Insertion of an intrauterine contraceptive device.
Indications
- • Long-acting reversible contraception
Contraindications
- ⚠ Pregnancy
- ⚠ Active PID/STI
- ⚠ Uterine anomaly
- ⚠ Unexplained PV bleeding
Equipment
- • Sterile IUCD kit
- • Speculum
- • Uterine sound
- • Tenaculum
- • Sterile gloves
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/7)
Tap to complete
Explain risks.
Immediate complications
- ⚠ Vasovagal
- ⚠ Perforation
- ⚠ Pain
Delayed complications
- • Expulsion
- • PID (first 3 wk)
- • Ectopic if pregnancy occurs
Recognition
- • Fever, pain, missing threads
Initial management
- • USG to locate; remove if infected
Prevention
- • Screen for STI
- • Trained operator
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
