{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:47:02Z","timestamp":1777870022639,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the experiences with an atraumatic device (Carevix\u00ae) for intrauterine device (IUD) placement in routine clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Our prospective, post\u2010marketing study was conducted in 19 centers in Europe, Brazil and the USA. IUD insertions using Carevix device were documented for completion rates, patient\u2010reported pain scores, cervical bleeding, and operator and patient satisfaction. Demographics, uterine position, and menstrual cycle phase were also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1123 IUD placements were analyzed. Most participants (819\/992; 83%) were 18\u201340\u2009years old; 46% (513\/1123) were nulliparous and 47% (526\/1123) were menstruating at the time of the procedure. The procedure was completed with Carevix alone in 82% (925\/1123) of participants. Additional tenaculum use was mostly due to spontaneous vacuum loss (194\/1123). Completion rates without a tenaculum were lower in nulliparous than in parous women (78% versus 86%). Average visual analog pain scores were lower with Carevix alone (35\u2009\u00b1\u200921) than when a tenaculum was required (43\u2009\u00b1\u200921). Most participants (73%) reported less pain than expected, and only 3% reported more pain. Among providers, 82% were satisfied with Carevix, citing ease of use, visibility, and low patient discomfort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In a multicenter real\u2010world setting, the novel, atraumatic device demonstrated feasibility and safety, with high completion rates and high satisfaction among both operators and patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70718","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T10:29:19Z","timestamp":1764757759000},"page":"1067-1074","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety and efficacy of a suction cervical stabilizer for\n                    <scp>IUD<\/scp>\n                    insertion: Results from a multicenter post\u2010marketing study"],"prefix":"10.1002","volume":"173","author":[{"given":"Michal","family":"Yaron","sequence":"first","affiliation":[{"name":"Department of Woman, Child &amp; Adolescent University Hospitals (HUG)  Gen\u00e8ve Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Crofts","sequence":"additional","affiliation":[{"name":"Department of Woman, Child &amp; Adolescent University Hospitals (HUG)  Gen\u00e8ve Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana C.","family":"Marcelino","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas Faculty of Medical Sciences  Campinas SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ximena","family":"Espejo\u2010Arce","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas Faculty of Medical Sciences  Campinas SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas Faculty of Medical Sciences  Campinas SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Barbe","sequence":"additional","affiliation":[{"name":"Department of Woman, Child &amp; Adolescent University Hospitals (HUG)  Gen\u00e8ve Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth Garcia","family":"Vilaplana","sequence":"additional","affiliation":[{"name":"Department of Woman, Child &amp; Adolescent University Hospitals (HUG)  Gen\u00e8ve Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micol","family":"Murtas","sequence":"additional","affiliation":[{"name":"Department of Woman, Child &amp; Adolescent University Hospitals (HUG)  Gen\u00e8ve Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassia T.","family":"Juliato","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas Faculty of Medical Sciences  Campinas SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dehlia","family":"Moussaoui","sequence":"additional","affiliation":[{"name":"Department of Woman, Child &amp; Adolescent University Hospitals (HUG)  Gen\u00e8ve Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alissa","family":"Conklin","sequence":"additional","affiliation":[{"name":"University Obstetricians\u2010Gynecologists Coleman Center  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Bahamondes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas Faculty of Medical Sciences  Campinas SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,3]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"1","article-title":"U.S. selected practice recommendations for contraceptive use. 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