Evidence map›Paper›PMID 36477274›Full record

Trial reportArchives of gynecology and obstetrics2023

Cervical bleeding with cervical stabilization during IUD placement: allis clamp versus single-tooth tenaculum, a randomized control trial.

Brooke Andrews, Kristen Quick, Erin MacLeod, Kayce Edwards, Bryan K Rone

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05187078 nacompletednot on this map

Cervical Bleeding With Cervical Stabilization During IUD Placement: Allis Clamp Versus Single-tooth Tenaculum

TypeinterventionalSponsorBrooke AndrewsRan2017 to 2018Enrolled95ConditionsIUDArmsAllis clamp, Single-tooth tenaculum
NCT06694246 recruitingnot on this mapstarted 2024, after this paper: background citation

Outpatient Endometrial Biopsy Results; a Quality Improvement Project.

Typeobservational_patient_registrySponsorCairo UniversityRan2024 to 2025Enrolled400ConditionsHistopathology, Screening Tool, TechniquesArmsImproving technique, Using hysteroscopy in candidate patients, Analgesia
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Safety and efficacy of a suction cervical stabilizer for IUD insertion: Results from a multicenter post-marketing study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Brooke AndrewsDepartment of OBGYN, University of Kentucky College of Medicine, 800 Rose Street, Suite C368, Lexington, KY, 40506, USA. bandrews2106@gmail.com.ORCID http://orcid.org/0000-0001-9826-0182
Kristen QuickDepartment of OBGYN, University of Kentucky College of Medicine, 800 Rose Street, Suite C368, Lexington, KY, 40506, USA.
Erin MacLeodDepartment of OBGYN, University of Kentucky College of Medicine, 800 Rose Street, Suite C368, Lexington, KY, 40506, USA.
Kayce EdwardsPremier Women's Care, 209 Three Bridges Road, Greenville, SC, 29611, USA.
Bryan K RoneDepartment of OBGYN, University of Kentucky College of Medicine, 800 Rose Street, Suite C368, Lexington, KY, 40506, USA.
University of Kentucky · USDowntown Women's Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether the use of an atraumatic Allis clamp will result in less bleeding than the standard single-tooth tenaculum for cervical stabilization during intrauterine device (IUD) placement.

methodsA single-blinded randomized controlled trial was conducted during insertions of IUDs between March 2017 and March 2018. University of Kentucky Institutional Review Board (IRB 16-1110-P3K) approval was obtained. Physicians were randomized to use either an Allis clamp or a single-tooth tenaculum for cervical stabilization. A post-procedure questionnaire was used to collect outcome measures as well as demographic and obstetric-related factors.

resultsOf the ninety-five participants, there was no difference in age, self-identified race/ethnicity, or the evaluated obstetric factors between the groups. Bleeding was present after clamp removal in 3 (6.3%) insertions using an Allis clamp and 26 (55.3%) insertions using a single-tooth tenaculum (RR = 0.113, CI = [0.037, 0.3481], p < 0.0001). There was no difference in IUD insertion success rates between the two clamps. There was no difference in the number of interventions needed to obtain hemostasis including indirect pressure, silver nitrate, monsel's solution, or stitch for hemostasis. Pain scores did not differ based on clamp type or age of patient, but were significantly different based on parity (p < 0.001) and IUD type (p < 0.003).

conclusionDecreased incidence of bleeding from cervical stabilization device, with unchanged insertion success using the Allis clamp can be an alternative to the single tooth tenaculum in the procedure of IUD insertion. TRIAL REGISTRATION NUMBER: The trial was retrospectively registered on 1/11/22 (trial registration number NCT05187078).

Indexed as

Intrauterine DevicesPainAnesthetics, LocalFemaleHemorrhageHumansPregnancySurgical InstrumentsAnesthetics, LocalAllis clampCervical stabilizationIntrauterine deviceSingle-tooth tenaculum

Identifiers

PMID36477274
OpenAlexW4310961345

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.