Understanding experiences of intra-uterine device (IUD) fitting to co-produce effective decision support tools about pain relief.

Summary aims

This study aims to improve women’s experiences of having an intrauterine device (IUD) fitted by: 

1. Interviewing women about their experiences of IUD fitting and what information they need about pain relief
2. Collecting data from clinicians about current IUD fitting practices, including use of pain relief and training needs
3. Co-developing a tool which guides a shared decision making (SDM) conversation between women and clinicians about pain relief during IUD fitting

Background

The IUD is a safe and cost-effective method of contraception, which is also used in the management of heavy periods and menopause symptoms. Recent media reports highlighted women’s experiences of intense pain and distress during fitting. Investigation reveals that pain relief offered varies widely. Women often report uncertainty about what to expect and feel their pain management should be better. Research also suggests that clinicians frequently underestimate women's pain.

What the study hopes to discover

There is a lack of research examining decision making about pain control during IUD fitting from the perspectives of both women and clinicians. The study team will survey clinicians about their current practice. The study team will conduct in-depth interviews with women on their experiences of IUD fitting, focussing on preferences and information needs for effective pain management. The study team will also interview clinicians about the procedure, pain management and training requirements. The study team will use the data collected to co-develop a web-based SDM tool. The study team will then share the tool with a group of women and clinicians and ask them about it, to see if any changes are needed. This will help ensure it effectively identifies patients’ preferences and empowers women and clinicians to share decision making.