Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/201364
Type: Artigo de periódico
Title: Practical Advice For Avoidance Of Pain Associated With Insertion Of Intrauterine Contraceptives.
Author: Bahamondes, Luis
Mansour, Diana
Fiala, Christian
Kaunitz, Andrew M
Gemzell-Danielsson, Kristina
Abstract: 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.
Subject: Adult
Analgesics
Anesthetics, Local
Female
Humans
Intrauterine Devices
Pain Management
Pelvic Pain
Practice Guidelines As Topic
Family Planning Service Provision
Intrauterine Devices
Rights: fechado
Identifier DOI: 10.1136/jfprhc-2013-100636
Address: http://www.ncbi.nlm.nih.gov/pubmed/24076534
Date Issue: 2014
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

Files in This Item:
File SizeFormat 
pmed_24076534.pdf494.43 kBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.