Ultrasound-guided versus uterine sound-sparing approach during copper intrauterine device insertion: a randomised clinical trial.

Autor: Ali MK; Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt., Ramadan AK; Department of Obstetrics & Gynecology, Assiut General Hospital, Assiut, Egypt., Abu-Elhassan AM; Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt., Sobh AMA; Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.
Jazyk: angličtina
Zdroj: The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception [Eur J Contracept Reprod Health Care] 2022 Feb; Vol. 27 (1), pp. 3-8. Date of Electronic Publication: 2021 Apr 15.
DOI: 10.1080/13625187.2021.1900565
Abstrakt: Objective: To compare the outcomes of trans-abdominal ultrasound (TAS) guided approach and uterine sound-sparing approach (USSA) during copper intrauterine device (IUD) insertion.
Study Design: A randomised open-label clinical trial (Clinical Trials.Gov: NCT03383432) included multiparous women requesting Copper IUD insertion for birth control were invited to participate. The eligible women were randomised into two groups (44 women in each group); group I (TAS-guided IUD insertion) and group II: USSA. The primary outcome was to measure the satisfaction score of IUD insertion in both methods. Secondary outcomes included the easiness score (ES), the difference in pain scores during IUD insertion, the duration of insertion, and the successful device placement after one week and one month evaluated by transvaginal ultrasound (TVS).
Results: Eighty-eight women were analysed in both groups. The VAS for satisfaction was significantly higher in the USSA group than the TAS-guided group (7.80 ± 1.27 vs. 5.45 ± 1.42, p  = .0001). There was significantly lower VAS of pain scores during IUD insertion in the USSA group as compared with the TAS-guided IUD ( p  = .001). A lower ES and a significantly shorter duration of IUD insertion were also determined among the USSA group ( p  = .0001).
Conclusions: USSA is associated with higher satisfaction and less pain during insertion than the TAS-guided IUD insertion approach. However, both techniques have optimal intra-uterine device positioning.
Databáze: MEDLINE
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