated pain with IUD insertion. This population might benefit from counseling and clinical measures to reduce this barrier to IUD use.
Identifiants
pubmed: 31563628
pii: S1083-3188(19)30306-7
doi: 10.1016/j.jpag.2019.09.007
pmc: PMC6980875
mid: NIHMS1057762
pii:
doi:
Substances chimiques
Levonorgestrel
5W7SIA7YZW
Types de publication
Journal Article
Multicenter Study
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
27-32Subventions
Organisme : NICHD NIH HHS
ID : K12 HD001265
Pays : United States
Informations de copyright
Copyright © 2020 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
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