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No touch loading technique


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No touch loading technique

  1. 1. Cu T 380 ANo Touch Loading Technique
  2. 2. Female Sterilisation Condoms Pill IUCD Male Sterilisation
  3. 3. Several problems with IUCDOften, they are not inherent problems of IUD Poor motivation of Client Poor Selection of Cases  Poor insertion technique Poor infection prevention strategies Poor post procedural counseling Provider dependent problems Poor training.
  4. 4. Some of you may have a bad impression of Copper T sPerforation, It is useles Expulsion, Failure, Ectopic……… Don’t condemn ! look at the evidence
  5. 5. High Failure Rate ? Failure percentage of different methods with typical use Rate of Pregnancy With Typical Use 30% 25%Percentage 20% 15% TCu380A 10% 5% 0% Combined Condom Condom TCu380 A Diaphram Mini Pill S permicide Female Male Pill Methods Source…Contraceptive Technology Update Series…Family Health International
  6. 6. LOW ECTOPIC PREGNANCIES Use of TCu 380 A has one of the lowest rates of ectopic pregnancies. ESTIMATED ECTOPIC PREGNANCY AND CONTRACEPTIVES 7 91% less chance of developing 6 Ectopic than control 5 RATE 4 3 2 1 0 OCP TCu380A No Method Condom Diaphram S terilization Female METHODSource…Contraceptive Technology Update Series…Family Health International
  7. 7. CONTINUATION RATE • IUD has one of the highest continuation rates at first year of use IUD Continuation Rate of different contraception methods Combination pill Depo-Provera 90% Periodic abstinence 80% 80% 72% Male condom 70% 67% Diaphragm 70% 63% 58% Spermicides 60%Percentage 50% 43% 40% 30% 20% 10% 0% IUD condom Provera Diaphragm Combination Spermicides Depo- abstinence Male Periodic pill Contraception methodsSource…California Journal of Health-System Pharmacy
  8. 8. Why the failures?Poor positioning of CuTFaulty Insertion Technique
  9. 9. Higher Infection rates ?Poor infection prevention strategiesProviders not familiar with “No touch Technique”
  10. 10. Loading Copper T
  11. 11. Usual TechniqueOverlooking the “No touch technique”
  12. 12. Copper T is not touched at any stage
  13. 13. Inspection of Copper TExpiry Date
  14. 14. Step 1 Open the pack at the far end
  15. 15. Holding the package with Step 2open end up, put the whitesolid rod into the insertiontube to almost touch thebottom of the T
  16. 16. Step 3Withdraw the Copper T with insertion tube a little downwards
  17. 17. Step 4Place the package on the clean, hard, flatsurface. Step 3 Fix the arms Push up the tube Insert the arms
  18. 18. Step 5Adjusting blueLength gauge
  19. 19. Step 6
  20. 20. Step 7 It directly goes into the uterus without touching vaginal walls
  21. 21. WithdrawalStep 8 Technique Client is ready, Cervico vaginal preparation done already
  22. 22. Remove the Plunger first Step 9If the plunger andThe tube together withdrawn
  23. 23. Step 10Second Push
  24. 24. Step 11 Don’t catch the tail with Artery forceps
  25. 25. Rest for few minutes after insertionReassureReviewReferral of complicated case
  26. 26. IUDs: Client Information and InstructionsReturn to clinic immediately if you: Experience any of the warning signs “PAINS” Feel the hard part of the IUD, Expel the IUD, or Miss a period.
  27. 27. Post procedural Counseling Subsequent review Possible discomfort Medication sos Contact details Follow up visit etc etc
  28. 28. TCu RegularTCu with safe load device