{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T03:26:50Z","timestamp":1767065210727,"version":"3.37.3"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,2,7]],"date-time":"2018-02-07T00:00:00Z","timestamp":1517961600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Cervical punch biopsies are a common ambulatory procedure, performed routinely by gynaecologists. The aim of the present study was to assess the efficacy of forced coughing as a pain\u2010reducing technique during cervical punch biopsy compared to a control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>The study was a prospective randomised\u2010control trial. The study group comprised 90 women who underwent cervical punch biopsies during investigation of abnormal Pap test results. The women were randomly assigned to \u2018cough\u2019 and control groups. Pain was measured on a 10\u00a0cm visual analogue scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>) during different stages of the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content> pain score during biopsies was significantly lower in the \u2018cough\u2019 group. The median pain level in the \u2018cough\u2019 group was 1.5, compared to 4.0 in the control group. Eighty percent of the women in the \u2018cough\u2019 group reported a pain level of 2.0 or less compared to 40% of the women in the \u2018control\u2019 group (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.0002). In the second biopsy, 69% of the women reported <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>\u00a0\u2264\u00a02.0 in the cough group compared to 28% of the patients in the control group. Forced coughing was shown both to reduce anxiety regarding the prospect of future cervical procedures and to decrease patients' desires for future pain management. This was true for 32% of the women in the \u2018control\u2019 group compared to 12% of the women in the \u2018cough\u2019 group (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Forced coughing provides significant pain relief during cervical punch biopsy and reduces the patients' fears and desires for pain medications in future procedures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12784","type":"journal-article","created":{"date-parts":[[2018,2,7]],"date-time":"2018-02-07T07:36:38Z","timestamp":1517988998000},"page":"681-685","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The analgesic efficacy of forced coughing during cervical punch biopsy: A prospective randomised controlled study"],"prefix":"10.1111","volume":"58","author":[{"given":"Tal","family":"Goldstein Akavia","sequence":"first","affiliation":[{"name":"Department of Pediatrics (Department B) Schneider's Children Medical Center  Petah Tiqva Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3483-5845","authenticated-orcid":false,"given":"Yakir","family":"Segev","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Carmel Medical Center  Haifa Israel"},{"name":"Rappaport Faculty of Medicine Technion  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edith","family":"Balan","sequence":"additional","affiliation":[{"name":"Anesthesiology Department Carmel Medical Center  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efraim","family":"Siegler","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Carmel Medical Center  Haifa Israel"},{"name":"Rappaport Faculty of Medicine Technion  Haifa Israel"},{"name":"Cervical Clinic Lin Medical Center  Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,2,7]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.52.6.342"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02263.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb13313.x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000099"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-198906000-00027"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.LGT.0000171663.86847.45"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.290"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.07.017"},{"key":"e_1_2_5_10_1","first-page":"CD006120","article-title":"Pain relief for women with cervical intraepithelial neoplasia undergoing colposcopy treatment","volume":"7","author":"Gajjar K","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000292"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000013"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-8258(03)00412-8"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2005.03.005"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000024"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0305-4179(01)00035-3"},{"key":"e_1_2_5_17_1","first-page":"1","article-title":"The \u2018cough trick\u2019: reducing pain from immunization injections","volume":"28","year":"2010","journal-title":"Child Health Alert"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1159\/000320842"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000131941.61962.09"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000094983.16741.AF"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0539"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-6576.1999.430903.x"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.150.3699.971"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.12784","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12784","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.12784","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12784","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T16:32:40Z","timestamp":1694795560000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.12784"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,7]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1111\/ajo.12784"],"URL":"https:\/\/doi.org\/10.1111\/ajo.12784","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"type":"print","value":"0004-8666"},{"type":"electronic","value":"1479-828X"}],"subject":[],"published":{"date-parts":[[2018,2,7]]},"assertion":[{"value":"2017-09-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-01-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-02-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}