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Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives
Few studies in the scientific literature provide clear direction on the prevention or management of pain associated with intrauterine contraceptive (IUC) placement. Those that have been published have studied small numbers of women and fail to provide definitive conclusions. There are also no guidel...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888629/ https://www.ncbi.nlm.nih.gov/pubmed/24076534 http://dx.doi.org/10.1136/jfprhc-2013-100636 |
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author | Bahamondes, Luis Mansour, Diana Fiala, Christian Kaunitz, Andrew M Gemzell-Danielsson, Kristina |
author_facet | Bahamondes, Luis Mansour, Diana Fiala, Christian Kaunitz, Andrew M Gemzell-Danielsson, Kristina |
author_sort | Bahamondes, Luis |
collection | PubMed |
description | Few studies in the scientific literature provide clear direction on the prevention or management of pain associated with intrauterine contraceptive (IUC) placement. Those that have been published have studied small numbers of women and fail to provide definitive conclusions. There are also no guidelines available detailing recognised standard approaches to this problem. The consensus recommendations in this review focus primarily on non-pharmacological and often non-evidence-based interventions. This review includes general considerations, practical recommendations for both routine and more difficult cases and guidance on the optimal choice of instruments. General considerations, including pre-insertion counselling, the setting for the procedure, the confidence and technique of the provider and the interplay between the provider and assistant, can influence women's level of anxiety and, in turn, influence their perception of pain and their overall experience. Further studies are required to refine the optimal strategy for managing pain associated with IUC insertion. |
format | Online Article Text |
id | pubmed-3888629 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-38886292014-01-14 Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives Bahamondes, Luis Mansour, Diana Fiala, Christian Kaunitz, Andrew M Gemzell-Danielsson, Kristina J Fam Plann Reprod Health Care Review Few studies in the scientific literature provide clear direction on the prevention or management of pain associated with intrauterine contraceptive (IUC) placement. Those that have been published have studied small numbers of women and fail to provide definitive conclusions. There are also no guidelines available detailing recognised standard approaches to this problem. The consensus recommendations in this review focus primarily on non-pharmacological and often non-evidence-based interventions. This review includes general considerations, practical recommendations for both routine and more difficult cases and guidance on the optimal choice of instruments. General considerations, including pre-insertion counselling, the setting for the procedure, the confidence and technique of the provider and the interplay between the provider and assistant, can influence women's level of anxiety and, in turn, influence their perception of pain and their overall experience. Further studies are required to refine the optimal strategy for managing pain associated with IUC insertion. BMJ Publishing Group 2014-01 2013-09-27 /pmc/articles/PMC3888629/ /pubmed/24076534 http://dx.doi.org/10.1136/jfprhc-2013-100636 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/ |
spellingShingle | Review Bahamondes, Luis Mansour, Diana Fiala, Christian Kaunitz, Andrew M Gemzell-Danielsson, Kristina Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives |
title | Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives |
title_full | Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives |
title_fullStr | Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives |
title_full_unstemmed | Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives |
title_short | Practical advice for avoidance of pain associated with insertion of intrauterine contraceptives |
title_sort | practical advice for avoidance of pain associated with insertion of intrauterine contraceptives |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888629/ https://www.ncbi.nlm.nih.gov/pubmed/24076534 http://dx.doi.org/10.1136/jfprhc-2013-100636 |
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