الفهرس 
Intrauterine deviceOnly 14 pages are availabe for public view
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Abstract
Increasing the number of women using IUDs is an important public health goal. Fear of pain during IUD insertion is one reason women may not want to use this highly effective birth control method. Some providers avoid IUDs in women at potential higher risk of pain such as nulliparous women. Pain at insertion of an IUD can be distressing and may deter women from using the method.
Forced coughing, as studied, appear to reduce pain during IUD insertion. No serious harms were reported in these trials.
The current study was conducted at Mit Ghamer general hospital and Menoufia University Hospitals from beginning of january2019 till the end of October 2020. This study was include 400 women divided into two group (cough group and control group) each group contain 200 women. Cough group was asked to cough a forced cough during IUD insertion, while the control group received no pain management at all.
The two groups then were compared regarding pain felt during speculum placement, grasping of cervix, sounding, during IUD insertion and using 10 cm visual analogue scale (VAS) to detect the efficacy of the forced coughing on decreasing pain sensation.
There was no significant difference between the two groups regarding age, education, parity, mode of delivery, interval from last breast feeding, interval from last delivery, parity BMI and previous insertion, denoting that the two groups were matched regarding factors that may influence pain sensation during the process of IUD insertion. But VAS was significantly lower among Cough group than noncough group during steps of IUD insertion.