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. 2015 Jul 29;2015(7):CD007373. doi: 10.1002/14651858.CD007373.pub3

Cameron 2013.

Methods Location: Scotland, UK
Recruitment time: from March 2009 to March 2011
Sample size calculation and the outcome of focus: Assuming two‐sided alpha of 0.05 and power of 80%, a sample size of 100 participants in each arm was calculated to detect difference between 90% easy insertions with empty bladder and 99% easy insertions with filled bladder.
Participants General with N: 200 women
Source: family planning clinic in Edinburgh, Scotland, UK
Inclusion criteria: wished to have an intrauterine method of contraception, routinely attended clinic for counseling about method by clinician, before being given an appointment for subsequent insertion of device, agreed to attend for IUD or IUS insertion with full bladder
Exclusion criteria: no other criteria
Interventions Women drank 1 liter (L) (or 6 glasses) of fluid in hour before appointment.
 Timing of bladder emptying:
1) Immediate: went to toilet immediately prior to IUC insertion
2) Delayed: went to toilet after IUC insertion
Outcomes Primary: pain during IUD insertion (10‐point scale where 0 = no pain and 10 = agony)
Secondary: ease of insertion (primary for trial)
Notes IUC used: Mirena, Slimline TT380, Nova T 380, Multiload 375, UT 380 and Mini TT 380
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated sequence in blocks of 10
Allocation concealment (selection bias) Low risk Sequentially numbered, opaque, sealed envelopes
Blinding of participants and personnel (performance bias) 
 All outcomes High risk No blinding
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Loss to follow‐up: none