Follow-up of copper intrauterine device insertion by nurses: a prospective longitudinal study.

Tatiane Herreira Trigueiro,Jerferson Cleiton Ferrari,Marilene Loewen Wall,Rute Barbosa,Silvana Regina Rossi Kissula Souza

doi:10.1590/0034-7167-2020-0156

Tatiane Herreira Trigueiro, Jerferson Cleiton Ferrari + Show 3 more

Open Access

https://doi.org/10.1590/0034-7167-2020-0156

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Abstract

to assess the complications, acceptability and causes of discontinuation of women who inserted copper intrauterine devices at a usual risk maternity for one year. a longitudinal-prospective study, lasting 12 months. Eighty-three women who received the device by a doctor or nurse in a maternity hospital between September and October 2017 participated. Data were collected at one, six and 12 months after insertion and underwent descriptive analysis. most were inserted by nurses and 71 continued with the device. Women chose IUD use because there is no risk of forgetfulness, it is non-hormonal and effective. The 12 who discontinued use reported dysmenorrhea, menorrhagia, irregular bleeding, fall out, and endometrium perforation. the method was continued by most of participants and the complications found are common to the literature. There is a need to expand nursing training to increase the offer to the population.

Highlights

In Brazil, Law 9,263, of January 12, 1996 deals with family planning and defines the State’s responsibility to provide educational and scientific conditions and resources so that men and women have access to information, means, methods and techniques for fertility regulation
In order to reduce the rates of unplanned pregnancies and reinforce actions aimed at reproductive planning by Brazilian women, the government provides several types of contraceptive methods, one of which are Copper Intrauterine Devices (IUDs), the TCu380A(5)
The women who participated in this study reported absence of hormones as a mechanism of action as an advantage of IUDs, and this criterion was the main reason for choosing IUD use

Summary

Introduction

In Brazil, Law 9,263, of January 12, 1996 deals with family planning and defines the State’s responsibility to provide educational and scientific conditions and resources so that men and women have access to information, means, methods and techniques for fertility regulation. Fertility control is related to an exercise of the woman’s power over her body, in order to avoid unplanned pregnancies[1]. According to a nationwide survey of 23,894 mothers, it was found that approximately 30% did not plan the current pregnancy, 9% were dissatisfied with the news of their pregnancy and 2.3% tried to terminate it[3]. In order to reduce the rates of unplanned pregnancies and reinforce actions aimed at reproductive planning by Brazilian women, the government provides several types of contraceptive methods, one of which are Copper Intrauterine Devices (IUDs), the TCu380A(5) A research carried out with pregnant women registered in the Family Health Strategy teams in the municipality of Montes Claros, Minas Gerais State, found that of the 394 pregnant women interviewed, 58.9% [232] had not planned pregnancy, were aged between 13 and 46 years, with average of 24.7 years and higher prevalence in the age group between 25 and 29 years old (28.4%), followed by 13 and 19 years old (25.4%)(4).

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