Page 373 - كتاب تمريض نسا الاكتروني
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                   2-special training is needed for health workers


                   3-more expensive than short term method

                   4- Often changes bleeding pattern



                 Side effect :-



                   1- Bleeding irregularities   are most common

                   * Irregular light bleeding or spotting


                   * Prolonged bleeding which usually decreased after the first few months


                    * Amenorrhea

                   2- Ovarian cysts occur in about 10% of users


                   3- Local infection or bleeding at insertion site


                   4- Other side effect as:


                   - Headache


                   - Weight gain

                   Increase blood pressure



               Indications



                   •  women who desire a long acting contraceptive

                   •   women who don't tolerate IUD or pills


                   •  Women  who desire a method that not  need to be remember daily take


                   •  Client who desire a method  not related to intercourse



               Client instruction and follow up:




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