ArticleThe journal of family planning and reproductive health care2016
A randomised trial comparing pain and ease of use of two different stabilising forceps for insertion of intrauterine contraception.
Article in The journal of family planning and reproductive health care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed, 12 citations in OpenAlex.
- Differing Approaches to Pain Management for Intrauterine Device Insertion and Maintenance: A Scoping Review.Cureus · 2024Article
- Safety and Efficacy of an Atraumatic Uterine Cervical Traction Device: A Pilot Study.Frontiers in medicine · 2021Article
- Interventions for the prevention of pain associated with the placement of intrauterine contraceptives: An updated review.Acta obstetricia et gynecologica Scandinavica · 2019Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPain at intrauterine contraception (IUC) fitting may be a deterrent for women and any reduction in discomfort would be likely to be beneficial to both women and clinicians.
aimThis study investigated the associated pain and the ease of use of two different stabilising forceps at the time of IUC placement.
designSingle-blinded randomised controlled trial. One hundred parous women aged 18-50 years who had undergone at least one vaginal delivery were recruited.
settingAn integrated sexual health service in the North of England.
methodsWomen were randomised to the use of either a Littlewoods forceps or a single-toothed tenaculum forceps to stabilise the cervix at the time of IUC placement. Pain levels were measured at forceps application, IUC insertion, and 5 and 10 minutes post-procedure using a visual analogue scale (VAS). A clinician graded ease of use of the forceps and any associated bleeding. Wilcoxon rank-sum tests were used to compare pain levels between the two forceps groups. Linear regression was used when adjusting for potential confounders.
resultsMean VAS scores were similar at forceps application (
conclusionsParous women who have had a vaginal delivery can be reassured that IUC fitting is well tolerated. Pain scores were not affected by the type of forceps used to stabilise the cervix at IUC placement. Both forceps investigated were easy to use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.