IUD placement

Treatment of diseases: complications of birth control surgery Indication Women of childbearing age who are willing to use intrauterine contraceptives without contraindications. Contraindications 1, genital inflammation, such as acute and chronic pelvic inflammatory disease, vaginitis, acute cervicitis and severe cervical erosion should not be placed. 2, menstrual disorders in the past 3-6 months, such as frequent menstruation, menorrhagia, irregular vaginal bleeding or severe dysmenorrhea. 3, genital tumors, such as malignant tumors, uterine fibroids caused by uterine deformation and menorrhagia. 4, uterine dysplasia, double uterus is not clear type should not be placed. 5, various reasons caused by cervical stenosis or II degree -III degree uterine prolapse. Preoperative preparation 1. Introduce the situation to the subject, relieve the ideological concerns, and explain the symptoms that may occur after the belt is brought. 2, detailed medical history, including the last menstrual date, for gynecological examination, vaginal secretion test vaginal trichomoniasis, mold, if necessary, check the vaginal cleanliness and blood routine and bleeding, clotting time check. 3. Illegal disinfection. The metal IUD can be boiled or autoclaved or soaked in 75% ethanol for 30 minutes. Plastic and nylon IUDs were soaked in 75% ethanol or 1/1000 benzalkonium solution for 30 min. 4. Equipment preparation. Vaginal speculum, disinfection forceps, cervical forceps, uterine probe, 1 set of cervical dilator, 3-5, place the ring, take the ring, small curette and other disinfection. 5. Empty the bladder before surgery. Surgical procedure 1. The lithotomy position is routinely disinfected for vulva and vagina, and sterile towels are placed. 2. Check the size, position, tilt and attachment of the vagina and uterus for abnormalities. 3, use the vaginal speculum to dilate the vagina, expose the cervix, wipe the cervical secretions, disinfect the cervix and cervical canal with iodine, ethanol. 4. Clamp the anterior lip of the cervix and pull the cervical forceps to the horizontal position to reduce the angle between the uterus and the cervix. 5, the left hand to support the cervical forceps, right hand holding the uterus probe, gently into the uterine cavity in the direction of the uterus directly to the bottom of the palace, measure the depth of the uterine cavity, and gently swing to the sides, to estimate the width of the uterine cavity. 6. Select the appropriate IUD model based on the size of the uterine cavity. 7. Place the selected IUD on the placer (upper ring fork or upper ring forceps) and gently feed it into the uterine cavity to the bottom of the palace. When passing through the uterus, the placer is slightly flat. Consistent with the longitudinal axis of the uterine cavity, to prevent the IUD from twisting in the uterus, put the IUD to the bottom of the palace and exit the placer. The IUD with tail wire exposes the tail wire 2cm outside the cervix and the rest is cut off. The arrangement of the nursery flower and the V-shaped and T-shaped IUDs is different from the placement of the birth control ring. The IUD is placed in the casing of the inserter, and the middle shaft is inserted into the cannula, and the tip is in contact with the IUD, and the cannula is placed in the device. Place the center of the uterus into the center of the uterus, then fix the central axis, then gently withdraw the cannula, and finally remove the central axis.