Procedure Name: IUD placement
Indication: Patient desires long-term, reversible contraception.
Pre-Procedure Diagnosis:
Post-Procedure Diagnosis: Same
Informed consent: Procedure, alternate treatment options, risks, and benefits were thoroughly explained to the patient and informed consent was obtained before the procedure started.
Patient denies the following:  Multiple sexual partners; dysmenorrhea; copper allergy; PID/STD; Ectopic pregnancy; Breastfeeding.Type of IUD being inserted: ______________

PROCEDURE:

The appropriate time out was taken. A bimanual exam was performed to determine the position of the uterus. The speculum was placed. The vagina and cervix were sterilized in the usual manner and sterile technique was maintained throughout the course of the procedure. A single toothed tenaculum was applied to the anterior lip of the cervix and gentle traction applied to straighten and stabilize it. The depth of the uterus was sounded to be of appropriate depth (usually 6.5 to 8.5cm). With gentle traction on the tenaculum, the IUD was inserted to the appropriate depth and deposited by withdrawing on the insertion tube holding the rod steady.  The string was cut to an estimated 4 cm length. Bleeding was minimal. The patient tolerated the procedure well.
Followup: The patient tolerated the procedure well without complications.  Standard post-procedure care is explained and return precautions are given.
Reference
Adapted from IUD insertion note at Ventura County Family Med.
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