Outcomes of Intrauterine Device Insertion by Certified Midwives and Obstetric Nurse Practitioners

Botelho, Thalita Vital; Borges, Ana Luiza Vilela

doi:10.1590/0034-7167-2022-0286

ABSTRACT

Objectives:

to evaluate the outcomes of Interval Copper Intrauterine Device (IUD) insertion performed by certified midwives and obstetric nurse practitioners at a Peri-Hospital Birth Center.

Methods:

a cross-sectional study was conducted involving 75 women who underwent IUD insertion between January 2018 and February 2020. Data collection was carried out using medical records and telephone interviews.

Results:

no instances of uterine perforation were observed. Expulsion rates of the devices were 1.3% within 30 to 45 days of use and 5.3% within the first year of use. The follow-up removal rate was 4.0%. The average pain score reported was 4.2 (SD = 3.3). Among those who continued using the device, 93.1% expressed satisfaction.

Conclusions:

the findings demonstrate that IUD insertion by certified midwives and obstetric nurse practitioners is a safe procedure, yielding outcomes comparable to those reported in the existing literature.

Descriptors:
Intrauterine Device; Nurse; Midwife; Contraception; Family Planning

[1] Corresponding author: Thalita Vital Botelho, E-mail: tatavital@hotmail.com

Variable	n	%
Age (years)
<25	19	25.3
25-29	31	41.3
≥30	25	33.4
Skin color
White	34	45.3
Black	41	54.7
Marital status
Single	10	13.3
In a relationship	65	86.7
Education
Elementary school or less	9	12.0
Completed high school	33	44.0
Completed higher education	33	44.0
Employment status
Total	75	100.0

Variable	n	% or mean (SD)
Uterine perforation	0	-
Expulsion within 30 to 45 days of use	1	1.3
Expulsion within the first year of use	4	5.3
IUD removal at follow-up	3	4.0
Level of pain	-	4.2 (3.3)
Satisfaction with IUD use	54	93.1
Total	75	100.0

Brasil