The Use of Lidocaine Spray and Paracervical Nerve Block in Pain Management During Intrauterine Device Insertion: A Literature Review
| dc.contributor.author | Plowman, Raelynn | |
| dc.date.accessioned | 2024-07-05T17:56:03Z | |
| dc.date.available | 2024-07-05T17:56:03Z | |
| dc.date.issued | 2024-05-15 | |
| dc.date.submitted | 2024-07-05T17:56:03Z | en_US |
| dc.description.abstract | Introduction: An intrauterine device (IUD) is an extremely reliable form of contraception with one of the highest satisfaction rates among users. Yet, in Canada the use of IUDs as primary contraception remains low. Women report that pain during IUD insertion dissuades them from selecting this form of contraception. Despite evidence that women experience discomfort during IUD insertions, standard pain control options remain unavailable. Objective: This literature review aims to evaluate the evidence for lidocaine spray and lidocaine paracervical nerve block in the management of pain during IUD insertion. A second objective is to assess if these techniques are suitable for outpatient visits. Methods: A search on PubMed was performed with key words and inclusion criteria to obtain articles pertaining to the use of both topical and injected lidocaine as pain management techniques during IUD insertion. Results: Three studies explored the benefits of lidocaine spray during IUD insertion and two studies assessed the effects of a lidocaine paracervical nerve block. Not only were both topical and injected forms of lidocaine effective in reducing pain during IUD insertion, these techniques were also effective in reducing pain during other procedural steps. Additionally, all participants in the studies tolerated the procedure well on an outpatient basis. Conclusion: Two effective pain management techniques have been identified in the literature. Lidocaine spray was found to be effective in reducing pain in parous women during multiple steps of IUD insertion. While a paracervical block was effective in reducing pain during IUD insertion in nulliparous women. Further, these interventions were tolerated well and suitable for outpatient clinics. | |
| dc.identifier.uri | http://hdl.handle.net/1993/38295 | |
| dc.language.iso | eng | |
| dc.title | The Use of Lidocaine Spray and Paracervical Nerve Block in Pain Management During Intrauterine Device Insertion: A Literature Review | |
| dc.type | manuscript | |
| local.author.affiliation | Rady Faculty of Health Sciences::Max Rady College of Medicine::Department of Family Medicine |