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Evaluation of clinical performance when intrauterine devices are inserted by different categories of healthcare professional
Author(s) -
Laporte Montas,
Becerra Alejandra,
Castro Lester,
Veiga Nelio,
EspejoArce Ximena,
Bahamondes Luis
Publication year - 2021
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.13396
Subject(s) - medicine , intrauterine device , economic shortage , health professionals , health care , family planning , medical record , levonorgestrel , family medicine , retrospective cohort study , obstetrics , health services , pregnancy , population , gynecology , research methodology , surgery , linguistics , philosophy , environmental health , government (linguistics) , biology , economics , genetics , economic growth
Objective We evaluated clinical performance when the TCu380A intrauterine device (IUD) and the levonorgestrel (LNG) 52‐mg intrauterine system (IUS) were inserted by different categories of healthcare professionals. Methods A retrospective study was conducted at the University of Campinas, Brazil. The medical records were reviewed of all women in whom an IUD was inserted between January 1980 and December 2018, with data for at least 1 year, and for whom information on the healthcare provider who inserted the device was available. Results Overall, 19 132 (76.9%) IUD and 5733 (23.1%) LNG‐IUS insertions were included, with residents/interns performing 13 853 (55.8%), nurses 7024 (28.2%), and physicians 3988 (16.0%). Removals for pregnancy and infection were significantly higher when physicians inserted the device, while removals for bleeding/pain and other medical reasons were more common when nurses performed the insertion. Expulsion and removals for personal reasons were similar for all three categories. Conclusion Clinical outcomes were similar regardless of whether trained nurses, residents/interns, or physicians inserted the device, and were irrespective of users’ age and parity. These results could stimulate other healthcare services, particularly in regions where there is a shortage of physicians, to invest in training nurses to perform insertions of IUDs.