Pain Clinical Trial
Official title:
Effective Strategy to Cope the Pain and Discomfort Among Women Undergoing Mammography
Most of the women complain about the pain and discomfort during the mammography procedure. It
is reported in the literature that most of the time these pain and discomfort are due to
anxiety-related causes. During counseling before mammography scan, it was also observed that
most of the women had a general belief that mammography is a very painful procedure and they
have a negative perception about mammography. Thus, the Majority of pain seems due to
anxiety-related issues. Studies also support this evidence and it is reported in the
literature that most of the women avoid mammography scans due to this negative perception
which causes delay and ultimately a late diagnosis.
To validate the exact nature of pain and discomfort during mammography and to find out the
strategy to cope with this anxiety-related pain and discomfort, there is a dire need for a
study that can address this problem. Additionally, in our setup, most of the women who came
for mammography are illiterate and belonged to the low socio-economic status. In these women,
due to the negative perception, refusal or withdrawal rate is higher for mammography scans.
A thorough literature search has revealed studies on this issue are scarce both nationally
and internationally. In the current study, Paracetamol will be used as a possible
intervention which is the safest premedication for reducing pain while achieving standard
compression which is necessary for good image quality. Thus, this study can help develop a
strategy to control mammography discontinuation due to pain and discomfort.
Mammography is considered a fundamental part of diagnosis in modern health care services. It
provides low dose soft tissue imaging of normal structure and pathology within the breast. A
mammogram can be performed on both asymptomatic and symptomatic women with palpable lumps and
any other complaints. It is an appropriate source of early detection for breast cancer in
diagnostic imaging. This screening practice is associated with a strong reduction in
mortality in breast cancer as many guidelines have already published. Thus, Mammography has
been demonstrated as a "Gold Standard" technique used for Breast cancer Imaging.
Besides, a strong reliance on Mammographic examination that most of the females may
experience breast pain and discomfort while achieving standard compression in mammography
which is necessary for optimal image quality a number of trials have been published.
Moreover, previously reported that anxiety-related psychological pain, false perception or
fear of discomfort is a factual reason for pain and discomfort while performing mammography.
Breast pain is also associated with the menstrual cycle and noncyclic (trauma, surgery, and
infection). Although, pain, discomfort, anxiety and false beliefs is a major reason to
discontinue this procedure and over the past decades taking part in mammography is quite
challenging for many women.
Premeditated mammography with the aid of analgesics is one of the most suitable interventions
for diminishing pain. In this current study, paracetamol is used as an intervention for
diminishing pain during mammography. Previously, a study declared that paracetamol can reduce
mild pain and most people can take this medicine safely. We planned this study to evaluate
the effective strategy to cope with the pain and discomfort among women undergoing
mammography.
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