Intrauterine Device (IUD) Insertion

Chapter 26 Intrauterine Device (IUD) Insertion



Common indications


Intrauterine devices (IUDs) are an ideal option for women who desire a long-term, reliable solution for contraception. The primary use is in multiparous women who are done with childbearing, but many women who are nulliparous are now choosing IUDs for long-term (5 years or more) contraception. Ensure that the patient is not pregnant before performing this procedure (Figure 26-1).


image

FIGURE 26-1 IUD during placement in the uterus.



Equipment


There are two common types of IUDs: copper T and Mirena. The Mirena IUD contains levonorgestrel as an adjunct to the mechanical effects of the IUD. The insertion techniques for these IUDs are similar with a few subtle design-related differences. The copper T arms must be flexed and folded into its insertion catheter. The Mirena IUD is pulled back into the insertion sheath, and the strings are locked at the base of the handle at the start of the procedure (Figure 26-2).


image

FIGURE 26-2 Types of IUDs (seen without applicators).



Key steps



1. Preparation: Prepare the IUD for insertion in a sterile manner (Figure 26-3). Place the patient in the lithotomy position. Perform a bimanual exam to determine the orientation and size of the uterus. Insert a speculum and visualize the cervix. Cleanse the cervix with an antiseptic solution.

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Dec 12, 2016 | Posted by in GENERAL & FAMILY MEDICINE | Comments Off on Intrauterine Device (IUD) Insertion

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