Pain Management in Outpatient Intrauterine Device Placement and Hysteroscopy: A Survey of Current Practices Volume 4 - Issue 3

Mariana Sucena¹, Maria Malheiro², Fernanda Águas¹, Margarida Martinho², Daniel Pereira da Silva³*

• ¹Department of Obstetrics and Gynecology, Coimbra Hospital and University Centre, Praceta Professor Mota Pinto, Portugal
• ²Department of Gynecology, São João Hospital and University Centre of Porto, Alameda Professor Hernâni Monteiro, Portugal
• ³Coimbra Medical Institute, Coimbra, Portugal

Received: April 13, 2021Published: April 27, 2021

Corresponding author: Daniel Pereira da Silva, Coimbra Medical Institute, Rua do Brasil 133, 3000 Coimbra, Portugal, Email:dpdaSilva@sapo.pt

DOI: 10.32474/IGWHC.2021.04.000193

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Abstract

Objective: To survey obstetricians and gynecologists routine pain control practices in office intrauterine device insertion and hysteroscopies.

Methods: An observational cross-sectional survey-based study was conducted to evaluate the current pain management practices in outpatient gynecological procedures in Portugal. Type of protocols applied and their frequency as well as the possibility of using an alternative local strategy were addressed.

Results: Of the surveyed professionals, 198 (49.5%) implemented pain reduction protocols when inserting intrauterine devices. Non-steroid anti-inflammatory drugs (49.5%) were the first choice followed by the use of misoprostol (22.7%). Respondents reported a higher percentage of pain management during hysteroscopy (87.4%), opting mostly for general anesthesia. More than 85% of the ob-gyn would adopt a local anesthetic solution developed specifically for this purpose, highlighting that the current applied methodologies are frequently ineffective.

Conclusion: Current pain control methods for office procedures are not totally effective and are a major limiting factor. More efficient pain control methods and guidelines are needed for gynecological procedures in an office setting. birth weight is detected early and treated appropriately. They should be followed up to ensure normal progression of pregnancy.

Keywords: Pain Management; Intrauterine Devices; Hysteroscopy; Office Setting; Anesthetics

Abstract| Introduction| Methods| Measurements| Results| Discussion| List of Abbreviations:| Conclusion| Acknowledgments| Conflict of interest statement:| References|