Avaliação da dor à inserção do sistema intrauterino liberador de Levonorgestrel entre nulíparas e multíparas

Detalhes bibliográficos
Ano de defesa: 2021
Autor(a) principal: Isabella Andrade de Resende Chaves
Orientador(a): Não Informado pela instituição
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal de Minas Gerais
Brasil
Programa de Pós-Graduação em Saúde da Mulher
UFMG
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Dor
Link de acesso: http://hdl.handle.net/1843/77560
Resumo: Introduction: The levonorgestrel-releasing intrauterine system (LNG-IUS) is a safe and effective method of non-permanent contraception that can be used by women, including adolescents, nulliparous or multiparous women. The reduction of the pain during insertion of the device could lead to increased use of the device. Purpose: This study aimed to assess the pain scores at the insertion of the 52 mg levonorgestrel-releasing intrauterine system (LNG-IUS) among nulligravidas, parous women with previous vaginal delivery and parous women with elective caesareandelivery without any previous labor or cervix dilatation. Patients and methods: The study included 413 women aged 15-49 years who opted for LNG-IUS placement for contraception or treatment of heavy menstrual bleeding. Pain at insertion was evaluated by using a Visual Analogue Scale (VAS). The women were divided as: (1) nulligravidas, (2) parous women with a previous vaginal delivery, or (3) parous women with elective caesarean-delivery without any previous labor or cervix dilatation. Results: Nulligravidas women presented a higher mean pain score, when compared to women with elective caesarean-delivery and women with previous vaginal delivery (6.6 ±2.0 vs 5.5 ±2.1 and 3.9 ±2.4, respectively; p<.001). Nulligravidas and women with elective caesarean-delivery were more likely to have pain classified as moderate or severe (in relation to absent or mild) than women with previous vaginal delivery (p<.001). Conclusions: Women with previous vaginal delivery had lower pain scores at LNG-IUS insertion when compared to nulligravidas and women with elective caesarean-delivery without any previous labor