Pain scores at the insertion of the 52 MG levonorgestrel-releasing intrauterine system among nulligravidas and parous women

This study aimed to assess the pain scores at the insertion of the 52 mg levonorgestrel-releasing intrauterine system (LNG-IUS) among nulligravidas, parous women with previous vaginal delivery and parous women with elective caesarean-delivery without any previous labour or cervix dilation. The prese...

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Bibliographic Details
Published in:The European journal of contraception & reproductive health care 2021-10, Vol.26 (5), p.399-403
Main Authors: Chaves, Isabella A., Baêta, Thaís, Dolabella, Gabriella B., Barbosa, Luma R., Almeida, Natália M., Oliveira, Flávia R., Oliveira, Elaine C., L. Silva-Filho, Agnaldo, Rocha, Ana Luiza Lunardi
Format: Article
Language:English
Subjects:
Administration, Intravaginal
Adolescent
Adult
Birth control
Cervix
Childbirth & labor
Cohort Studies
Contraception
Contraceptive Agents, Female - administration & dosage
Contraceptive Agents, Female - adverse effects
Drug Delivery Systems - adverse effects
Female
Humans
intrauterine contraception
Intrauterine devices
Intrauterine Devices, Medicated - adverse effects
IUD
Levonorgestrel - administration & dosage
LNG-IUS
Middle Aged
Pain
Pain - drug therapy
Pain - etiology
Pain Management
Pain Measurement
Parity
Pregnancy
Prospective Studies
Vagina
Womens health
Young Adult
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Summary:This study aimed to assess the pain scores at the insertion of the 52 mg levonorgestrel-releasing intrauterine system (LNG-IUS) among nulligravidas, parous women with previous vaginal delivery and parous women with elective caesarean-delivery without any previous labour or cervix dilation. The present research is a prospective, single-cohort study that included 413 women aged 15-49 years who opted for LNG-IUS placement for contraception or treatment of heavy menstrual bleeding. Women who participated in the present study were not submitted to any pharmacological pain-relieving intervention to perform the procedure. Pain at insertion was evaluated by using a Visual Analogue Scale (VAS). Pain was classified as absent (0), mild (1-3), moderate (4-6), or severe (7-10). The women were divided as: (1) nulligravidas, (2) parous women with a previous vaginal delivery, or (3) parous women with elective caesarean-delivery without any previous labour or cervix dilation. Nulligravidas women presented a higher mean pain score, when compared to women with elective caesarean-delivery and women with previous vaginal delivery (6.6 ± 2.0 vs 5.5 ± 2.1 and 3.9 ± 2.4, respectively; p 
ISSN:1362-5187
1473-0782
DOI:10.1080/13625187.2021.1925882