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Intrauterine Drug Delivery Systems

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Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...

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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

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Women's experiences with immediate postpartum intrauterine device insertion: a mixed-methods study.

Shannon L Carr¹, Rameet H Singh¹, Andrew L Sussman²

¹University of New Mexico School of Medicine, Department of Ob-Gyn, Albuquerque, NM.

|October 30, 2017

Summary

Women experienced less pain than expected during immediate postpartum intrauterine device (IUD) insertion. Most women reported mild pain and high satisfaction, highlighting convenience as a key motivator for postpartum contraception.

Keywords:

Contraceptive counseling Intrauterine device Pain Patient satisfaction Patient-centered care Postpartum

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Area of Science:

Obstetrics and Gynecology
Family Planning
Reproductive Health

Background:

Immediate postpartum intrauterine device (IUD) insertion (IPPI) is a convenient method for effective contraception.
Understanding women's pain and experiences during IPPI is crucial for patient counseling and satisfaction.

Purpose of the Study:

To describe pain and experiences associated with immediate postpartum IUD insertion using a ring forceps technique.
To explore women's decisional influences, procedural experiences, and regret after IPPI.

Main Methods:

Observational mixed-methods study involving women undergoing IPPI with or without epidural analgesia.
Pain assessment using Visual Analogue Scale (VAS) and Verbal Rating Scale (VRS).
Semistructured interviews to explore women's experiences and satisfaction.

Main Results:

Most women reported mild pain (VRS) during IPPI, regardless of epidural use.
Convenience was the primary motivation for choosing IPPI.
High satisfaction reported, with no decisional regret, even among those with higher pain scores.

Conclusions:

Women generally experience less pain than anticipated during immediate postpartum IUD insertion.
The Verbal Rating Scale (VRS) is more informative than VAS for assessing pain during IPPI.
Convenience drives IPPI uptake, and patient counseling should address expectations regarding pain and procedure.