Journal article
Postplacental intrauterine device insertion at a teaching hospital
Contraception (Stoneham), Vol.89(6), pp.528-533
06/01/2014
DOI: 10.1016/j.contraception.2013.10.008
PMID: 24565735
Abstract
To determine whether postplacental intrauterine device (IUD) insertion can be safely and effectively performed within a teaching program.
This was a prospective cohort of 177 subjects planning vaginal delivery enrolled antenatally who desired postplacental IUD insertion of either the copper T380A IUD or levonorgestrel IUS. Insertions were performed primarily by resident physicians following a training session. Follow-up included a 4- to 8-week visit and telephone calls at 3 and 6 months.
Ninety-nine subjects underwent successful postplacental IUD insertion of 100 attempts. Seventeen expulsions (17%) were noted: 10 complete and 7 partial. The study identified no differences in outcome by training level; however, the study lacked statistical power to evaluate anything other than large differences.
Postplacental IUD insertions can be safely and effectively performed within a training program.
A training protocol may safely and feasibly be initiated among physicians, advanced practice clinicians or trainees with no prior experience with postplacental IUD insertion. By initiating this practice, access to highly effective contraception may increase for patients who have difficulty returning for a visit or otherwise receiving effective methods.
Details
- Title: Subtitle
- Postplacental intrauterine device insertion at a teaching hospital
- Creators
- Tara C. Jatlaoui - Emory University School of MedicineMichele Marcus - Emory UniversityDenise J. Jamieson - Emory University School of MedicinePeggy Goedken - Emory University School of MedicineCarrie Cwiak - Emory University School of Medicine
- Resource Type
- Journal article
- Publication Details
- Contraception (Stoneham), Vol.89(6), pp.528-533
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.contraception.2013.10.008
- PMID
- 24565735
- ISSN
- 0010-7824
- eISSN
- 1879-0518
- Language
- English
- Date published
- 06/01/2014
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446455802771
Metrics
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