Contraception最新文献

{"title":"ACCURACY OF GESTATIONAL DATING BY LAST MENSTRUAL PERIOD IN PERIOD-TRACKING APPLICATION USERS","authors":"C Kerestes,&nbsp;K Stone,&nbsp;M Tschann,&nbsp;E Berry,&nbsp;R Soon,&nbsp;B Kaneshiro","doi":"10.1016/j.contraception.2024.110614","DOIUrl":"10.1016/j.contraception.2024.110614","url":null,"abstract":"<div><h3>Objectives</h3><div>We sought to determine if period tracking application (app) users’ pregnancy dating by last menstrual period (LMP) and dating by ultrasound were more congruent than those who did not use apps.</div></div><div><h3>Methods</h3><div>We conducted a secondary analysis of data collected from the LMP-SURE study, which surveyed participants without prior ultrasound from abortion clinics in Alaska, Hawaiʻi, Idaho, and Utah about date and certainty of LMP, and use of period tracking apps. We obtained subsequent ultrasound dating by chart review. We compared agreement between LMP and ultrasound dating between those who did and did not use period tracking apps.</div></div><div><h3>Results</h3><div>1,025 participants started the survey and 730 participants had complete data including ultrasound dating and period app use. Of those, 288 (39.5%) used a period-tracking application. Among all analyzed responses, 367 (50.3%) reported being certain of their LMP date and 264 (36.2%) were fairly certain of LMP within one week. Of app users, 279 (96.9%) were certain or fairly certain of LMP, versus 352 (79.6%) of non-app users (<em>p&lt;0.001</em>). Of those who tracked their periods with an app, 197 (56.6%) had a gestational age by LMP within five days of their gestational age by ultrasound, compared to 239 (45.2%) of non-app users (<em>p&lt;0.001</em>).</div></div><div><h3>Conclusions</h3><div>Participants who used period tracking applications were significantly more likely to report an LMP-based gestational age that was within five days of their gestational age by ultrasound, although neither group had high congruence between LMP and ultrasound gestational age.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110614"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PREGNANCY RECOGNITION: WHICH ABORTION PATIENTS KNEW BEFORE SIX WEEKS?","authors":"DW Chiu,&nbsp;A Braccia,&nbsp;A Cartwright,&nbsp;RK Jones","doi":"10.1016/j.contraception.2024.110619","DOIUrl":"10.1016/j.contraception.2024.110619","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to examine characteristics of abortion patients who found out they were pregnant before six weeks’ gestation.</div></div><div><h3>Methods</h3><div>We used the 2021–2022 Abortion Patient Survey (n=6,698) to analyze the question “About how many weeks pregnant were you when you found out you were pregnant?” We examined characteristics associated with respondents who found out &lt;6 weeks and at 6–12 weeks, including when we excluded respondents who obtained abortions in Texas under a six-week ban (Senate Bill 8 (SB8)) (n=546).</div></div><div><h3>Results</h3><div>64% of all respondents found out they were pregnant before six weeks, and this proportion was similar when respondents who obtained abortions under SB8 were excluded (62%). Respondents who found out they were pregnant &lt;6 weeks were 30 years or older, married, had private insurance coverage, and had higher incomes. As compared to those who found out at 6-12 weeks gestation, those who found out before six weeks were less likely to report delays to care because they did not know they were pregnant or coming up with the money and more likely to report delays because they were not far enough along. Respondents who found out they were pregnant before six weeks more often reported they chose the clinic they went to because it offered medication abortion.</div></div><div><h3>Conclusions</h3><div>Respondents who found out they were pregnant &lt;6 weeks were more resourced and had more support systems in place. Six week bans on abortions further disadvantage those with fewer resources from getting abortion care.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110619"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ABORTION PROVISION AT NEW YORK STATE REGIONAL PERINATAL CENTERS FOLLOWING IMPLEMENTATION OF THE REPRODUCTIVE HEALTH ACT","authors":"GR Krishna,&nbsp;JE Kohn,&nbsp;R Bleck,&nbsp;CL Westhoff","doi":"10.1016/j.contraception.2024.110587","DOIUrl":"10.1016/j.contraception.2024.110587","url":null,"abstract":"<div><h3>Objectives</h3><div>Signed in 2019, the <em>Reproductive Health Act</em> protects abortion in New York State after 24 weeks. This study describes implementation of the <em>Reproductive Health Act</em> among regional perinatal centers (RPCs)—tertiary referral centers for complex pregnancies which may care for patients seeking abortion later in pregnancy. A secondary objective was to identify barriers to and facilitators of policy implementation.</div></div><div><h3>Methods</h3><div>We recruited clinicians from the 17 New York RPCs, including Family Planning, Maternal-Fetal Medicine (MFM), and Genetic Counseling specialists. Respondents completed an online survey. We invited respondents to complete an in-depth interview. We calculated descriptive statistics to characterize the study population and summarize survey responses. We analyzed qualitative interviews using thematic analysis.</div></div><div><h3>Results</h3><div>Twenty-nine respondents completed the survey, representing 16 of 17 RPCs. Seventeen respondents, representing 11 RPCs, completed an interview. Seventy-nine percent of respondents reported barriers to providing abortion after 24 weeks from last menstrual period (LMP). Fewer (62%) reported barriers to providing abortion after 24 weeks for maternal or fetal indications. The most commonly-reported barriers in the survey results were staff resistance and institutional policy. During interviews, respondents identified staff resistance, restrictive institutional policies, and lack of clarity around policy as barriers to providing abortion care, while highlighting advocates and collaboration within their institutions as facilitators to implementation.</div></div><div><h3>Conclusions</h3><div>RPCs in New York State face barriers in providing abortion, especially after 24 weeks, even though they are ideally situated to provide such care. These barriers exist despite the legality of abortion after 24 weeks and policy efforts to expand access.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110587"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“IT DEPENDS ON THE PERSON AND…ON THE SITUATION TOO”: FACTORS INFLUENCING ABORTION METHOD PREFERENCES AMONG BLACK AND LATINX COMMUNITIES IN THE US SOUTHEAST","authors":"HV McMahon,&nbsp;P Bhandari,&nbsp;IC Stevenson,&nbsp;T Vyavahare,&nbsp;S Ayala,&nbsp;T Hailstorks,&nbsp;I Hairston,&nbsp;Z Jah,&nbsp;D Dixon Diallo,&nbsp;EA Mosley","doi":"10.1016/j.contraception.2024.110570","DOIUrl":"10.1016/j.contraception.2024.110570","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to qualitatively explore factors influencing abortion method preferences among Black and Latinx communities in the US Southeast.</div></div><div><h3>Methods</h3><div>We conducted in-depth interviews (n=32) and focus groups (n=30) with Black and Latinx women in Georgia, as well as key informant interviews (n=12) with abortion providers and community-based organization leaders. Data were analyzed using Strauss and Corbin’s Grounded Theory protocol. We validated the resulting model through methodological triangulation.</div></div><div><h3>Results</h3><div>Participants named perceptions of privacy and stigma, accessibility, safety, timing, and pain as core determinants of abortion method preferences. Medication abortion was largely characterized as more private, more accessible, and less stigmatizing than procedural abortion; however, some participants were concerned that medication abortion could feel lonely. Participants’ conceptualizations of safety and pain were more varied. While many viewed procedural abortion as invasive and therefore inherently higher risk and more painful, others worried that passing a pregnancy without clinician oversight during a medication abortion could be less safe and produce longer-lasting pain. Views on ideal timing also differed: Some liked that procedural abortion had a shorter recovery time even if it required longer appointments, while others felt strongly about the control of timing and shorter waits associated with medication abortion.</div></div><div><h3>Conclusions</h3><div>There are a number of factors that influence abortion method preferences among Black and Latinx communities. Considerations of privacy and stigma, accessibility, safety, timing, and pain should be addressed in abortion patient counseling to further empower informed decision making. Likewise, it is critical that both procedural and medication abortion are accessible to promote patient autonomy and meet individuals’ needs.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110570"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PATIENT PERSPECTIVES ON OUT-OF-STATE TRAVEL FOR ABORTION CARE POST-DOBBS","authors":"H Simons,&nbsp;K Przytula","doi":"10.1016/j.contraception.2024.110583","DOIUrl":"10.1016/j.contraception.2024.110583","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examines the travel experiences of patients receiving abortion services out of state including financial, logistical, and social-emotional barriers.</div></div><div><h3>Methods</h3><div>We electronically administered a post-visit survey to abortion patients traveling to two Planned Parenthood affiliates located in the Midwest and Southwest in 2023 (N_tot=510). We conducted descriptive and bivariable analysis to examine travel distance and travel-related barriers and whether they differed by race/ethnicity and age.</div></div><div><h3>Results</h3><div>86% of respondents traveled because abortion was not legal in their home state. The median one-way travel distance was 450 miles. Half of the respondents reported taking unpaid time off work, 46% reported concealing whereabouts from family/friends, and 32% reported paying to stay overnight. Nearly 1 in 3 reported not getting care as early as desired (30%) - top reasons were not being able to get an appointment (46%), not having enough money (43%), not being able to take time off from work / school (32%) and not knowing abortion was not available in their home state (32%). Median distance was greater for Hispanic/Latina respondents (median=700 miles) compared to other racial/ethnic groups (median_wht=300, median_blk=160, p=0.001). Younger respondents were more likely to pay to stay overnight (40%) than older respondents (29%, p=0.004). White (55%) and Hispanic/Latina (51%) respondents were more likely to conceal their whereabouts than Black respondents (30%, p&lt;0.0001).</div></div><div><h3>Conclusions</h3><div>Abortion patients traveling regionally in the Southwest and Midwest experienced notable barriers, including delays in obtaining care and taking unpaid time off work. Travel barriers may differentially affect patient subgroups, such as young people.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110583"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EFFECTS OF IMMEDIATE POSTPARTUM USE OF INJECTABLE CONTRACEPTION ON HUMAN MILK FEEDING","authors":"MF Gallo,&nbsp;FL Schumacher,&nbsp;M Lawley,&nbsp;S Keim,&nbsp;L Keder","doi":"10.1016/j.contraception.2024.110574","DOIUrl":"10.1016/j.contraception.2024.110574","url":null,"abstract":"<div><h3>Objectives</h3><div>US guidelines permit depot medroxyprogesterone acetate (DMPA) use among people intending to feed their infant with their milk. However, DMPA use is often restricted in practice due to lack of high-quality evidence. We evaluated the effect of immediate postpartum DMPA use on the timing of lactogenesis stage-II (LS=II).</div></div><div><h3>Methods</h3><div>The initial design randomly assigned adults who delivered a full-term infant in 2019-2021 to receive within 48 hours of delivery: DMPA, placebo injection, or no injection. Due to low enrollment, we changed in 2021-2023 to a non-randomized design using propensity score weighting for analysis and balancing recruitment for obesity and delivery method. Here, we combined data from both designs to compare immediate postpartum DMPA use (n=55) vs. control arm (n=95). We defined noninferiority <em>a priori</em> as being met if the upper bound of a two-sided 95% confidence interval (CI) for the mean difference in time to LS-II between the immediate DMPA and control groups was &lt;6 hours.</div></div><div><h3>Results</h3><div>In the unweighted analysis, the mean time to LS-II was 57.8 hours in the DMPA arm (SD=29.4) and 64.1 hours in the control arm (SD=36.1). Using propensity score weighting to make the arms comparable with respect to age, race, and gravidity, we found that the mean time to LS-II was 5.4 hours shorter (95% CI, -16.3, 5.4) for women in the DMPA relative to control arm.</div></div><div><h3>Conclusions</h3><div>We found no evidence that DMPA use inhibits the initiation of LS-II. Our findings support the immediate postpartum use of DMPA among those intending to engage in human milk feeding.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110574"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MEASUREMENT THAT MATCHES OUR VALUES: PERSON-CENTERED MEASUREMENT OF A PERSON-CENTERED CONTRACEPTIVE INITIATIVE","authors":"J Baayd,&nbsp;C Quade,&nbsp;A Gero,&nbsp;RG Simmons","doi":"10.1016/j.contraception.2024.110566","DOIUrl":"10.1016/j.contraception.2024.110566","url":null,"abstract":"<div><h3>Objectives</h3><div>We conducted a process evaluation of Family Planning Elevated (FPE), a multi-year initiative to improve contraceptive access across Utah by supporting 28 healthcare clinics to deliver person-centered, no-cost contraception. The goal of the process evaluation was to understand not only <em>if</em> FPE was successful, but also <em>how</em> and <em>why</em> it was successful.</div></div><div><h3>Methods</h3><div>Our mixed- methods study combined traditional evaluation metrics (client exit surveys, focus groups with participants, service delivery data) with innovative methods designed to measure shifts towards person-centered care (simulated patient visits with clinic sites, regular reflections with FPE staff, and comparisons of providers’ language over time). Qualitative findings were analyzed using a longitudinal analysis approach and mapped onto the Consolidated Framework for Implementation Research to identify barriers and facilitators to implementation.</div></div><div><h3>Results</h3><div>Our process evaluation detected a shift in healthcare providers’ perspectives about the goal of contraceptive visits: from a focus on matching patients to the “most effective method” to an understanding of how to support patients in finding their individual “best fit method.” Our data show the primary cause of this shift was the many in-person, tailored trainings and proctoring opportunities offered by FPE. Another important component of FPE’s success was the ability to adapt the intervention to meet the specific needs of each clinic partner.</div></div><div><h3>Conclusions</h3><div>FPE was most successful when the intervention adapted to meet the unique needs of healthcare teams and their clients. We learned that supporting clinics in delivering truly person-centered contraceptive care means we must provide clinic staff with programmatic support that is itself person-centered.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110566"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RESTRICTIVE ABORTION POLICIES ARE ASSOCIATED WITH INDIVIDUAL RISK OF DIVORCE","authors":"BG Everett,&nbsp;Z Bergman,&nbsp;J Sanders","doi":"10.1016/j.contraception.2024.110568","DOIUrl":"10.1016/j.contraception.2024.110568","url":null,"abstract":"<div><h3>Objectives</h3><div>Multiple studies have documented the benefits of abortion access to women across multiple dimensions. Much less research, however, has examined the broader implications of abortion access to family-level processes. We hypothesize that reproductive autonomy is foundational for family stability and test whether there is an association between abortion-restrictive environments and the risk of divorce.</div></div><div><h3>Methods</h3><div>Data come from the National Longitudinal Study of Adolescent to Adult Health, a prospective cohort data set with five waves of data collection over more than 20 years (n=5,184). The data include multiple indicators of abortion policy and access (eg, public funding available, informed consent procedures, parental consent, and presence of a family planning provider in the county) and relationship histories, including whether the respondent has had a divorce. We used logistic regression analyses and adjusted for sociodemographic characteristics associated with divorce risk (eg, age, education, income, race/ethnicity, number of children in household) and multiple county- and state-level sociodemographic indicators.</div></div><div><h3>Results</h3><div>Respondents who lived in states and counties with more abortion restrictions had an increased risk of being divorced (OR=1.12, 95% CI=1.05, 1.20) in the fully adjusted models. We did not find differences by gender in the relationship between abortion policy and divorce risk.</div></div><div><h3>Conclusions</h3><div>Abortion-restrictive environments are associated with an increased risk of divorce.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110568"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DEVELOPMENT AND ASSESSMENT OF A NOVEL SIMULATION FOR ULTRASOUND-GUIDED FAMILY PLANNING INJECTION PROCEDURES","authors":"S Amaya,&nbsp;R Mohty,&nbsp;EP Cahill","doi":"10.1016/j.contraception.2024.110631","DOIUrl":"10.1016/j.contraception.2024.110631","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to create and evaluate a simulation for ultrasound-guided family planning injection procedures including feticidal injections.</div></div><div><h3>Methods</h3><div>We created a simulation model with a gelatin mold containing water balloons. All participants completed a pre-simulation survey regarding previous training and current practice with US-guided procedures. Participants then completed a didactic session on feticidal injections and ultrasound-guided procedure principles. Participants oriented to the simulation tasks and completed three attempts to identify target and place needle into the target to withdraw/inject. They were evaluated on successful completion as well as: correct probe positioning, lining up target, early visualization of needle, needle visualization throughout the entire task, and time to completion. Participants completed a post-simulation survey evaluating the simulation and its impact on their practice.</div></div><div><h3>Results</h3><div>Seven participants completed the simulation: four Complex Family Planning (CFP) Attendings, two CFP fellows and one third year obstetrician gynecologist (Ob-Gyn) resident. In the pre-simulation survey, ultrasound-guided procedures were reported as part of the current practice for all participants except the resident. During the simulation itself, participants reliably completed all tasks successfully. The range of time for task completion varied from 16 seconds to 180 seconds and was notable for the deeper balloons being more challenging to access quickly. In the post-simulation survey, all participants rated the course as excellent, and agreed that they felt more comfortable offering US guided injections as part of their practice after this course.</div></div><div><h3>Conclusions</h3><div>We have constructed a didactic simulation that incorporates the core skills necessary for providing safe ultrasound-guided family planning procedures, including feticidal injections.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110631"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EFFICACY OF A STANDARDIZED, MULTIMODAL APPROACH TO PAIN CONTROL DURING IUD INSERTION","authors":"M Dart,&nbsp;C Sublett,&nbsp;M Hurwitz,&nbsp;L Edinger,&nbsp;M Coleman,&nbsp;T Gilmore,&nbsp;D Redick","doi":"10.1016/j.contraception.2024.110637","DOIUrl":"10.1016/j.contraception.2024.110637","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to evaluate the efficacy of a multimodal “bundle” to reduce pain and complications associated with intrauterine device (IUD) insertion. This bundle included oral naproxen, a high-potency topical anesthetic applied to the cervix, and the presence of an emotional support person. When available, ultrasound guidance was included in the bundle.</div></div><div><h3>Methods</h3><div>This is a prospective cohort study comparing pain and complications associated with IUD insertion in patients using standard practice, Cohort 1 (n=133), vs. using the pain reduction bundle, Cohort 2 (n=231). We enrolled patients undergoing IUD insertion from May 2022 to March 2024. We prospectively evaluated patient pain scores and qualitative experiences during IUD insertion using a visual analog scale and patient survey. Complications, including expulsion, malposition, infection, and laceration, were evaluated at six weeks.</div></div><div><h3>Results</h3><div>The mean reported pain score was not significantly lower in the intervention group compared to the control group (4.87/10 vs. 5.02/10, p=0.679) when controlling for parity, history of prior IUD placement, prior cervical procedure, concurrent procedure, type of IUD, age, BMI, and race/ethnicity distribution between groups. Subgroup analyses of copper IUD and nulliparous patients also revealed no significant difference (p=0.85, p= 0.811).</div></div><div><h3>Conclusions</h3><div>Patients experience pain during IUD insertion despite intervention with a multimodal pain bundle. Despite experiencing pain during IUD insertion, a majority of patients would undergo the procedure in the future and recommend the procedure to a friend. Further research is needed to explore pain control options during IUD insertion.</div></div>","PeriodicalId":10762,"journal":{"name":"Contraception","volume":"139 ","pages":"Article 110637"},"PeriodicalIF":2.8,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142426345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}