We appreciate the interest shown by Bahamondes and Monteiro in our recently published
paper [
[1]
]. We would like to thank the authors for their valuable comments that add much more
to our own published findings. We agree with them that statistical significant difference
is not necessarily means a clinical difference. However, the ease of insertion score
(ES) is an assumed visual analog scale (VAS) from 0 to 10 for numerical measurement
of the degree of the ease of insertion. It is not a standardized score unlike the
VAS for pain, in which 2-cm difference on the 10-cm VAS have been considered to be
a clinically significant difference in pain [
[2]
]. Till validated, we applied this difference on the meaning of clinical significance
of ES.Keywords
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References
- Vaginal misoprostol prior to intrauterine device insertion in women delivered only by elective cesarean section: a randomized double-blind clinical trial.Contraception. 2017; ([Article in press])
- Clinical significance of reported changes in pain severity.Ann Emerg Med. 1996; 4: 485-489
- Effect of vaginal administration of misoprostol before intrauterine contraceptive insertion following previous insertion failure: a double blind RCT.Hum Reprod. 2015; 30: 1861-1866
- Evaluation of an intervention designed to improve the management of difficult IUD insertions by advanced practice.Contraception. 2016; 93: 533-538
Article info
Publication history
Published online: February 07, 2017
Accepted:
January 30,
2017
Received:
January 30,
2017
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
