Pain and ease of insertion of three different intrauterine devices in Brazilian adolescents: A participant-blinded randomized trial.
Adolescents
Copper 380-mm(2) IUD
Ease of insertion
Kyleena
Levonorgestrel IUD
Pain
Journal
Contraception
ISSN: 1879-0518
Titre abrégé: Contraception
Pays: United States
ID NLM: 0234361
Informations de publication
Date de publication:
06 2023
06 2023
Historique:
received:
12
12
2022
revised:
07
02
2023
accepted:
16
02
2023
medline:
1
5
2023
pubmed:
26
2
2023
entrez:
25
2
2023
Statut:
ppublish
Résumé
To compare pain and ease of insertion of the copper 380 mm We conducted a participant-blinded randomized trial at two clinics in Brazil. We enrolled 318 adolescents<19 years old in a 1:1:1 ratio from November 2021 to February 2022. We informed the adolescents about the IUD type inserted after they evaluated the pain associated with the IUD insertion using a Visual Analogue Scale and immediately after that the healthcare provider who placed the IUD evaluated the ease of the procedure. The VAS pain level was significantly higher after the levonorgestrel 52-mg IUD placement, median and [interquartile range, IQ] 8.0 [4.0] than the copper 380-mm The placement of the copper 380-mm We found that the three types of IUDs were generally easy to place; however, mean pain scores were high during insertions. Our findings of high pain scores reinforce the need for interventions to reduce pain for adolescent IUD insertion.
Identifiants
pubmed: 36841463
pii: S0010-7824(23)00059-8
doi: 10.1016/j.contraception.2023.109997
pii:
doi:
Substances chimiques
Levonorgestrel
5W7SIA7YZW
Copper
789U1901C5
Types de publication
Randomized Controlled Trial
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
109997Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.