Copper containing, framed intrauterine devices for contraception
RHL practical aspects by Ozalp SS
FIRST CONTACT (PRIMARY CARE) LEVEL
Anyone with training in medical procedures and specific training in counselling, IUD screening, insertion, follow-up and removal, including physicians, nurses and midwives can insert an IUD at the primary health-care level, depending on local regulations. The IUD can be used by any woman during her reproductive years provided that she is not pregnant and fulfils the medical eligibility criteria (1).
REFERRAL HOSPITAL (SECONDARY CARE) LEVEL
IUD services need to be offered at this level along with related counselling. The secondary care level should be prepared to provide care without delay to any woman who has had an IUD inserted and presents with signs or symptoms suggestive of complications that are more difficult to manage at the primary care sites, such as ectopic pregnancy. Health workers at this level would also need to involve themselves in the training of peripheral health-care workers.
AT HOME OR IN THE COMMUNITY
There is a need to make this and other contraceptive methods known to people. Public awareness campaigns for this purpose should be undertaken at the community level.
As misconceptions associated with IUD use deter women from using this method, accurate and consistent information should be given to women regarding the effectiveness and use of IUDs as an option for long-term, reversible contraception.
References
- Medical eligibility criteria for contraceptive use. Third edition. Geneva, World Health Organization;2004.
This document should be cited as: Ozalp SS. Copper-containing, framed intrauterine devices for contraception: RHL practical aspects (last revised: 15 December 2006). The WHO Reproductive Health Library; Geneva: World Health Organization.