الفهرس 
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Abstract
S
UMMARY
Methods
he study was done in Ain Shams Maternity Hospital including 140 women, 70 women in each group attending family planning clinic in Ain Shams Maternity Hospital.
group 1: We randomly assigned a group 70 women received local lidocaine spray 10%; four puffs (50ml, 10 mg/puff) applied to the cervical canal and cervix. We administered 4 puffs to the cervical surface and one puff specifically towards the external cervical os and we waited for 3-5 minutes to allow the anaesthetic to take effect before inserting the copper IUCD (Cu-T380A).
group 2 (the control group): In the other group, 70 women randomly assigned for ibuprofen; participants took 1 tablet (400mg) immediately & clinicians waited at least 45 minutes before inserting the copper IUCD (Cu-T380A).
Results:
No significant difference between lidocaine spray and ibuprofen tablet groups regarding age, BMI, parity and time after last delivery.
Failure of insertion statistically was non-significantly different among lidocaine spray and ibuprofen tablet groups.
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Summary
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Vasovagal reactions statistically were non-significantly less frequent among lidocaine spray.
Patients‘ pain perception statistically was significantly lower among lidocaine spray group.
Moderate pain statistically was significantly less frequent among lidocaine spray.
Need to analgesics statistically was significantly less frequent among lidocaine spray.