How to insert IUCD Safely

Rohini Husband's Name: Mr. Kumar Age: 32 Parity: 2 Date of Insertion: 10/02/2022 Type of IUCD: Cu IUCD 380 A Timing of insertion: Interval Provider: Medical officer Name of the Provider: Dr. Smith Signature: Dr. Smith IUCD CARD Address: 123, Main Road, City Tel. No: 9876543210 Date of Last child birth/abortion: 01/01/2018 LMP: 15/01/2022 1st Follow-up: 15/04/2022 2nd Follow-up: 15/07/2022 3rd Follow-up: 15/10/2022 Additional Visit: 15/01/2023 Date: 10/02/2022 Purpose of Visit: IUCD insertion Findings/ Advice given: IUCD inserted successfully. Client advised to follow-up after 3 months. Routine: Routine check-up Complaints (if any): Nil Visits: 1 IUCD Removed on: Nil Reason for Removal: Nil Alternative Contraceptive Provided: Nil "Swasthya, Suraksha aur Aazadi; Khushiyan Laaye IUCD" How to insert IUCD Safely Screening and counseling of the client should be done as per GOI guidelines on IUCD. Using gentle, 'no-touch' technique throughout, perform the following steps: 1. Prepare the client a. Give the woman a brief overview of the procedure b. Ask the client to urinate before the procedure c. Remind her to let you know if she feels pain 2. Check for instruments (ensure that all instruments are sterilized / disinfected) 3. Put a pair of new clean / high level disinfected gloves on both hands 4. Insert the high-level disinfected (or sterile) speculum and visualize the cervix 5. Cleanse the cervix and vagina with an appropriate antiseptic solution (Povidone Iodine or Chlorhexidine) 6. Gently grasp the cervix with the high-level disinfected (or sterile) volsellum and apply gentle traction 7. Carefully insert the high-level disinfected (or sterile) uterine sound 8. Gently advance the sound into the uterine cavity, and STOP when a slight resistance is felt 9. Note the angle of the uterine cavity, gently remove the sound and determine the length of the uterus 10. Carefully insert the loaded IUCD 11. Gently advance the loaded IUCD into the uterine cavity and STOP when the blue length-gauge comes in contact with the cervix or slight resistance is felt 12. After insertion cut the thread 13. Gently remove the volsellum and put it in 0.5% chlorine solution for decontamination 14. Examine the woman's cervix for bleeding 15. Gently remove the speculum and put it in 0.5% chlorine solution for decontamination 16. Allow the woman to rest 17. Counsel the client about a. Follow-up b. Side-effects and complications. Note: The technique for post partum IUCD insertion is different. Women who are pregnant Women who have purulent vaginal discharge (having Chlamydia and Gonorrohea infection) Women who have had STI or pelvic inflammatory disease in the last three months (IUCD can be inserted after treatment unless re-infection is likely) Women who have any kind of cancer in the female organs Women who have un