Predictors of severe pain during insertion of the levonorgestrel 52 mg intrauterine system among nulligravid women.
Objective: To identify sociodemographic and clinical variables associated with severe pain with levonorgestrel 52 mg intrauterine system (IUS) placement among nulligravid women.Study Design: We performed a secondary analysis of a randomized trial that evaluated intracervical anesthesia before IUS in...
| Publicado en: | Contraception Vol. 102; no. 4; pp. 267 - 270 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Oct2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146397449&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146397449 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00107824 JC8 jtl: Contraception issn: 00107824 maglogo: N pubinfo: dt: Oct2020 vid: 102 iid: 4 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 146397449 146397449 NLM32679045 146397449 10.1016/j.contraception.2020.07.004 NLM32679045 146397449 ppf: 267 ppct: 3 formats: tig: atl: Predictors of severe pain during insertion of the levonorgestrel 52 mg intrauterine system among nulligravid women. aug: au: Ferreira, Letícia Sanchez de Nadai, Mariane Nunes Poli-Neto, Omero B. Franceschini, Silvio A. Juliato, Cássia R.T. Monteiro, Ilza Maria U. Bahamondes, Luis Vieira, Carolina Sales Sanchez Ferreira, Letícia Nunes de Nadai, Mariane Rt Juliato, Cássia Maria U Monteiro, Ilza Sales Vieira, Carolina affil: Department of Obstetrics and Gynecology, Ribeirao Preto Medical School, University of São Paulo, Avenida Bandeirantes, 3900 - Campus Universitário - Monte Alegre, CEP: 14049-900 Ribeirão Preto, SP, Brazil sug: subj: Intrauterine Devices Adverse Effects Dysmenorrhea Complications Contraceptive Agents Adverse Effects Levonorgestrel Adverse Effects Lidocaine Female Levonorgestrel Administration and Dosage Adult Pregnancy Contraceptive Agents Administration and Dosage Reproductive History Human Levonorgestrel Therapeutic Use Pain Measurement Comparative Studies Multicenter Studies Evaluation Research Validation Studies Adult: 19-44 years Female ab: Objective: To identify sociodemographic and clinical variables associated with severe pain with levonorgestrel 52 mg intrauterine system (IUS) placement among nulligravid women.Study Design: We performed a secondary analysis of a randomized trial that evaluated intracervical anesthesia before IUS insertion. We assessed factors associated with severe pain (visual analog scale pain score ≥7) immediately after insertion using bivariate and multiple regression analyses.Results: Overall, 137/300 (45.7%) subjects reported severe pain. In multiple regression analysis, only intracervical anesthesia [RR 0.55, 95% CI 0.37-0.80] and a history of dysmenorrhea [RR 1.36, 95% CI 1.08-1.72)] were associated with severe pain.Conclusions: Among nulligravid women, a history of dysmenorrhea increases, and intracervical block decreases severe pain during levonorgestrel IUS insertion.Implications: Dysmenorrhea increases the risk of severe pain at levonorgestrel intrauterine system insertion, while receiving an intracervical lidocaine block decreases this risk. This information can be useful for counseling women prior to device placement and for selecting candidates who may particularly benefit from interventions to reduce pain. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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