{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T20:47:58Z","timestamp":1762375678624,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2012,11,6]]},"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Bladder distension is thought to cause the uterine axis to become more aligned with the cervical canal. Among women undergoing assisted conception it has been demonstrated that having a full bladder facilitates the passage of an intrauterine catheter for embryo transfer.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To determine if insertion of intrauterine contraceptive devices is easier in women who have a full bladder at the time of insertion.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>200 women requesting intrauterine contraception with a pre-filled bladder were randomised to delayed emptying (after insertion; <jats:italic>n<\/jats:italic>=100) or immediate emptying (before insertion; <jats:italic>n<\/jats:italic>=100). Comparisons were made between doctors\u2019 reported ease of insertion and women's pain scores.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There was no significant difference with reported ease of insertion between the groups. Doctors reported that insertions were either \u2018very easy\u2019 or \u2018quite easy\u2019 in 82% and 83% of women in the immediate and delayed emptying groups, respectively (95% CIs for difference \u221210% to +11%). There was no significant difference in reported pain scores, with mean pain scores (out of 10) of 3.8 and 4.4 in the delayed and immediate emptying groups, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Bladder filling does not have a significant effect on ease of insertion of an intrauterine method of contraception. Insertion is mostly associated with low levels of discomfort, even in the presence of a full bladder.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2012-100422","type":"journal-article","created":{"date-parts":[[2013,1,24]],"date-time":"2013-01-24T20:53:18Z","timestamp":1359060798000},"page":"207-210","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Does a full bladder assist insertion of intrauterine contraception? A randomised trial"],"prefix":"10.1136","volume":"39","author":[{"given":"Sharon T","family":"Cameron","sequence":"first","affiliation":[{"name":"Consultant Gynaecologist, Chalmers Sexual and Reproductive Health Centre, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Glasier","sequence":"additional","affiliation":[{"name":"Professor, Department of Reproductive and Developmental Sciences, Obstetrics and Gynaecology, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Cooper","sequence":"additional","affiliation":[{"name":"Medical Student, University of Edinburgh, College of Medicine and Veterinary Medicine, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Johnstone","sequence":"additional","affiliation":[{"name":"Clinical Research Nurse, Department of Reproductive and Developmental Sciences, Obstetrics and Gynaecology, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,1,24]]},"reference":[{"key":"2025090511153470000_39.3.207.1","unstructured":"Lader D . Opinions Survey Report No. 41. Contraception and Sexual Health 2008\/09. 2009. http:\/\/www.ons.gov.uk\/ons\/rel\/lifestyles\/contraception-and-sexual-health\/2008\u201309\/2008\u201309.pdf [accessed 5 October 2012]."},{"key":"2025090511153470000_39.3.207.2","doi-asserted-by":"publisher","DOI":"10.1783\/147118908786000497"},{"key":"2025090511153470000_39.3.207.3","doi-asserted-by":"publisher","DOI":"10.1783\/147118906776276170"},{"key":"2025090511153470000_39.3.207.4","doi-asserted-by":"crossref","unstructured":"Allen RH Bartz D Grimes DA . Interventions for pain with intrauterine device insertion. Cochrane Database Syst Rev 2009;3:CD007373.","DOI":"10.1002\/14651858.CD007373.pub2"},{"key":"2025090511153470000_39.3.207.5","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dem244"},{"key":"2025090511153470000_39.3.207.6","doi-asserted-by":"crossref","first-page":"214\u2013219.","DOI":"10.1016\/j.contraception.2012.01.005","article-title":"Intracervical lidocaine gel for intrauterine device insertion: a randomized controlled trial","volume":"86","author":"Maguire","year":"2012;","journal-title":"Contraception"},{"key":"2025090511153470000_39.3.207.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2011.01.016"},{"key":"2025090511153470000_39.3.207.8","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deq348"},{"key":"2025090511153470000_39.3.207.9","first-page":"516","article-title":"Effect of passive uterine straightening during embryo transfer: a systematic review and meta-analysis","volume":"86","author":"Abou-Setta","year":"2007","journal-title":"Acta Scan"},{"key":"2025090511153470000_39.3.207.10","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1007\/BF02765749","article-title":"The role of uterine straightening by passive bladder distension before embryo transfer in IVF cycles","volume":"14","author":"Lewin","year":"1997","journal-title":"J Assist Reprod Genet"},{"key":"2025090511153470000_39.3.207.11","unstructured":"Faculty of Sexual and Reproductive Healthcare Clinical Effectiveness Unit. Intrauterine Contraception . 2007. http:\/\/www.fsrh.org\/pdfs\/CEUGuidanceIntrauterineContraceptionNov07.pdf [accessed 5 October 2012]."},{"key":"2025090511153470000_39.3.207.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2005.04.027"},{"key":"2025090511153470000_39.3.207.13","doi-asserted-by":"crossref","unstructured":"Robinson D Cardozo L . Urinary incontinence (Chapter 51). In: Dewhurst's Textbook of Obstetrics and Gynaecology (8th edn). Chichester, UK: Wiley Blackwell, 2012; 635\u2013692.","DOI":"10.1002\/9781119979449.ch51"},{"key":"2025090511153470000_39.3.207.14","first-page":"1060","article-title":"Prognostic factors for the success of thermal balloon ablation in the treatment of menorrhagia","volume":"99","author":"Bongers","year":"2002","journal-title":"Obstet Gynecol"},{"key":"2025090511153470000_39.3.207.15","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/14.11.2743"},{"key":"2025090511153470000_39.3.207.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.12.021"}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2012-100422","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T18:40:18Z","timestamp":1757097618000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2012-100422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,24]]},"references-count":16,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2013,6,18]]},"published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.1136\/jfprhc-2012-100422"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2012-100422","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"type":"print","value":"1471-1893"},{"type":"electronic","value":"2045-2098"}],"subject":[],"published":{"date-parts":[[2013,1,24]]}}}