Use of Vaginal Misoprostol Prior to Placement of an Intrauterine Device: A Review
نویسندگان
چکیده
Intrauterine devices (IUD) are a highly effective and safe form of contraception. However, many individuals, particularly nulligravidas, elect against IUD use due to fear of pain associated with insertion. Misoprostol has been proposed as an agent to ease IUD insertion and decrease associated pain. However, its effi cacy in the literature is inconclusive and its use varies widely between healthcare providers. We present a review on the effi cacy of vaginal misoprostol in facilitating IUD insertion and reducing procedureassociated pain. Review Article Use of Vaginal Misoprostol Prior to Placement of an Intrauterine Device: A Review Elizabeth Hoover1, Abbey HardyFairbanks1 and Colleen K Stockdale2* 1University of Iowa Carver College of Medicine 2University of Iowa Hospitals and Clinics, Department of Obstetrics and Gynecology Dates: Received: 17 March, 2017; Accepted: 12 April, 2017; Published: 13 April, 2017 *Corresponding author: Colleen K Stockdale, University of Iowa Hospitals and Clinics, Department of Obstetrics and Gynecology, 200 Hawkins Drive, Iowa City, IA 52242, USA. E-mail:
منابع مشابه
بررسی تاثیر میزوپروستول واژینال جهت آمادگی سرویکس قبل از هیستروسکوپی
Background: As an important diagnostic and therapeutic procedure for patients with intrauterine diseases, hysteroscopy permits a good view of the uterine cavity, thereby increasing diagnostic accuracy. Complications often encountered during hysteroscopy primarily concern problems with cervical dilatation and include uterine perforation, cervical tears, and the creation of false tracts. In this ...
متن کاملVaginal misoprostol prior to insertion of an intrauterine device: an RCT.
BACKGROUND Misoprostol is an agent that may ripen the cervix in nonpregnant women. Here, we investigate whether vaginal misoprostol administered prior to intrauterine device (IUD) insertion reduces the number of failed insertions, insertion-related complications and pain during insertion. METHODS We conducted a double-blinded, multicenter randomized controlled trial among patients requesting ...
متن کاملInserting intrauterine devices in nulliparous women: is misoprostol beneficial? A registered clinical trial
Background: To determine if misoprostol use prior to intrauterine device (IUD) insertion decreases pain and eases insertion in nulliparous women. Study Design: Nulliparous women requesting IUDs for contraception were randomized to 400 micrograms of misoprostol or placebo prior to IUD insertion. The primary outcome was pain at the time of insertion using a 100 mm visual analog scale. Additional ...
متن کاملMisoprostol for termination of pregnancy with intrauterine fetal demise in the second and third trimester of pregnancy - a systematic review.
BACKGROUND A systematic review was conducted to compare with other methods, using the best available evidence, the benefits and risks associated with the administration of misoprostol to terminate pregnancy with fetal demise in the second and third trimesters (defined as gestational age of more than 14 weeks). STUDY DESIGN We assessed all published randomized controlled trials identified from...
متن کاملMisoprostol prior to inserting an intrauterine device in nulligravidas: a randomized clinical trial.
STUDY QUESTION How effective is the vaginal administration of misoprostol in dilating the cervix prior to inserting an intrauterine device (IUD) in nulligravidas? SUMMARY ANSWER The use of misoprostol at a dose of 400 µg administered vaginally 4 h prior to IUD insertion increased the ease of insertion and reduced the incidence of pain during the procedure, although the frequency of cramps inc...
متن کامل