Effectiveness of the Iranian auxiliary midwife in IUD insertion.

In Iran, a traditional rural midwife is allowed to perform pelvic exams and insert IUD'S under conditions of almost total independence after she has received one month of intensive training in the procedures. The present study compared two groups containing 232 village women each, matched for age and parity. One group had IUDs inserted by rural midwives and the other by physicians or nurse-midwives at ubran clinics. The one-year and two-year closure rates for the two groups were very similar, as were the net closure rates for various categories of termination. No cases of severe complication were known to have occurred in either series. This evidence indicates that a rural midwife, following short, intensive training in the technique, can insert IUDs as safely and effectively as physicians and nurse-midwives.