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foreign body; intrauterine contraceptive device (medical history and…
foreign body; intrauterine contraceptive device
Definition
an itrauterine contraceptive device is inserted into the uterus to prevent pregnancy
pathophysiology
an intrauterine contraceptive device works by changing the uterine lining and preventing the fertilised egg from getting attached to the wall of the womb, therefore preventing implantation
complications of an intrauterine contraceptive device
expulsion
uterine perforation
ectopic pregnancy
pregnancy with intrauterine device in place
pelvic infection
medical history and clinical assessment
previous contraceptive used
menstrual history including date of late menstrual period
obstetric history including ectopic pregnancy
age
past medical history
sexual history to identify risk of sexually transmitted infections
coital history
nursing management and health education
thread check and teaching if the device is still inplace
effect on bleeding pattern
monitor the bleeding pattern and report any abnormalities noted