Can insert immediately after abortion. If in the first 7 days after abortion, no extra protection is needed.
You may be able to get your IUD now Is she ready to get her IUD now? Next Move: If she can get her IUD now , prepare for insertion or arrange appointment for insertion as soon as possible . If she must wait, offer condoms or another method.
You can start any day of the menstrual cycle if we can be sure you aren’t pregnant
If menstrual bleeding started in last 12 days , can insert IUD now.
If menstrual bleeding started more than 12 days ago , can insert IUD now if reasonably certain she is not pregnant (use pregnancy checklist in Appendix 1). N o need to wait for next menstrual period.
Insertion after childbirth:
Can insert within 48 hours after birth. Special training needed.
Can also insert after 4 weeks after birth. Must be reasonably certain she is not pregnant.
Between 48 hours and 4 weeks after birth, delay insertion. Offer condoms or another method if she is not fully breastfeeding.
If switching from another method:
If she has been using a reliable method correctly (including LAM) or has had no sex since last period, you can insert the IUD now, not only during menstruation.
IUD can be inserted in first 2 days after you give birth
Can insert after infection is fully treated and cured. Offer condoms or another method to use in the meantime.
“ These signs mean a doctor or nurse should check if a problem is developing.”
“ I want you to know about them and remember them.”
Give client an information card or copy of client’s page and explain. Tell her to keep card in a safe place.
Copper T 380A lasts for 10 years.
For older women, IUD should be left in place until 1 year after last menstrual period (menopause) for full protection from pregnancy.
See a nurse or doctor if:
— Missed a menstrual period, or think you may be pregnant
— Could have an STI or HIV/AIDS
— IUD strings seem to have changed length or are missing
— Bad pain in lower abdomen
Your kind of IUD
When to have IUD taken out
What to remember “ Do you feel confident you can use this method successfully? Is there anything I can repeat or explain?” Remember to offer condoms for dual protection! Last, most important message: “Come back any time you have questions or want the IUD removed.” Last Moves:
Make appointment to check IUD is still in place and no infection.
Encourage her to come back any time to discuss problems or have the IUD removed.
Come back for a check-up in 3 to 6 weeks or after next menstrual period
She should tell other health care providers that she has an IUD.
Bleeding changes and cramps are common. Come back if they bother you.