World Health Organization ; World Health Organization Offeset Publication No. 75: Intrauterine Devices Their Role in Family Planning Care

By World Health Organization

Book Id: WPLBN0000061442
Format Type: PDF eBook:
File Size: 1.58 MB
Reproduction Date: 2005

Title:	World Health Organization ; World Health Organization Offeset Publication No. 75: Intrauterine Devices Their Role in Family Planning Care
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Health Organization, B. W. (n.d.). World Health Organization ; World Health Organization Offeset Publication No. 75. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
PREFACE This publication has been compiled for the information of those involved i n the planning and management of family planning services. The aim of t h i s book i s : - t o provide technical guidance for health administrators and programme planners on how to- incorporate the provision of IUDs .into a health care system, and - to provide information on the recent c l i n i c a l knowledge on IUDs to different categories of health workers as well as to health administ r a t o r s . The views sumqized in t h i s publication are those most widely accepted a t present, and they are based on a c r i t i c a l review of a large number of c l i n i c a l studies and f i e l d t r i a l s . The most important source of t h i s information has been the WHO Special P r o g r a m of Research, Development and Research Training i n Human Reproduction (especially its Task Force on IUDs) and the Population Council's Cooperative S t a t i s t i c a l Programme. This document does not provide firm guidelines, but d e t a i l s various points that may be important when planning services or making managerial decisions.

Table of Contents
CONTENTS Preface . . . . . . . . . . . . . . . . . . . . . . 5 Acknowledgements . . . . . . . . . . . . . . . . . 6 1 . Introduction . . . . . . . . . . . . . . . . . 7 2 . The i n t r a u t e r i n e device . . . . . . . . . . . 9 2.1 Types of IUD . . . . . . . . . . . . . . 9 2.2 Mechanisms of action . . . . . . . . . . 9 3 . The r o l e of the IUD i n family planning . . . . 11 3.1 Advantages of the IUD . . . . . . . . . . 11 3.2 Effectiveness and continuation r a t e s . . . 11 4 . Provision of IUD services . . . . . . . . . . 13 4.1 Who should perform the IUD insertion? . . 13 4.2 Role of conanunity health workers . . . . 15 4.3 Counselling . . . . . . . . . . . . . . . 15 5 . Requirements for an 1m service . . . . . . . . .1 7 5.1 C l i n i c a l requirements . . . . . . . . . . 17 5.1.1 F a c i l i t i e s . . . . . . . . . . . . 17 5.1.2 Equipment . . . . . . . . . . . . 17 5.1.3 Supplies . . . . . . . . . . . . . 18 5.1.4 Staff requirements and t r a i n i n g . . 19 5.1.5 Laboratory t e s t s . . . . . . . . . 20 5.1.6 Records and f i l i n g system . . . . 21 5.2 C l i n i c a l and technical procedures . . . . 21 5.2.1 History and physical examination . 21 5.2.2 Choice of method . . . . . . . . . 21 5.2.3 Timing of i n s e r t i o n . . . . . . . 22 5.2.4 Technique of i n s e r t i o n . . . . . . 23 5.2.5 Change of IUD . . . . . . . . . . 24 5.2.6 Removal of IUD . . . . . . . . . . 24 5.2.7 Follow-up procedures . . . . . . . 25