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Master Thesis

Étude comparative des techniques traditionnelles ou alternatives de pose de DIU en soin primaire : vécu par les patientes en termes de douleur et d’acceptabilité

Abstract : The IUD is an efficient birth control device, however it is less used in France than birth control pills. Its use is limited by patient’s fear of a painful insertion. A new way of insertion could be less painful than the traditional method. The aim of this study is to compare the pain felt by patient during the insertion depending on the method. It’s a comparative observational study conducted through anonymous survery filled by patient who lives in Île-de-France and that asked to get an IUD between the end of March 2017 and the end of May 2017. The main input data was the pain evaluated by “visual analogic scale of pain”. Pain during IUD insertion was equally low no matter what was the method employed (either traditional” insertion method or “direct” insertion method). We observed significant differences depending on the age and the parity, between use of uterine tenaculum (Pozzi group) and the rest; between practitioner with tranditionnal standardized insertion method and the rest; finally epending on the number of monthly insertion done by practitioners. There was no significant difference on VAS between the two methods. Differences on VAS depending on the age and the parity is the same as in the previous studies done. Relation between using a uterine tenaculum and pain, and practitioners monthly insertion figures is some new information. The link between pain and number of IUD insertion per month could be explicated by the fact that practitioners who does more IUD insertion could have done this act on younger or more difficult patient or could be that these IUD insertions are more standardized and quicker because of practitioners’ experience and practise.
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https://dumas.ccsd.cnrs.fr/dumas-02414396
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Inès Dumortier. Étude comparative des techniques traditionnelles ou alternatives de pose de DIU en soin primaire : vécu par les patientes en termes de douleur et d’acceptabilité. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02414396⟩

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