(044) AN INNOVATIVE AND NON-INVASIVE METHOD OF REDUCING PAIN UTILIZING VIBRATION DURING IUD INSERTION: PATIENT REACTIONS AND ONE PROVIDER’S APPROACH

Abstract

Abstract Introduction Pain is commonly experienced during Intrauterine device (IUD) insertion and a possible barrier to this form of contraception. Pharmacological methods and non-pharmacological techniques are available to reduce pain during this procedure, but the efficacy varies on a case-by-case basis and data is conflicting regarding doses. Additional techniques are needed to increase the likelihood of a more patient centered approach to address pain experienced during IUD placement. Objective The purpose of the current project is to describe exploratory use of vibration and propose it as an innovative pain management technique during IUD insertion. Methods Recognizing that the umbilicus and the distal third of the vagina are embryologically connected, the current clinician hypothesized that external vibration applied to the umbilicus by a patient during IUD placement may reduce pain. Starting in 2017 external umbilical vibration was added to a previously established list of pain reduction options available during IUD placement at one clinical practice. Patients were consulted prior to IUD insertion and the list of multiple options discussed as part of regular practice. Patients and the provider determined the methods of pain reduction that best fit the individual patient’s needs based on their previous experiences, apprehension, and other concerns related to the procedure. Clinician observation and recall of response and reactions following the use of vibration will be shared. Results A detailed description of the umbilical vibration technique will be provided. Provider recall and summary of anonymous patient responses will be discussed, as well as the possible implications for gynecological care. Verbal and non-verbal responses from patients who elected to use umbilical vibration, or a combination of umbilical vibration and other techniques, to reduce pain have been overwhelmingly positive. No negative experiences with this non-invasive technique have occurred. Conclusions Umbilical vibration may serve as an effective, low-cost option to reduce pain during IUD placement. Providers considering this technique should be comfortable discussing vibration and open to this type of patient centered care. Umbilical vibration as a pain reduction technique for IUD insertion could be utilized in a trauma informed practice. A more in-depth study to further explore the intricacies of this technique is in preparation. Disclosure No.