Acute Pain, Contraception
Conditions
Keywords
Contraception, Contraception Behavior, Intra uterine device, Intra uterine System, IUD, IUS, Acute Pain
Brief summary
Cross-sectional cohort study to evaluating pain and vital signs variations (blood pressure and radial pulse) during the placement of the intrauterine device.
Detailed description
The intrauterine device (IUD), which is one of the most effective and safe contraceptives is still little used by women. It is considered a long action reversible contraception (LARC). Among the many reasons for this resistance stands the fear of pain, the complications that can occur during the insertion. Objective: To evaluate the intensity of pain on outpatient insertion of IUD. In addition to evaluating changes in vital signs and detect which are the factors associated with pain on outpatient insertion of IUD. Methods: Cross Sectional Retrospective study of 285 procedures of outpatient insertion of IUD. Inclusion criteria were age older than 18 years, cervical cytology without abnormalities, classification for Category 1 or 2 of the WHO eligibility criteria for IUD. The criteria for non inclusion were patients with cardiac arrhythmias and gynecological disorders. The insertions of IUD were conducted on an outpatient basis without the use of painkillers. Evaluation of vital signs ( blood pressure and radial pulse) was performed pre and five minutes after the procedure. The pain assessment was performed using the scale visual analog (VAS), five minutes after the procedure.Correlations of the pain's score with clinical factors as age, parity, BMI, hysterometry, previous vaginal delivery were also performed.
Interventions
BEHAVIORALApplication of the Visual Analog Scale of pain
Evaluation of pain previous and 5 minutes after outpatient insertion of IUD / IUS using the Visual Analog Scale of Pain
PROCEDUREEvaluation of blood pressure
Evaluation of Blood pressure ( mmHg), previous and 5 minutes after outpatient insertion of IUD / IUS by sphygmomanometer.
PROCEDUREEvaluation of radial pulse
Evaluation of radial pulse (beats per minute) previous and 5 minutes after outpatient insertion of IUD / IUS by pulse oximetry
Sponsors
Federal University of São Paulo
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* age older than 18 years * cytology without abnormalities * classification for Category 1 or 2 of the WHO eligibility criteria for IUD / IUS.
Exclusion criteria
* patients with cardiac arrhythmias * gynecological disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of pain after insertion of IUD/IUS | Single evaluation after 5 minutes of the insertion of the IUD/IUS ( the evaluation takes 1 minute- choose a number on visual analog scale of pain that represents the pain of that moment | Assessment of pain five minutes immediately after IUD/IUS insertion using the visual analog scale - choose a number on visual analog scale of pain that represents the pain of that moment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of blood pressure modification after insertion of IUD/IUS | Duration 15 minutes - two evaluations: before the procedure and five minutes immediately after IUD/IUS insertion | Evaluation of blood pressure (mmHg) using a Sphygmomanometer, before and five minutes after the insertion of the IUD/IUS |
| Evaluation of clinical factors that may interfere with the intensity of pain | 1 day | Correlate the pain score of VAS with clinical factors as age, parity, BMI, hysterometry, previous vaginal delivery |
| Evaluation of radial pulse modification after insertion of IUD/IUS | Duration 15 minutes - two evaluations: before the procedure and five minutes immediately after IUD/IUS insertion | Evaluation of radial pulse ( beats per minute) using a pulse oximeter before and five minutes after the insertion of the IUD/IUS |
Outcome results
None listed