ACCURACY OF MIDWIVES ASSESSMENT OF PAIN DURING INTRAUTERINE DEVICE (IUD) INSERTION

One of the concerns during IUD insertion is fear of pain and discomfort. Providers
usually underestimate client`s pain. This study compares midwives assessment of pain and maximum
client pain in the IUD insertion procedure.
Material and Methods: One hundred and twenty six women that wanted to insert IUD were included in
the study at Urmia health centers. Participants rated the pain using Visual Analogue Scale (VAS) 0-10 cm
at different times. Midwives assessed clients` pain just after termination of the IUD insertion process.
Spearman and Wilcoxon tests and also descriptive analysis were used to analysis data using the SPSS v.
20 Software.
Results: Mean maximum client pain was 4.56 ± 2.15. There was a positive correlation between the
anticipated client pain before IUD insertion and also estimated pain by midwives with the maximum pain
reported by participants (p<0.001). There was a significant difference between the mean pain score
estimated by midwives and the maximum patient pain during the IUD insertion procedure (p<0.001).
Conclusion: Midwives underestimate the pain during IUD insertion. Question of anticipated patient pain
might be helpful in counseling process prior to the IUD insertion procedure and also in probable selecting
pain decreasing routes