UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

A comparison of the expected and actual pain experienced by women during insertion of an intrauterine contraceptive device.

Brima, N; Akintomide, H; Iguyovwe, V; Mann, S; (2015) A comparison of the expected and actual pain experienced by women during insertion of an intrauterine contraceptive device. Open Access Journal of Contraception , 2015 (6) 21 - 26. 10.2147/OAJC.S74624. Green open access

[img]
Preview
PDF
OAJC-74624-a-comparison-of-the-actual-and-expected-pain-experienced-by-_021615.pdf

Download (216kB)

Abstract

Objective: To compare the expected and actual pain experienced with the insertion of intrauterine contraception in women, and to determine whether either of these are related to their personal circumstances, or affected their satisfaction with the procedure. Design: A convenience sample of 89 women aged 15-50 attending a sexual health clinic for same day intrauterine contraception insertion were given a questionnaire which they completed following the procedure. The women were asked to rate their expectation of pain prior to insertion and to rate the actual pain they experienced immediately after insertion, on a scale of 1 to 10 with 10 being severe pain. Information on the women’s circumstances and their level of satisfaction with the procedure was also obtained. Results: Overall, the median actual pain experienced by women during insertion (4) was significantly lower than the expected pain median (6) (p<0.001). For those women who had not had a previous vaginal delivery, actual pain was significantly higher compared with women who had a previous vaginal delivery (median [IQR] = 6 [3.5-7.5] and 3 [1-5], p<0.001), respectively), but there was no significant difference between expected and actual pain experiences. In women who had a previous vaginal delivery, actual pain was much lower than expected (p<0.001). Neither actual nor expected pain experiences were linked to any other socio-demographic reproductive health or service use factors. Conclusion: All women had a high expectation of pain prior to IUD insertion but, for those who had a previous vaginal delivery, this was significantly greater than that actually experienced. Satisfaction levels overall were high. Counselling of women should take into account their expected pain prior to IUD insertion and consideration should be given to alternative and additional methods of pain relief in women who had not had a previous vaginal delivery.

Type: Article
Title: A comparison of the expected and actual pain experienced by women during insertion of an intrauterine contraceptive device.
Open access status: An open access version is available from UCL Discovery
DOI: 10.2147/OAJC.S74624
Publisher version: http://dx.doi.org/10.2147/OAJC.S74624
Language: English
Additional information: This work is published by Dove Medical Press Limited, and licensed under a Creative Commons Attribution License. The full terms of the License are available at http://creativecommons.org/licenses/by/4.0/. The license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywords: Expected pain, Actual pain, Intrauterine contraception, IUD, IUD insertion
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Reproductive Health
URI: https://discovery.ucl.ac.uk/id/eprint/1458542
Downloads since deposit
131Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item