What procedures and documentation are required for IUD insertion?
• A chaperone should be offered to all women having a pelvic examination and the offer documented in the case notes, together with the chaperone’s identity, if accepted (Grade C). • An appropriately trained assistant should be present during IUD insertion to help in the event of an emergency (Grade C). • Emergency equipment must be available in all settings where IUDs are inserted and local referral protocols must be in place for patients requiring further medical input (Grade C). • Clinicians involved in IUD insertions should be trained and attend regular updates in dealing with likely emergencies (Grade C). • Details of pre-insertion counselling and the insertion procedure should be clearly documented in patient records (Grade C). Cleansing the ectocervix prior to IUD insertion is not essential (Good Practice Point). A “no-touch” technique should be used when sounding the uterine cavity and inserting an IUD. Sterile gloves are not required (Good Practice Point). Pain relief prior to,
