POPLINE Document Number: 120586
Author(s):
Oloto EJ
Bromham DR
Murty JA
Source citation:
British Journal of Family Planning, 1997 Jan;22(4):177-80.
Abstract:
In a comparative study designed to investigate the effect of cervical anesthesia on the perception of pain during IUD insertion, 102 women presenting for IUD insertion at a community family planning clinic in Leeds, England, were randomly assigned to 1 of 3 groups: A, no pretreatment, B, pretreatment with 2% lignocaine gel (Instillagel) applied to the cervical canal, and C, pretreatment with an inert gel. Pain scores for women in groups A and C combined were significantly higher (p < 0.025) than those in group B. The percentages of women reporting the most intense pain (scores of 5-7 on a 7-point scale) were 26.3% in group A, 18.2% in group B, and 35.0% in group C. There were no significant differences in pain perception between nulliparous and parous women overall or by group. Postinsertion symptoms attributable to cervical stimulation (e.g., pallor, lightheadedness, transient brachycardia) were noted in 9 of 58 women (15.5%) in groups A and C combined, but in only 2 of 44 women (4.6%) in group B. These results suggest that the Instillagel system has potential for reducing the pain and discomfort experienced by IUD acceptors at insertion. Recommended, however, are additional studies to determine whether a greater analgesic effect could be obtained from a longer delay between gel installation and insertion and to compare this method with paracervical infiltration.
Keywords:
EnglandIndex page
Clinical Research
Comparative Studies
Analgesia
Pain
Perception
IUD
Insertion
United Kingdom
Europe, Western
Europe
Developed Countries
Research Methodology
Studies
Treatment
Signs and Symptoms
Diseases
Psychological Factors
Behavior
Contraceptive Methods
Contraception
Family Planning