Artigo Acesso aberto Produção Nacional Revisado por pares

Insertion of intrauterine device for doctors and nurses in a low-risk maternity hospital

2021; UNIVERSIDADE FEDERAL DO RIO GRANDE DO SUL; Volume: 42; Linguagem: Inglês

10.1590/1983-1447.2021.20200015

ISSN

1983-1447

Autores

Tatiane Herreira Trigueiro, Gisele Szalow de Lima, Rayssa Borges, Paulo Ricardo Bittencourt Guimarães, Silvana Regina Rossi Kissula Souza, Marilene Loewen Wall,

Tópico(s)

Adolescent Sexual and Reproductive Health

Resumo

ABSTRACT Objective: To characterize the production related to the insertion of Intrauterine Devices by doctors and nurses in a low-risk maternity hospital. Method: Cross-sectional exploratory research, with retrospective collection of secondary data from medical records of women who received the device in a low-risk maternity hospital in Curitiba, Paraná, over 12 months. Data collected between October/2017 to March/2018 that underwent descriptive analysis and Chi-square test. Results: Of the 828 insertions, there was a significant difference between women who received the IUD at the Obstetric Center (247) and Ambulatory (571) in terms of the expulsion rate (p = 0.00001), with a greater chance of expulsion in the immediate postpartum period (Odds ratio 8.73), there was no significant difference between nurses (481) and doctors (347) (p = 0.07), however, more chance of expulsion when the doctor was (Odds ratio 3.60). The main complications were dysmenorrhea and vaginosis. Conclusion: The insertion of the IUD in the ambulatory by the nurse proved to be as safe as by the doctor.

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