Open-access Insertion of intrauterine device for doctors and nurses in a low-risk maternity hospital

Inserción del dispositivo intrauterino para doctores y enfermeras en una maternidad de riesgo habitual

Objective:  To characterize the production related to the insertion of Intrauterine Devices by doctors and nurses in a low-risk maternity hospital.

Method:  Cross-sectional exploratory research, with retrospective collection of secondary data from medical records of women who received the device in a low-risk maternity hospital in Curitiba, Paraná, over 12 months. Data collected between October/2017 to March/2018 that underwent descriptive analysis and Chi-square test.

Results:  Of the 828 insertions, there was a significant difference between women who received the IUD at the Obstetric Center (247) and Ambulatory (571) in terms of the expulsion rate (p = 0.00001), with a greater chance of expulsion in the immediate postpartum period (Odds ratio 8.73), there was no significant difference between nurses (481) and doctors (347) (p = 0.07), however, more chance of expulsion when the doctor was (Odds ratio 3.60). The main complications were dysmenorrhea and vaginosis.

Conclusion:  The insertion of the IUD in the ambulatory by the nurse proved to be as safe as by the doctor.

Keywords:
Intrauterine devices; Women’s health; Family planning (public health); Nursing

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Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
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