Pain assessment and its associated factors during insertion of the intrauterine device in Primary Health Care

• Autor(a) principal: Barreto, Danyella da Silva
• Data de Publicação: 2022
• Outros Autores: Rêgo, Maria Eduarda de Melo Pereira do, Melo Neto, Alexandre José de, Gonçalves, Rafael Dias, Morais, Ianna Gil de Farias, Costa, Gilka Paiva Oliveira
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/3099
• topic: Intrauterine device; Pain; Primary health care.; Dispositivos Intrauterinos; Dor; Atenção primária à saúde.

Introduction: The insertion of the intrauterine device is an expected competence for the general practitioner. However, this method faces many barriers to be inserted in health centers such as the lack of professionals’ training and women’s fear of feeling pain. Objective: To evaluate the intensity of pain during the intrauterine device insertion procedure performed by general practitioners in health centers in the metropolitan region of João Pessoa and its association with sociodemographic factors, clinical aspects of women, and medical training. Methods: This is a cross-sectional and descriptive study, based on data collected from 16 health centers in the cities of Conde, Caaporã, João Pessoa, and Sapé (state of Paraíba, Brazil) from March to October 2019. Data collection was carried out by individual interview with a structured questionnaire and pain was rated by the Visual Analog Scale. Data were analyzed using Mann-Whitney Test and Pearson’s Chi-square Test. Results: The study included 139 women aged between 14 and 47 years, whose mean pain was 5.5 for those who were menstruating and 4.6 for those who were not. Mild pain was present in 20.1%; moderate pain, in 38%; and intense pain, in 31.7%. Hysterometry above 7cm, history of use of anti-inflammatory drugs during menstruation, and dysmenorrhea were more present in those who reported intense pain (p<0.001). Regarding the qualification of the physician who inserts the intrauterine device, there was no statistical significance in the correlation of intense pain with being a resident (p=0.268), time since graduation (p=0.080), or technical difficulty encountered (p=0.065). Conclusions: Therefore, pain was mostly considered as moderate, and IUD insertion is a feasible offer and procedure to be taught and implemented in Primary Health Care.