Severe pain at interval IUD insertion: A case-control analysis of patient risk factors
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Cited by (25)
Predictors of severe pain during insertion of the levonorgestrel 52 mg intrauterine system among nulligravid women
2020, ContraceptionCitation Excerpt :Fear of pain at the time of insertion is a barrier to uptake of intrauterine devices (IUDs) [1,2]. Nulliparity is a common factor associated with pain at IUD insertion [3–9]. Yet this factor is often underestimated by healthcare professionals.
Anticipated pain as a predictor of discomfort with intrauterine device placement
2018, American Journal of Obstetrics and GynecologyCitation Excerpt :Our finding that nulliparity is associated with increased risk of high pain during IUD placement is also consistent with findings reported elsewhere.6-10,14 In a case-control study of factors associated with severe pain with IUD placement, women with parity <3 were more likely to experience severe pain compared with women with higher parity.7 Allen et al10 reported that women with no previous vaginal delivery were more likely to have increased pain with IUD placement, regardless of whether they were nulliparous or had only delivered via cesarean delivery; this effect was still noted in women who had some degree of cervical dilation before cesarean delivery.
Pain relief for obstetric and gynecologic ambulatory procedures
2013, Obstetrics and Gynecology Clinics of North AmericaCitation Excerpt :Factors associated with pain during IUD insertion include nulliparity, lengthier time since last pregnancy or last menses, history of dysmenorrhea, anticipated pain, and not currently breastfeeding. Some, but not all studies, have shown that there is increased pain with levonorgestrel intrauterine system insertion (compared with copper IUD) and older age.54–59 Studies have shown that up to 21.3% of nulliparous women report severe pain during IUD insertion, and nulliparous women report greater pain during IUD insertion than multiparous women.54,55,59
Cervical lidocaine for IUD insertional pain: A randomized controlled trial
2012, American Journal of Obstetrics and GynecologyComparison of the Analgesic Effects of Oral Tramadol and Naproxen Sodium on Pain Relief During IUD Insertion
2012, Journal of Minimally Invasive GynecologyCitation Excerpt :Chi et al [20] delineated 4 risk factors in patient characteristics that are associated with severe pain during IUD insertion: higher education, low parity, longer interval (≥13 months) between the end of the last pregnancy and IUD insertion, and non-breastfeeding at the time of insertion. Women with a combination of these risk factors are at further increased risk of experiencing severe pain at insertion pain [20]. In the study by Hubacher et al [2], the interval between postpartum period and IUD insertion was >6 weeks.