What are the precautions and considerations for use of IUDs?
Before IUDs are offered to refugee and IDP women as a method for EC, it is critical that service providers are able to ensure hygienic conditions in the health facility and capable of addressing the practical constraints inherent in emergency settings. Furthermore, clinicians offering IUD services must be specifically trained in the insertion of these devices, due to the potential for complications. According to WHO’s eligibility criteria for IUD insertion, women with any of the following conditions are not eligible to use an IUD for EC: an established pregnancy (It is important to determine that a woman is not pregnant before inserting an IUD.) puerperal or post-abortion sepsis (current or within last 3 months) Pelvic inflammatory disease (current or within last 3 months) A sexually transmitted infection (STI) (current or within last 3 months) purulent cervicitis confirmed or suspected malignancy of the genital tract congenital uterine abnormalities or fibroids distorting the cavity i