دورية أكاديمية
Intrauterine Device Insertion Procedure Duration in Adolescent and Young Adult Women.
| العنوان: | Intrauterine Device Insertion Procedure Duration in Adolescent and Young Adult Women. |
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| المؤلفون: | O'Flynn O'Brien KL; Department of Obstetrics and Gynecology, The Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: katherio@bcm.edu., Akers AY; Craig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Perriera LK; Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, Pennsylvania., Schreiber CA; Department of Obstetrics and Gynecology, The Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania., Garcia-Espana JF; Children's Hospital of Philadelphia Research Institute, Philadelphia, Pennsylvania., Sonalkar S; Department of Obstetrics and Gynecology, The Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania. |
| المصدر: | Journal of pediatric and adolescent gynecology [J Pediatr Adolesc Gynecol] 2019 Jun; Vol. 32 (3), pp. 312-315. Date of Electronic Publication: 2019 Jan 08. |
| نوع المنشور: | Journal Article; Multicenter Study; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Country of Publication: United States NLM ID: 9610774 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4332 (Electronic) Linking ISSN: 10833188 NLM ISO Abbreviation: J Pediatr Adolesc Gynecol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2001->: New York : Elsevier Science Original Publication: Philadelphia, PA : Chapman & Hall, 1996- |
| مواضيع طبية MeSH: | Age Factors* , Time Factors*, Intrauterine Devices, Medicated/*adverse effects, Adolescent ; Adult ; Female ; Humans ; Pain Measurement ; Pelvic Pain/etiology ; Young Adult |
| مستخلص: | Study Objective: Intrauterine device (IUD) utilization in the United States is low among adolescent and young adult women. Longer procedure duration has been proposed as one potential barrier to IUD insertion in this population. We hypothesized that procedure duration would be longer in adolescents compared to young adult women. Design, Setting, and Participants: This study was a secondary analysis of a randomized clinical trial comparing the effectiveness of a lidocaine vs sham paracervical nerve block for pain control during levonorgestrel 13.5 mg IUD insertion. Adolescent and young adult women ages 14-22 years were recruited from 3 outpatient academic sites in Philadelphia, Pennsylvania. Interventions and Main Outcome Measures: Pain scores were recorded at 7 steps during the procedure from speculum insertion through removal. Time stamps associated with each step were used to calculate the overall procedure duration. Cumulative IUD insertion procedure duration was estimated using the Kaplan-Meier method. Results: Ninety-five women enrolled. Nineteen (19/95, 20%) were ages 14-17 and 76 (76/95, 80%) were ages 18-22 years. The median procedure duration (seconds ± interquartile range) was longer for adolescents than for young adults (555 ± 428 seconds vs 383 ± 196 seconds; P = .008). After adjusting for study site, the difference in expected median procedure duration between age groups was not significant (P = .3832). Conclusion: The difference in duration of IUD insertion procedures in adolescent and young adult women is not clinically or statistically significant. Providers should not withhold IUDs from appropriate adolescent and young adult women on the basis of age alone. (Copyright © 2019 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.) |
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| معلومات مُعتمدة: | K12 HD001259 United States HD NICHD NIH HHS; K12 HD001265 United States HD NICHD NIH HHS |
| فهرسة مساهمة: | Keywords: Adolescent; Ambulatory surgical procedures; Gynecological surgical procedures; Intrauterine devices; Long-acting reversible contraception; Young adult |
| تواريخ الأحداث: | Date Created: 20190112 Date Completed: 20190718 Latest Revision: 20200601 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC6570557 |
| DOI: | 10.1016/j.jpag.2019.01.002 |
| PMID: | 30633980 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1873-4332 |
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| DOI: | 10.1016/j.jpag.2019.01.002 |