Barriers and facilitators for providing pain control during intrauterine device insertion: a multi-center physician survey.

IF 1.9 4区医学 Q3 OBSTETRICS & GYNECOLOGY

European Journal of Contraception and Reproductive Health Care Pub Date : 2025-04-22 DOI:10.1080/13625187.2025.2460015

Abirami Kirubarajan, Seoyeon Han, Anna Gryn, Priyanka Patel, Zuhal Mohmand, Natalie Morson, Mara Sobel

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引用次数: 0

Abstract

Purpose: To evaluate physicians' barriers and facilitators, as well as knowledge, practices, attitudes, and beliefs, regarding analgesia for IUD insertion.

Methodology: A multi-center online survey was conducted from January to July 2023 in Ontario, Canada. Data was analysed using descriptive statistics, chi-square tests, ANOVA, and thematic analysis.

Results: Among 85 providers who responded to the survey, there was a lack of consensus regarding provision of analgesia for IUD insertion, as only 52.9% routinely provided pain control. The remaining 40 providers (47.1%) stated that they do not routinely provide pain control for IUD insertion, although 87.5% of participants stated that they would provide pain control if the patient specifically requested analgesia. No differences were found between academic and community staff (p = 0.94) or less experienced providers in provision of pain control (p = 0.24). Reasons for provision of pain control included patient comfort, care, and procedure safety. Conversely, other physicians believed the pain was minimal or short-lived, or faced logistical barriers in providing analgesia.

Conclusions: Patients and providers should engage in shared decision-making regarding pain control for IUD insertion.

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宫内节育器插入过程中疼痛控制的障碍和促进因素：一项多中心医师调查。

目的：评估医生在宫内节育器插入镇痛方面的障碍和促进因素，以及知识、实践、态度和信念。方法：于2023年1月至7月在加拿大安大略省进行了一项多中心在线调查。数据分析采用描述性统计、卡方检验、方差分析和专题分析。结果：在85名接受调查的提供者中，对于宫内节育器插入镇痛的提供缺乏共识，因为只有52.9%的人常规提供疼痛控制。其余40名提供者（47.1%）表示，他们没有常规地为宫内节育器插入提供疼痛控制，尽管87.5%的参与者表示，如果患者特别要求镇痛，他们将提供疼痛控制。学术人员和社区工作人员（p = 0.94）或经验较少的提供者在提供疼痛控制方面没有差异（p = 0.24）。提供疼痛控制的原因包括患者舒适、护理和手术安全。相反，其他医生认为疼痛是轻微的或短暂的，或者在提供镇痛时面临后勤障碍。结论：患者和医疗服务提供者应共同参与关于节育器插入疼痛控制的决策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Contraception and Reproductive Health Care 医学-妇产科学

CiteScore

3.70

自引率

11.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Official Journal of the European Society of Contraception and Reproductive Health, The European Journal of Contraception and Reproductive Health Care publishes original peer-reviewed research papers as well as review papers and other appropriate educational material.