PUCD Pre-insertion Check Job Aid

The woman's desire for the IUCD should be confirmed, with options for immediate postpartum family planning (PPFP) including yes or no. Review of the antenatal record is necessary to confirm that an IUCD is an appropriate method for the woman. This involves verifying that she has received family planning counseling while not in active labor and that there is evidence of consent in her medical record. Additionally, it is crucial to ensure that she has been counseled in the postpartum period. The course of her labor and delivery should be reviewed to ensure that none of the following conditions are present: chorioamnionitis during labor, more than 18 hours from rupture of membranes to delivery of baby, unresolved postpartum hemorrhage, puerperal sepsis, postpartum endometritis/metritis, continued excessive postpartum bleeding, or extensive genital trauma where the repair would be disrupted by immediate postpartum placement of an IUCD. Availability of sterile instruments and IUCDs on the labor ward should also be confirmed. If any of the conditions listed are present, insertion of the IUCD should be deferred, and the woman should be provided with information about alternative methods. If all conditions are met, insertion of the IUCD can proceed. Immediate postpartum insertion of the IUCD is a safe and effective method for family planning. However, it requires careful consideration of the woman's clinical situation and the availability of necessary resources. The procedure should only proceed if the woman's antenatal record confirms that an IUCD is an appropriate method for her, and if none of the listed conditions are present. Preparation for IUCD insertion involves confirming the availability of sterile instruments and IUCDs on the labor ward. If these resources are not available, insertion can proceed if they become available within an appropriate time frame. The woman's safety and well-being should be the top priority throughout the procedure, and any concerns or complications should be addressed promptly. The IUCD is a highly effective form of family planning, with a low failure rate of less than 1%. However, it requires proper insertion and proper use to ensure its effectiveness. The woman should be provided with clear instructions on how to use the IUCD and what to expect during the procedure. Regular follow-up appointments should also be scheduled to ensure the IUCD is functioning correctly and to address any concerns or complications that may arise.