Comparison of Pain Level During Intrauterine Device (IUD) Insertion Between Conventional and Direct Method

NCT ID: NCT03473717

Last Updated: 2018-03-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

158 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-30

Study Completion Date

2019-03-15

Brief Summary

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The so-called "direct" method of intrauterine device (IUD) and intraintuerine system (IUS) insertion is increasingly used. A study has shown that it is technically simpler and assumes less painful than the classic pose.

It seems interesting to compare the pain felt by the patients during IUD / IUS insertion in these two methods of placement and also to confirm that there is no more malposition with the direct method.

Detailed Description

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The classic method uses: a Pozzi for pulling the uterus to horizontalize it and a hysterometer to visualize the axis of the uterus and to measure the distance between the external orifice of the cervix and the uterine fundus in order to deploy the IUD / IUS.

In the so-called direct technique, the operator does not measure the depth of the uterus thanks to a hysterometer and does not draw the cervix with a Pozzi forceps, the IUD / IUS is deployed as soon as the orifice passes. inside the cervix and the inserter tube does not enter the uterine cavity. With this method the Pozzi forceps is only used as a second line, especially in case of a fleeing neck.

Conditions

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IUD Insertion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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classic method group

IUD/IUS insertion will be done using the conventional method

Group Type ACTIVE_COMPARATOR

classic method

Intervention Type DEVICE

* Put the Pozzi forceps to draw the uterus by the cervix to horizontalize it and align uterine cavity in the direct axis of cervix.
* Insert the hysterometer to measure the uterus depth.
* Locate the uterine depth on the inserter tube.

direct method group

IUD/IUS insertion will be done using the direct method

Group Type ACTIVE_COMPARATOR

direct method

Intervention Type DEVICE

* Place the ring on the inserter tube 3 to 4 cm from the end as a marker.
* Insert the tube into the cervix until you feel the passage of the internal orifice of the cervix or until the ring is in contact with the external orifice of the cervix, the tube does not enter the uterine cavity

Interventions

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classic method

* Put the Pozzi forceps to draw the uterus by the cervix to horizontalize it and align uterine cavity in the direct axis of cervix.
* Insert the hysterometer to measure the uterus depth.
* Locate the uterine depth on the inserter tube.

Intervention Type DEVICE

direct method

* Place the ring on the inserter tube 3 to 4 cm from the end as a marker.
* Insert the tube into the cervix until you feel the passage of the internal orifice of the cervix or until the ring is in contact with the external orifice of the cervix, the tube does not enter the uterine cavity

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* The study population will concern all women aged 18 to 50 who want IUD or SIU contraception regardless of whether they are nulliparous, primiparous or pluriparous, whether or not they have had an IUD or IUS.
* Having signed informed consent.
* Being affiliated to a social security scheme (excluding AME)

Exclusion Criteria

* Can not express their consent
* Not mastering French
* With a contraindication to the chosen IUD or IUS.
* Having had local anesthesia of the cervix (in case of Voluntary Interruption of Pregnancy on the day of insertion)
* Having received analgesic treatment within four hours
* Patient without social security
* No consent of the patient
* Minor patient
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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URC-ECO Clinical trial unit on health Economics, Hotel-Dieu Hospital

UNKNOWN

Sponsor Role collaborator

EA 7334 Patient-Centered Outcomes Research, University Paris-Diderot

UNKNOWN

Sponsor Role collaborator

Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Catherine Soulat

Role: PRINCIPAL_INVESTIGATOR

CIVG Hôpital Louis Mourier, AP-HP

Locations

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CIVG Hôpital Avicenne

Bobigny, , France

Site Status

CIVG Hôpital Louis Mourier

Colombes, , France

Site Status

Liberal Cabinet Midwife

Courbevoie, , France

Site Status

Liberal Cabinet Midwife

Fontenay-sous-Bois, , France

Site Status

Centre de Santé Gatineau Saillant

Gennevilliers, , France

Site Status

CPEF

Gennevilliers, , France

Site Status

Medical Office Gynecology

Paris, , France

Site Status

Hôpital Trousseau

Paris, , France

Site Status

ACSBE-La place santé

Saint-Denis, , France

Site Status

Medical Practice General Practice

Villeneuve-la-Garenne, , France

Site Status

Countries

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France

Central Contacts

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Catherine Soulat, doctor

Role: CONTACT

+33668343890

Charlotte Rambault

Role: CONTACT

+33619430824

Facility Contacts

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Maud Gelly

Role: primary

01 48 95 57 71

Catherine Soulat

Role: primary

01 47 60 63 51

Manon Forthoffer

Role: primary

06 33 22 48 39

Anne Seuront

Role: primary

06 76 78 35 60

Anna Christidis, Dr

Role: primary

01 40 85 66 83

Catherine Soulat, Dr

Role: primary

01 43 38 00 40

Cécile Cousyn, Dr

Role: primary

01 48 09 09 17

Françoise Bâcle, Dr

Role: primary

01 40 85 05 02

References

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Golightly E, Gebbie AE. Low-lying or malpositioned intrauterine devices and systems. J Fam Plann Reprod Health Care. 2014 Apr;40(2):108-12. doi: 10.1136/jfprhc-2013-100684. Epub 2014 Jan 6.

Reference Type BACKGROUND
PMID: 24395060 (View on PubMed)

Heinemann K, Reed S, Moehner S, Minh TD. Risk of uterine perforation with levonorgestrel-releasing and copper intrauterine devices in the European Active Surveillance Study on Intrauterine Devices. Contraception. 2015 Apr;91(4):274-9. doi: 10.1016/j.contraception.2015.01.007. Epub 2015 Jan 16.

Reference Type BACKGROUND
PMID: 25601352 (View on PubMed)

Braaten KP, Benson CB, Maurer R, Goldberg AB. Malpositioned intrauterine contraceptive devices: risk factors, outcomes, and future pregnancies. Obstet Gynecol. 2011 Nov;118(5):1014-1020. doi: 10.1097/AOG.0b013e3182316308.

Reference Type BACKGROUND
PMID: 22015868 (View on PubMed)

Teal SB, Romer SE. Awareness of long-acting reversible contraception among teens and young adults. J Adolesc Health. 2013 Apr;52(4 Suppl):S35-9. doi: 10.1016/j.jadohealth.2013.01.013.

Reference Type BACKGROUND
PMID: 23535055 (View on PubMed)

Related Links

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Other Identifiers

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HAO 180104

Identifier Type: -

Identifier Source: org_study_id

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