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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