The relationship between pain at IUD insertion and negative perceptions, anxiety and previous mode of delivery

Objective: The aim of the study was to better understand the relationship between pain during intrauterine device (IUD) insertion and anxiety, negative perceptions of IUDs and previous mode of delivery, in parous women. Methods: We conducted a prospective cohort study between June and September 2018...

Full description

Saved in:
Bibliographic Details
Published in:The European journal of contraception & reproductive health care 2019-05, Vol.24 (3), p.240-245
Main Authors: Akdemir, Yesim, Karadeniz, Mustafa
Format: Article
Language:English
Subjects:
Adult
Analgesia, Epidural
Anxiety
Anxiety - psychology
Cesarean Section
Childbirth & labor
Epidural
Female
Humans
insertion
intrauterine device
Intrauterine Devices
IUD
mode of delivery
Pain
Pain - etiology
pain perception
pain with IUD insertion
Parity
Parturition
Perception
Prospective Studies
Prosthesis Implantation - adverse effects
Prosthesis Implantation - psychology
Vagina
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective: The aim of the study was to better understand the relationship between pain during intrauterine device (IUD) insertion and anxiety, negative perceptions of IUDs and previous mode of delivery, in parous women. Methods: We conducted a prospective cohort study between June and September 2018 in 210 women who opted for IUD placement for contraception. Sixty-six women who had previously had only vaginal delivery under epidural analgesia were allocated to the epidural delivery group; 60 women who had previously had at least one vaginal delivery without epidural analgesia were allocated to the vaginal delivery group; and 84 women who had previously had only caesarean delivery were allocated to the caesarean delivery group. Participants' levels of anxiety before insertion were measured using the Beck Anxiety Inventory; participants' levels of pain (anticipated pain and pain at the various stages of IUD insertion and 15 min after the procedure) were assessed using a visual analogue scale. Results: While the experience of caesarean delivery and pre-procedure anxiety were found to be associated with higher pain scores, the presence of negative perceptions of IUDs was the most significant predictor of pain during IUD insertion (p 
ISSN:1362-5187
1473-0782
DOI:10.1080/13625187.2019.1610872