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Copper-Bearing Intrauterine Devices (IUDs)

Learn about the safety and eligibility criteria for using the Copper T.380A IUD. Find out which women can use it safely and who should avoid using it based on their medical conditions.

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Copper-Bearing Intrauterine Devices (IUDs)

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Presentation Transcript

  1. Copper-Bearing Intrauterine Devices (IUDs) Session II: Who Can and Cannot Use IUDs? Copper T 380A

  2. CopperIUD Is Safe for Most Women Most women can use the Copper T IUD safely, including women who: Have or have not had children Are not married Are of any age Have just had an abortion or miscarriage (no infection) Are breastfeeding Have had PID Have vaginal infections Are infected with HIV or have AIDS and on ARVs Source: CCP and WHO, 2011.

  3. Who Can and Cannot Use the IUD Copper IUD Most women can safely use the IUD • But usually cannot use IUD if : Unusual vaginal bleeding recently Gave birth recently (more than 2 days ago) May be pregnant At high risk for STIs Infection or problem in female organs

  4. Medical Eligibility Criteria What are medical eligibility criteria? Define the categories. Review the job aid.

  5. WHO’s Medical Eligibility Criteria Categories for IUDs, Hormonal and Barrier Methods Source: WHO, 2010.

  6. WHO’s Medical Eligibility Criteria Categories for IUDs, Hormonal and Barrier Methods Source: WHO, 2010.

  7. Category 1 and 2 Examples (not inclusive): Who Can UseCopper IUDs Source: WHO, 2010.

  8. IUD Use by Women with HIV and AIDS IUDs safe for majority of women with HIV Initiation not recommended if woman has AIDS and is not on ARVs Encourage dual method use Source: WHO, 2010.

  9. Category 3 and 4 Examples (not inclusive):Who Should Not UseCopper IUDs Source: WHO, 2010.

  10. IUD Use by Postpartum Women Women less than 48 hours postpartum can have copper IUD inserted Women 48 hours to 4 weeks postpartum generally should not initiate IUDs No restrictions starting at 4 weeks postpartum Women with puerperal sepsis should not have IUD inserted Source: WHO, 2010.

  11. Understanding the Copper IUD Checklist This set of questions identifies women who are not pregnant. Read questions 7–21 on the checklist and match them with the conditions and categories on the MEC quick reference chart. This set of questions identifies women who should not use IUDs. The provider uses these questions during the pelvic exam to identify any category 3 and 4 conditions.

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