The website is launched on 29 June 2018

Long Acting Reversible (LARCs)

Intra uterine devices (IUD or IUCD)

How can safe insertion of IUCD be inserted?

  • Training:
    • The Risk of perforation is related to the competence of healthcare professional.
  • The number of insertions done year is related to the risk of perforation.
  • Those less than 10 in a 10 years period have higher risk.
  • Need for certification, recertification, trained and be conversant in anaphylaxis update¬† and basic life support.
  • Valid consent should be taken prior to insertion.
  • Chaperone should be present.

Intervention to ease IUCD insertion

  • Nulliparity, No history of vaginal delivery, anxiety and lenght of time since last pregnancy or last menses are factors that may predict pain during insertion.
  • Cervical priming Agent- Cochrane review has shown that none of the priming agents reduce pain including misoprostol.
  • Prophylatic oral analgesia- Some evidence to show NSIAD`s may relieve post insertion pain BUT NOT pain during insertion.
  • Tissue forceps- Application facilitates IUCD insertion by stabilsing the cervix and reducing flexion angle of the uterus
  • Local Anaesthetics block can be offered for those that required cervical dilatation.
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