Intrauterine infusion of lidocaine does not reduce pain scores during IUD insertion
Abstract Background Potential pain with IUD insertion is a concern for women. Studies have found that systemic and local cervical therapies do not reduce pain scores. Since intrauterine infusion of lidocaine may reduce pain with endometrial aspiration, in this pilot study, we tested whether such inf...
Gespeichert in:
| Veröffentlicht in: | Contraception (Stoneham) 2013-07, Vol.88 (1), p.37-40 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 40 |
|---|---|
| container_issue | 1 |
| container_start_page | 37 |
| container_title | Contraception (Stoneham) |
| container_volume | 88 |
| creator | Nelson, Anita L Fong, Jennifer K |
| description | Abstract Background Potential pain with IUD insertion is a concern for women. Studies have found that systemic and local cervical therapies do not reduce pain scores. Since intrauterine infusion of lidocaine may reduce pain with endometrial aspiration, in this pilot study, we tested whether such infusion through an inexpensive endometrial aspirator could reduce IUD insertion pain scores with IUD insertion. Study Design In this randomized, double-blinded, placebo control pilot study of 40 women undergoing IUD insertion, pain scores of women receiving 1.2 mL 2% lidocaine versus normal saline (1:1) infused 3 min prior to IUD insertion were measured using a 0–9-point scale. Results Pain at tenaculum placement was similar between groups. There was no difference in mean pain scores during IUD insertion of women infused with lidocaine (2.95) versus normal saline (3.75), p=.37. Considerable variation in pain scores was noted; 46% of subjects had pain scores ≤ 2 while 33% had pain scores ≥ 5. Conclusion Use of 2% lidocaine administered through an endometrial aspirator did not significantly reduce IUD insertion pain scores in this pilot study. |
| doi_str_mv | 10.1016/j.contraception.2012.12.009 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1369718091</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0010782412010773</els_id><sourcerecordid>1369718091</sourcerecordid><originalsourceid>FETCH-LOGICAL-c468t-2425c957cfa5c7efc22e2ae2a54e288b85de8ccb71bc4be58e9da1ca58502dd43</originalsourceid><addsrcrecordid>eNqNktFrFDEQxoMo9mz9F2RBBF_2mmQ3lyyCILXqQcGHts8hO5mVnHvJmewK_e-d5U5FnwoDCcP3fTP8GMZeC74WXGwud2tIccoO8DCFFNeSC7mm4rx7wlbC6K7mSpinbMW54LU2sj1jL0rZcc51p_RzdiabRqtGyRW73S5R84Q5RKxCHOZCmVUaqjH4BG7p-oSlimmqMvoZsDpQtyqQMrX9TMZv1fb-I5kL5mWjC_ZscGPBl6f3nN1_ur67-lLffP28vfpwU0O7MVMtW6mA9oHBKdA4gJQoHZVqURrTG-XRAPRa9ND2qAx23glwyiguvW-bc_b2mHvI6ceMZbL7UADH0UVMc7Gi2XRaGN4Jkr47SiGnUjIO9pDD3uUHK7hdqNqd_YeqXahaKqJK7lenQXO_R__H-xsjCd6cBK6AG4fsIoTyV6cVN23LSXd91CFh-Rkw2wIBI6APGWGyPoVHLvT-vxwYQww0-js-YNmlOUcib4UtZLC3yyEsdyDk8tFN8wsG6LPl</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1369718091</pqid></control><display><type>article</type><title>Intrauterine infusion of lidocaine does not reduce pain scores during IUD insertion</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Nelson, Anita L ; Fong, Jennifer K</creator><creatorcontrib>Nelson, Anita L ; Fong, Jennifer K</creatorcontrib><description>Abstract Background Potential pain with IUD insertion is a concern for women. Studies have found that systemic and local cervical therapies do not reduce pain scores. Since intrauterine infusion of lidocaine may reduce pain with endometrial aspiration, in this pilot study, we tested whether such infusion through an inexpensive endometrial aspirator could reduce IUD insertion pain scores with IUD insertion. Study Design In this randomized, double-blinded, placebo control pilot study of 40 women undergoing IUD insertion, pain scores of women receiving 1.2 mL 2% lidocaine versus normal saline (1:1) infused 3 min prior to IUD insertion were measured using a 0–9-point scale. Results Pain at tenaculum placement was similar between groups. There was no difference in mean pain scores during IUD insertion of women infused with lidocaine (2.95) versus normal saline (3.75), p=.37. Considerable variation in pain scores was noted; 46% of subjects had pain scores ≤ 2 while 33% had pain scores ≥ 5. Conclusion Use of 2% lidocaine administered through an endometrial aspirator did not significantly reduce IUD insertion pain scores in this pilot study.</description><identifier>ISSN: 0010-7824</identifier><identifier>EISSN: 1879-0518</identifier><identifier>DOI: 10.1016/j.contraception.2012.12.009</identifier><identifier>PMID: 23375352</identifier><identifier>CODEN: CCPTAY</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Administration, Intravaginal ; Adult ; Anesthetics, Local - administration & dosage ; Anesthetics, Local - therapeutic use ; Anticonvulsants. Antiepileptics. Antiparkinson agents ; Biological and medical sciences ; Double-Blind Method ; Endometrial infusion ; Female ; Genital system. Reproduction ; Gynecology. Andrology. Obstetrics ; Humans ; Infusions, Parenteral ; Intrauterine ; Intrauterine Devices - adverse effects ; Intrauterine Devices, Copper - adverse effects ; Intrauterine Devices, Medicated - adverse effects ; IUD insertion pain ; Lidocaine ; Lidocaine - administration & dosage ; Lidocaine - therapeutic use ; Medical sciences ; Neuropharmacology ; Obstetrics and Gynecology ; Outpatient Clinics, Hospital ; Pain Measurement ; Pharmacology. Drug treatments ; Pilot Projects ; Vacuum Curettage - instrumentation ; Young Adult</subject><ispartof>Contraception (Stoneham), 2013-07, Vol.88 (1), p.37-40</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-2425c957cfa5c7efc22e2ae2a54e288b85de8ccb71bc4be58e9da1ca58502dd43</citedby><cites>FETCH-LOGICAL-c468t-2425c957cfa5c7efc22e2ae2a54e288b85de8ccb71bc4be58e9da1ca58502dd43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0010782412010773$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27508440$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23375352$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nelson, Anita L</creatorcontrib><creatorcontrib>Fong, Jennifer K</creatorcontrib><title>Intrauterine infusion of lidocaine does not reduce pain scores during IUD insertion</title><title>Contraception (Stoneham)</title><addtitle>Contraception</addtitle><description>Abstract Background Potential pain with IUD insertion is a concern for women. Studies have found that systemic and local cervical therapies do not reduce pain scores. Since intrauterine infusion of lidocaine may reduce pain with endometrial aspiration, in this pilot study, we tested whether such infusion through an inexpensive endometrial aspirator could reduce IUD insertion pain scores with IUD insertion. Study Design In this randomized, double-blinded, placebo control pilot study of 40 women undergoing IUD insertion, pain scores of women receiving 1.2 mL 2% lidocaine versus normal saline (1:1) infused 3 min prior to IUD insertion were measured using a 0–9-point scale. Results Pain at tenaculum placement was similar between groups. There was no difference in mean pain scores during IUD insertion of women infused with lidocaine (2.95) versus normal saline (3.75), p=.37. Considerable variation in pain scores was noted; 46% of subjects had pain scores ≤ 2 while 33% had pain scores ≥ 5. Conclusion Use of 2% lidocaine administered through an endometrial aspirator did not significantly reduce IUD insertion pain scores in this pilot study.</description><subject>Administration, Intravaginal</subject><subject>Adult</subject><subject>Anesthetics, Local - administration & dosage</subject><subject>Anesthetics, Local - therapeutic use</subject><subject>Anticonvulsants. Antiepileptics. Antiparkinson agents</subject><subject>Biological and medical sciences</subject><subject>Double-Blind Method</subject><subject>Endometrial infusion</subject><subject>Female</subject><subject>Genital system. Reproduction</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infusions, Parenteral</subject><subject>Intrauterine</subject><subject>Intrauterine Devices - adverse effects</subject><subject>Intrauterine Devices, Copper - adverse effects</subject><subject>Intrauterine Devices, Medicated - adverse effects</subject><subject>IUD insertion pain</subject><subject>Lidocaine</subject><subject>Lidocaine - administration & dosage</subject><subject>Lidocaine - therapeutic use</subject><subject>Medical sciences</subject><subject>Neuropharmacology</subject><subject>Obstetrics and Gynecology</subject><subject>Outpatient Clinics, Hospital</subject><subject>Pain Measurement</subject><subject>Pharmacology. Drug treatments</subject><subject>Pilot Projects</subject><subject>Vacuum Curettage - instrumentation</subject><subject>Young Adult</subject><issn>0010-7824</issn><issn>1879-0518</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNktFrFDEQxoMo9mz9F2RBBF_2mmQ3lyyCILXqQcGHts8hO5mVnHvJmewK_e-d5U5FnwoDCcP3fTP8GMZeC74WXGwud2tIccoO8DCFFNeSC7mm4rx7wlbC6K7mSpinbMW54LU2sj1jL0rZcc51p_RzdiabRqtGyRW73S5R84Q5RKxCHOZCmVUaqjH4BG7p-oSlimmqMvoZsDpQtyqQMrX9TMZv1fb-I5kL5mWjC_ZscGPBl6f3nN1_ur67-lLffP28vfpwU0O7MVMtW6mA9oHBKdA4gJQoHZVqURrTG-XRAPRa9ND2qAx23glwyiguvW-bc_b2mHvI6ceMZbL7UADH0UVMc7Gi2XRaGN4Jkr47SiGnUjIO9pDD3uUHK7hdqNqd_YeqXahaKqJK7lenQXO_R__H-xsjCd6cBK6AG4fsIoTyV6cVN23LSXd91CFh-Rkw2wIBI6APGWGyPoVHLvT-vxwYQww0-js-YNmlOUcib4UtZLC3yyEsdyDk8tFN8wsG6LPl</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Nelson, Anita L</creator><creator>Fong, Jennifer K</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130701</creationdate><title>Intrauterine infusion of lidocaine does not reduce pain scores during IUD insertion</title><author>Nelson, Anita L ; Fong, Jennifer K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-2425c957cfa5c7efc22e2ae2a54e288b85de8ccb71bc4be58e9da1ca58502dd43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Administration, Intravaginal</topic><topic>Adult</topic><topic>Anesthetics, Local - administration & dosage</topic><topic>Anesthetics, Local - therapeutic use</topic><topic>Anticonvulsants. Antiepileptics. Antiparkinson agents</topic><topic>Biological and medical sciences</topic><topic>Double-Blind Method</topic><topic>Endometrial infusion</topic><topic>Female</topic><topic>Genital system. Reproduction</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infusions, Parenteral</topic><topic>Intrauterine</topic><topic>Intrauterine Devices - adverse effects</topic><topic>Intrauterine Devices, Copper - adverse effects</topic><topic>Intrauterine Devices, Medicated - adverse effects</topic><topic>IUD insertion pain</topic><topic>Lidocaine</topic><topic>Lidocaine - administration & dosage</topic><topic>Lidocaine - therapeutic use</topic><topic>Medical sciences</topic><topic>Neuropharmacology</topic><topic>Obstetrics and Gynecology</topic><topic>Outpatient Clinics, Hospital</topic><topic>Pain Measurement</topic><topic>Pharmacology. Drug treatments</topic><topic>Pilot Projects</topic><topic>Vacuum Curettage - instrumentation</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nelson, Anita L</creatorcontrib><creatorcontrib>Fong, Jennifer K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Contraception (Stoneham)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nelson, Anita L</au><au>Fong, Jennifer K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intrauterine infusion of lidocaine does not reduce pain scores during IUD insertion</atitle><jtitle>Contraception (Stoneham)</jtitle><addtitle>Contraception</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>88</volume><issue>1</issue><spage>37</spage><epage>40</epage><pages>37-40</pages><issn>0010-7824</issn><eissn>1879-0518</eissn><coden>CCPTAY</coden><abstract>Abstract Background Potential pain with IUD insertion is a concern for women. Studies have found that systemic and local cervical therapies do not reduce pain scores. Since intrauterine infusion of lidocaine may reduce pain with endometrial aspiration, in this pilot study, we tested whether such infusion through an inexpensive endometrial aspirator could reduce IUD insertion pain scores with IUD insertion. Study Design In this randomized, double-blinded, placebo control pilot study of 40 women undergoing IUD insertion, pain scores of women receiving 1.2 mL 2% lidocaine versus normal saline (1:1) infused 3 min prior to IUD insertion were measured using a 0–9-point scale. Results Pain at tenaculum placement was similar between groups. There was no difference in mean pain scores during IUD insertion of women infused with lidocaine (2.95) versus normal saline (3.75), p=.37. Considerable variation in pain scores was noted; 46% of subjects had pain scores ≤ 2 while 33% had pain scores ≥ 5. Conclusion Use of 2% lidocaine administered through an endometrial aspirator did not significantly reduce IUD insertion pain scores in this pilot study.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>23375352</pmid><doi>10.1016/j.contraception.2012.12.009</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0010-7824 |
| ispartof | Contraception (Stoneham), 2013-07, Vol.88 (1), p.37-40 |
| issn | 0010-7824 1879-0518 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1369718091 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Administration, Intravaginal Adult Anesthetics, Local - administration & dosage Anesthetics, Local - therapeutic use Anticonvulsants. Antiepileptics. Antiparkinson agents Biological and medical sciences Double-Blind Method Endometrial infusion Female Genital system. Reproduction Gynecology. Andrology. Obstetrics Humans Infusions, Parenteral Intrauterine Intrauterine Devices - adverse effects Intrauterine Devices, Copper - adverse effects Intrauterine Devices, Medicated - adverse effects IUD insertion pain Lidocaine Lidocaine - administration & dosage Lidocaine - therapeutic use Medical sciences Neuropharmacology Obstetrics and Gynecology Outpatient Clinics, Hospital Pain Measurement Pharmacology. Drug treatments Pilot Projects Vacuum Curettage - instrumentation Young Adult |
| title | Intrauterine infusion of lidocaine does not reduce pain scores during IUD insertion |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T14%3A28%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Intrauterine%20infusion%20of%20lidocaine%20does%20not%20reduce%20pain%20scores%20during%20IUD%20insertion&rft.jtitle=Contraception%20(Stoneham)&rft.au=Nelson,%20Anita%20L&rft.date=2013-07-01&rft.volume=88&rft.issue=1&rft.spage=37&rft.epage=40&rft.pages=37-40&rft.issn=0010-7824&rft.eissn=1879-0518&rft.coden=CCPTAY&rft_id=info:doi/10.1016/j.contraception.2012.12.009&rft_dat=%3Cproquest_cross%3E1369718091%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1369718091&rft_id=info:pmid/23375352&rft_els_id=S0010782412010773&rfr_iscdi=true |