Page 365 - ترم ثاني كتاب تمريض صحة الام الكتروني

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2- Extrauterine (ectopic) Pregnancy: -

• IUCD don’t protect against ectopic pregnancy.

Lost threads and Lost device:-

1- Causes: - Due to spontaneous expulsion of IUCD or uterine perforation

during insertion with escape of IUCD into the peritoneal cavity.

2- Diagnosis:-Detection of IUCD by ultrasound , MRI, or pelvic X-ray with

uterine sound.

3- Treatment: - Removal of IUCD by laparoscopy or laparotomy.

Timing of IUCD Insertion & Removal

Insertion:-

1- Follow the end of menses (at the 5th day)

2- 40 days postpartum.

3- Immediately after abortion.

4- 12 weeks after C.S

5- Immediately after removing IUCD if there is no contraindication.

Removal:- Can be done at any time during the menstrual cycle

Nursing Instructions

1- Inform the woman about type of IUD, duration of action , give her a card with

date of insertion and removal and telephone number in case of emergency

questions.

2- Inform her that she may experience mid pelvic cramps and mild bleeding after

few days from insertion.

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