No touch loading technique
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No touch loading technique
- 1. Cu T 380 A No Touch Loading Technique
- 2. Female Sterilisation Condoms Pill IUCD Male Sterilisation
- 3. Several problems with IUCD 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 you may 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? Poor positioning of CuT Faulty Insertion Technique
- 9. Higher Infection rates ? Poor infection prevention strategies Providers not familiar with “No touch Technique”
- 10. Loading Copper T
- 11. Usual Technique Overlooking the “No touch technique”
- 12. Copper T is not touched at any stage
- 13. Inspection of Copper T Expiry Date
- 14. Step 1 Open the pack at the far end
- 15. Holding the package with 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 the Copper T with insertion tube a little downwards
- 17. Step 4 Place the package on the clean, hard, flat surface. Step 3 Fix the arms Push up the tube Insert the arms
- 18. Step 5 Adjusting blue Length gauge
- 19. Step 6
- 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 Plunger first Step 9 If the plunger and The tube together withdrawn
- 24. Step 11 Don’t catch the tail with Artery forceps
- 25. Rest for few minutes 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 with safe load device