Immediate postabortion insertion of intrauterine devices
RHL practical aspects by Nguyen Thi Nhu Ngoc
FIRST CONTACT (PRIMARY CARE) LEVEL
Immediate, postabortion insertion of IUDs can be undertaken at this level of health care in facilities where abortion services are offered. It should be emphasized that this intervention would require staff to first rule out overt infection of the genital tract. Counselling of the women should be an integral part of this service.
REFERRAL HOSPITAL (SECONDARY CARE) LEVEL
Immediate insertion of IUD following abortion can be practised at secondary care level facilities where abortion services are offered. IUD insertion after second trimester abortion could be offered at this level although the higher risk of expulsion should be kept in mind.
AT HOME OR IN THE COMMUNITY
Not applicable.
This document should be cited as: Nguyen Thi Nhu Ngoc. Immediate postabortion insertion of intrauterine devices: RHL practical aspects (last revised: 18 January 2005). The WHO Reproductive Health Library; Geneva: World Health Organization.