Contraception · 2013
Postplacental intrauterine device insertion at a teaching hospital.
СтатьяНазвание и аннотация: Перевод в очереди
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Jatlaoui Tara C, Marcus Michele, Jamieson Denise J, Goedken Peggy, Cwiak Carrie
Аннотация
OBJECTIVE: To determine whether postplacental intrauterine device (IUD) insertion can be safely and effectively performed within a teaching program.
STUDY DESIGN: 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.
RESULTS: 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.
CONCLUSION: Postplacental IUD insertions can be safely and effectively performed within a training program.
IMPLICATIONS: 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.
STUDY DESIGN: 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.
RESULTS: 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.
CONCLUSION: Postplacental IUD insertions can be safely and effectively performed within a training program.
IMPLICATIONS: 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.
Предметные рубрики MeSH
AdolescentAdultClinical CompetenceCohort StudiesFeasibility StudiesFemaleFollow-Up StudiesGeorgiaHospitals, TeachingHumansInternship and ResidencyIntrauterine Device ExpulsionIntrauterine Device MigrationIntrauterine Devices, CopperIntrauterine Devices, MedicatedObstetrics and Gynecology Department, HospitalPatient SatisfactionPelvic InfectionPostnatal CareProspective StudiesRisk FactorsWorkforceYoung Adult