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Uterine or paracervical lidocaine application for pain control during intrauterine contraceptive device insertion: a meta-analysis of randomised controlled trials

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Authors
Perez-Lopez, Faustino R.
Martinez-Dominguez, Samuel J.
Perez-Roncero, Gonzalo R.
Hernandez, Adrian V.
Issue Date
2018-05-04
Keywords
Genital pain
intrauterine contraceptive device
IUD insertion
lidocaine
pain visual scale
prilocaine
xmlui.metadata.dc.contributor.email
faustino.perez@unizar.es

Metadata
Show full item record
Publisher
Taylor and Francis Ltd
Journal
European Journal of Contraception and Reproductive Health Care
URI
http://hdl.handle.net/10757/624644
DOI
10.1080/13625187.2018.1469124
Additional Links
https://www.tandfonline.com/doi/full/10.1080/13625187.2018.1469124
Abstract
Objective: Systematic review and meta-analysis to assess the effects of uterine or paracervical lidocaine application on pain control during IUD insertion. Methods: PubMed and five other electronic research databases were searched through 15 November 2017 for RCTs comparing lidocaine treatment vs. a control (placebo or no-intervention) to prevent pain during IUD insertion. Searched terms included ‘IUD insertion’, ‘lidocaine’ and ‘randomised controlled trial’. RCTs evaluating lidocaine treatment before IUD insertion without restriction of language, age and IUD type. Pain measured by visual pain scales at tenaculum placement, IUD insertion and immediate post-IUD insertion. Results of random effects meta-analyses were reported as mean differences (MDs) of visual pain scale (VPS) scores and their 95% confidence intervals (CIs). Results: Eleven RCTs (n = 1458 women) reporting paracervical lidocaine block or uterine mucosa lidocaine application before IUD insertion. Lidocaine produced lower VPS scores during tenaculum placement (MD −0.99, 95% CI: −1.73 to −0.26), IUD insertion (MD −1.26, 95% CI: −2.23 to −0.29) and immediate post-IUD insertion period (MD −1.25, 95% CI: −2.17 to −0.33). Conclusion: Lidocaine treatment was associated with modest reduction of pain during tenaculum placement and after IUD insertion.
Type
info:eu-repo/semantics/article
Rights
info:eu-repo/semantics/embargoedAccess
Language
eng
Description
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
ISSN
1362-5187
1473-0782
ae974a485f413a2113503eed53cd6c53
10.1080/13625187.2018.1469124
Scopus Count
Collections
Medicina

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