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Insertion technique for the Copper T380A IUD
IUD technology has come a long way since thefirst plastic devices, such as the Lippes IUD technology has come a long way since thefirst plastic devices, such as the Lippes Loop, appeared on the scene in the 1960s.Towards the end of that decade, it was discovered that adding copper to the plastic made theIUD more effective in preventing pregnancy and caused bleeding problems to occur lessfrequently. The first copperbearing IUDs were producedin the early 1970s, but they required replacement every 2 to 3 years. Further research at theend of the 1970s produced IUDs with larger quantities of copper: among the better knownexamples are TCu380A, TCu220C, and Multiload375. These devices not only reduced the incidenceof sideeffects compared with previous IUDs,.
But also had significantly longer life spansand lower failure rates. but also had significantly longer life spansand lower failure rates. This tutorial demonstrates the insertion techniquefor the TCu380A IUD, which has been shown in a Cochrane review to be more effectivethan other IUDs. Have ready, in an easytoreach position,a vaginal speculum, the IUD to be inserted and the applicator on a sterile surface. Ensure that the woman is in a comfortableposition. You should have already explained the procedure to the woman and responded toher questions and concerns. This helps the woman to relax, making insertioneasier and less painful.
Perform a pelvic examination to rule out genitaltract infections or abnormalities as well Perform a pelvic examination to rule out genitaltract infections or abnormalities as well as to ascertain the position of the uterus.You will need to follow appropriate infectionprevention procedures, including the use of sterile instrumentsand cleaning of the cervix with a waterbased antiseptic such as chlorhexidene. Insert the speculum into the vagina to havea clear view of the cervix. Cleanse the surface of the cervix with an antiseptic swab. Grasp the upper lip of the cervix with a tenaculumforceps to allow, if needed, application of gentle traction to straighten the angle betweenthe cervical canal and uterine cavity.
Assess the angle of the cervical passage anddepth of the uterine cavity by gently inserting Assess the angle of the cervical passage anddepth of the uterine cavity by gently inserting a uterine sound through the cervix until youfeel the sound has touched the fundus. Note the depth of the uterus by counting thenumber of notches on the sound visible from the cervix. The TCu380A IUD comes with its inserter insterile packaging. Using the quot;notouch techniquequot;, load the IUD into the inserter while boththe IUD and the inserter are still in the package. Here is how it is done. Pull backthe inserter tube to let the IUD lie freely in the loading capsule. Then, by squeezingon the sides of the loading capsule, bring.
The horizontal arms of the IUD close to itsvertical body. the horizontal arms of the IUD close to itsvertical body. Now push the inserter tube forward to capturethe body and the two arms of the IUD in the inserter tube. Once the IUD is captured, it should be insertedinto the uterus within a few minutes. Push the blue flange on the inserter tube to apoint that corresponds to the depth of the uterus you had measured with the sound. Removethe loading capsule, but maintain traction on the two strings at the lower end of theIUD to keep the device in position. Introduce the plunger into the inserter tube until itreaches the lower end of the IUD.
Holding the tenaculum forceps with one handto ease passage for the inserter tube, introduce Holding the tenaculum forceps with one handto ease passage for the inserter tube, introduce the loaded inserter tube into the cervicalcanal until the blue flange reaches the mouth of the cervix. Holding the plunger steady,pull back the inserter tube a couple of centimeters to release the arms of the IUD inside theuterus. Then, first remove the plunger and then the inserter tube. The final step in the procedure is to cutthe synthetic threads to about 2 cm from the cervix.