Table 2.
Main outcomes of the study.
Primary outcome§: within-group variations in the median pain scores during and 5-minutes after IUD insertion measured using a Wong-Baker FACES Pain Rating Scale | |||||||
---|---|---|---|---|---|---|---|
Group I 0.5 to 0.69-time segment of menstruation (n=53) | Group II 0.7 to 0.89-time segment of menstruation (n=67) | Group III 0.9 to 1.0-time segment of menstruation (n=72) | |||||
Procedural Step | median (IQR) | min; max | median (IQR) | min; max | median (IQR) | min; max | p-value |
Before IUD insertion | 0(0) | 0; 2 | 0(0) | 0; 2 | 0(0) | 0; 2 | 0.736 |
Speculum placement | 2(2) | 0; 4 | 2(2) | 0; 4 | 2(0) | 0; 4 | 0.620 |
Tenaculum placement | 4(2) | 2; 6 | 2(2) | 0; 6 | 4(2) | 2; 8 | 0.445 |
Uterine sounding | 4(2) | 2; 8 | 4(2) | 2; 8 | 4(2) | 2; 8 | 0.895 |
IUD insertion | 4(2) | 0; 8 | 4(2) | 2; 10 | 4(2) | 0; 6 | 0.505 |
Speculum removal | 0(2) | 0; 4 | 0(2) | 0; 6 | 0(2) | 0; 4 | 0.911 |
5-minute after speculum removal | 0(0) | 0; 2 | 0(0) | 0; 2 | 0(0) | 0; 8 | 0.248 |
Secondary outcome ‡: ease of IUD insertion scores | |||||||
Difficulty of IUD insertion | 19 (50%) | 21 (51.2%) | 17 (42.5%) | 0.149 | |||
Easy | 14 (36.8%) | 12 (29.3%) | 16 (40%) | ||||
Mildly difficult | 4 (10.5%) | 7 (17.1%) | 5 (12.5%) | ||||
Moderately difficult | 1 (2.6%) | 1 (2.4%) | 2 (5%) | ||||
Difficult |
Abbreviations: Min, minimum; Max. maximum; IQR. interquartile range; IUD. intrauterine device
The time segments during menstruation were calculated for each participant by dividing the menstrual cycle day of IUD insertion to total number of menses days.
*p<0.05 indicates statistical significance.
§ Kruskal-Wallis test.
‡ Multinomial logistic regression.