Difficult IUD insertions

Difficult IUD insertions.

I read Dr Draper’s letter1 in the January 2008 issue of the Journal with great interest. May I suggest that another factor may be the increased intensity of counselling these days? This is of course necessary as patients have a right to information and documented counselling is our only defence if complications occur. Nevertheless we need to acknowledge that it increases anxiety for both patien...

IUD insertions and analgesia.

I am pleased to note on reading Dr Duncan’s letter in the January 2013 issue of the Journal that I am not the only person who waits a full 3 minutes after using local anaesthetic gel prior to fitting an intrauterine device/system. I totally agree that this makes a difference to the pain experienced by women. I have been fitting ‘coils’ for almost 30 years and when I started was totally reliant ...

Local anaesthetic administration for IUD/IUS insertions.

Entonox® analgesia for IUD insertions and removals.

We intend to begin offering Entonox (a medical anaesthetic gas comprising 50% nitrous oxide and 50% oxygen) as an analgesic choice for women attending for intrauterine device (IUD) fittings or difficult removals in our community contraception clinics. Entonox is already used for short-term pain relief in the community by district nurses and midwives, and in the hospital emergency and obstetric ...

Practice variation in surgical procedures and IUD-insertions among general practitioners in Norway – a longitudinal study

BACKGROUND Studies of Primary Health Care (PHC) reveal considerable practice variations in terms of the range of services provided. In Norway, general practitioners (GPs) are traditionally expected to perform IUD-insertions and several surgical procedures as a part of comprehensive PHC. We aimed to investigate variation in the provision of surgical procedures and IUD-insertions across GPs and o...