{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T23:17:26Z","timestamp":1793661446416,"version":"4.5.1"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T00:00:00Z","timestamp":1672358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate ultrasound guidance effect in pain relief during intrauterine device (IUD) insertion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Four different databases were searched from inception till June 2022. We selected randomized controlled trials (RCTs) that compared transabdominal ultrasound guidance versus traditional non\u2010guided IUD insertion among women undergoing IUD placement for contraception. We used Revman software during performing our meta\u2010analysis. Our primary outcome was the pain score during IUD insertion as evaluated by the Visual Analog Scale (VAS). Our secondary outcomes were the procedure insertion time, satisfaction, and incidences of complications and misplaced IUDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seven RCTs were retrieved with a total number of 1267 patients. There was a significant reduction in the VAS pain score during IUD insertion among the ultrasound\u2010guided group (MD\u00a0=\u00a0\u22121.91, 95% CI [\u22123.08, \u22120.73],\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.001). The procedure insertion time was significantly shorter within the ultrasound guidance group compared with the control group (MD\u00a0=\u00a0\u22121.35, 95% CI [\u22121.81, \u22120.88],\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Moreover, more women were significantly satisfied with the procedure among the ultrasound\u2010guided group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). In addition, ultrasound\u2010guided IUD insertion was linked to significant decline in incidences of complications and misplaced IUDs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ultrasound guidance can be used as a modified technique during IUD insertion as it decreases pain, procedure time, and rates of complications and misplaced IUDs with better patient satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jum.16166","type":"journal-article","created":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T06:16:58Z","timestamp":1672381018000},"page":"1401-1411","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Does Ultrasound Guidance Provide Pain Relief During Intrauterine Contraceptive Device Insertion? A Systematic Review and Meta\u2010Analysis of Randomized Controlled Trials"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0427-8758","authenticated-orcid":false,"given":"Saeed","family":"Baradwan","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology King Faisal Specialist Hospital and Research Center  Jeddah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majed Saeed","family":"Alshahrani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Najran University  Najran Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albaraa","family":"Alnoury","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Prince Mohammed Bin Abdulaziz National Guard Hospital  Madinah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid","family":"Khadawardi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Umm Al\u2010Qura University  Makkah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud Anis","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology King Faisal Specialist Hospital and Research Center  Jeddah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rehab Abdelkhalek Ahmed","family":"Abdelkader","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Al\u2010Azhar University, Faculty of Medicine for Girls  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ola I.","family":"Saleh","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, Faculty of Medicine for Girls Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heba Mohammed","family":"Galal","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, Faculty of Medicine for Girls Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzan Mohamed Abdelkareem","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care and Pain management, Faculty of Medicine for Girls Al\u2010Azhar University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9579-8366","authenticated-orcid":false,"given":"Ahmed Mohamed","family":"Abdelhakim","sequence":"additional","affiliation":[{"name":"Kasralainy, Faculty of Medicine Cairo University  Cairo Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asmaa M.","family":"Elgedawy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Suez Canal University  Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amira M.","family":"Elbahie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Suez Canal University  Ismailia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa A.","family":"Gaber","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology, Faculty of Medicine Al\u2010Azhar University  Assiut Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amr Ahmed","family":"Magdy","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Surgical Intensive Care and Pain Medicine, Faculty of Medicine Tanta University  Tanta Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kareem","family":"Shaheen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine Minia University  Minia Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jum.15836"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.11.011"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31821188ad"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-199612000-00014"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/13625187.2015.1031885"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.06.015"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.09.018"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0010-7824(86)90057-0"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jum.15593"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deq348"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.07.011"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.11.012"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001746"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.10.030"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2012-100420"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.06.004"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.01.005"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.21608\/amj.2022.212588"},{"key":"e_1_2_8_20_1","first-page":"1","article-title":"Trans\u2010abdominal sonography during intrauterine contraceptive device insertion In outpatients setting","volume":"16","author":"Samaha II","year":"2021","journal-title":"Ginekol Po\u0142o\u017c Med Proj"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-4-200908180-00135"},{"key":"e_1_2_8_22_1","first-page":"29","article-title":"A revised tool for assessing risk of bias in randomized trials","volume":"10","author":"Higgins JP","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_23_1","volume-title":"Cochrane Handbook for Systematic Reviews of Interventions","author":"Higgins JPT","year":"2011"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.12"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(86)90046-2"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"e_1_2_8_27_1","first-page":"1","article-title":"Bias in metaanalysis detected by a simple, graphical test","volume":"14","author":"Egger M","year":"2015","journal-title":"BMJ"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1461"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2017.1381234"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.21608\/ebwhj.2019.33478"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.11.013"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2020.101875"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.12.071"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2021.1900565"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.22557"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2018.11.012"},{"key":"e_1_2_8_37_1","article-title":"Interventions for pain with intrauterine device insertion","volume":"7","author":"Lopez LM","year":"2015","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.16166","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jum.16166","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.16166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T15:36:09Z","timestamp":1692545769000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jum.16166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,30]]},"references-count":36,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1002\/jum.16166"],"URL":"https:\/\/doi.org\/10.1002\/jum.16166","archive":["Portico"],"relation":{},"ISSN":["0278-4297","1550-9613"],"issn-type":[{"value":"0278-4297","type":"print"},{"value":"1550-9613","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,30]]},"assertion":[{"value":"2022-08-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}