Artículos de revistas
Practical Advice For Avoidance Of Pain Associated With Insertion Of Intrauterine Contraceptives.
Registro en:
The Journal Of Family Planning And Reproductive Health Care / Faculty Of Family Planning & Reproductive Health Care, Royal College Of Obstetricians & Gynaecologists. v. 40, n. 1, p. 54-60, 2014-Jan.
1471-1893
10.1136/jfprhc-2013-100636
24076534
Autor
Bahamondes, Luis
Mansour, Diana
Fiala, Christian
Kaunitz, Andrew M
Gemzell-Danielsson, Kristina
Institución
Resumen
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. 40 54-60