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No touch loading technique
1) The document discusses the copper T intrauterine device (IUD), addressing common concerns and providing evidence that problems are often due to poor technique rather than inherent issues. 2) It describes the "no touch loading" technique for inserting the IUD without directly handling it, to prevent infections. 3) Data shows the copper T IUD has one of the lowest failure and ectopic pregnancy rates as well as one of the highest continuation rates of contraceptive methods.
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No touch loading technique
- 1. Cu T 380A No Touch Loading Technique
- 2. Female Sterilisation Condoms Pill IUCD Male Sterilisation
- 3. Several problems withIUCD Often, 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. Some of youmay have a bad impression of Copper T s Perforation, It is useles Expulsion, Failure, Ectopic……… Don’t condemn ! look at the evidence
- 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. 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 METHOD Source…Contraceptive Technology Update Series…Family Health International
- 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 methods Source…California Journal of Health-System Pharmacy
- 8. Why the failures? Poorpositioning of CuT Faulty Insertion Technique
- 9. Higher Infection rates? Poor infection prevention strategies Providers not familiar with “No touch Technique”
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- 11. Usual Technique Overlooking the “No touch technique”
- 12. Copper T isnot touched at any stage
- 13. Inspection of CopperT Expiry Date
- 14. Step 1 Open the pack at the far end
- 15. Holding the packagewith Step 2 open end up, put the white solid rod into the insertion tube to almost touch the bottom of the T
- 16. Step 3 Withdraw theCopper T with insertion tube a little downwards
- 17. Step 4 Place thepackage on the clean, hard, flat surface. Step 3 Fix the arms Push up the tube Insert the arms
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- 20. Step 7 It directly goes into the uterus without touching vaginal walls
- 21. Withdrawal Step 8 Technique Client is ready, Cervico vaginal preparation done already
- 22. Remove the Plungerfirst Step 9 If the plunger and The tube together withdrawn
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- 24. Step 11 Don’t catch the tail with Artery forceps
- 25. Rest for fewminutes after insertion Reassure Review Referral of complicated case
- 26. IUDs: Client Information and Instructions Return 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. Post procedural Counseling Subsequent review Possible discomfort Medication sos Contact details Follow up visit etc etc
- 28. TCu Regular TCu withsafe load device