Paracervical Block and Paracetamol for Pain Reduction During IUD Insertion: A Randomized Controlled Study
Introduction: Unintended pregnancies and its consequences are a considerable public health problem. Intrauterine Devices (IUDs) are reversible, safe and effective contraceptive method for most women. Aim: The aim of this study was to compare the effects of paracervical block and paracetamol on...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2017-11-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/10854/25702_CE(RA1)_F(T)_PF1_(SY_VT_PY)_PFA(PR_AP).pdf |
Summary: | Introduction: Unintended pregnancies and its consequences
are a considerable public health problem. Intrauterine Devices
(IUDs) are reversible, safe and effective contraceptive method
for most women.
Aim: The aim of this study was to compare the effects of
paracervical block and paracetamol on pain reduction during IUD
insertion.
Materials and Methods: A total of 118 patients were enrolled
into this prospective randomized study. Paracervical block
was performed in 42 patients (Group 1), 30 patients received
paracetamol (Group 2) and 46 patients did not receive any
analgesic method (Group 3). The primary end point was to
determine the pain levels using Visual Analogue Scale (VAS)
during (VAS1) and after (VAS2) insertion of IUDs.
Results: Mean VAS1 and VAS2 scores of groups were 3.69±1.6
and 3.02±0.1 for Group 1; 3.73±0.8 and 3.0±0.7 for Group 2;
4.37±1.4 and 3.83±1.2 for Group 3 respectively. There were no
significant difference between VAS1 among the groups. However
VAS2 scores were significantly different between Group 3 and
both Group 1 (p<0.001) and Group 2 (p<0.001). Neither VAS1
scores (p=0.9) nor VAS2 scores (p=0.5) were different between
Group 1 and 2.
Conclusion: Paracetamol and paracervical block are both
effective methods for pain relief after IUD insertion and there is
no difference between these two methods with respect to pain
relief. |
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ISSN: | 2249-782X 0973-709X |