Keywords
Intrauterine devices
Postpartum period
Multiprofessional team
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Abstract
Objective: To analyze the scientific evidence on the multidisciplinary approach to the selection and proper insertion of the IUD during the puerperium. Methods: This is an integrative review carried out between December 2023 and January 2024 in the databases LILACS, via BVS; MEDLINE/PubMed; CINAHL; EMBASE and Web of Science. The PICo strategy systematized the construction of the guiding question: how does the multidisciplinary approach to the selection and proper insertion of the IUD during the puerperium take place? The search was carried out using a combination of controlled and non-controlled descriptors crossed using the Boolean operators OR and AND. Studies were screened using Rayyan software. After applying the inclusion and exclusion criteria and reading the full text, eight articles were selected to make up the study sample. Results: Doctors, nurses and midwives were identified as members of the multi-professional team working on the selection and insertion of IUDs in the puerperium. The multidisciplinary approach was proposed through team meetings and the construction of contraceptive plans, based on institutionalized guidelines and multiprofessional training. Final considerations: The multidisciplinary approach to IUD insertion in the postpartum period facilitates access to the method, guaranteeing safe and long-lasting contraception.
References
AGUEMI AK, et al. The insertion of intrauterine devices in the immediate postpartum period remains na importante missed opportunity to prevent unplanned pregnancies in Brazil. Rev. Bras Ginecol Obstet, 2023; 45(9): 501-502.
AMAYA SI, et al. Intrauterine devices are a safe form of contraception in users with solid organ transplantation: A single‐center experience. Transpl Infect Dis, 2023; 14220.
ASIF R, et al. Providers perceptions on postpartum IUCD as an option of postpartum family planning services in India. Indian J. Community Health, 2017; 29(3): 222-228.
BHADRA B, et al. The impact of using nurses to perform postpartum intrauterine device insertions in Kalyani Hospital, India. Int J Gynecol Obstet, 2018; 143: 33-37.
BRASIL. Lei nº 9.263, de 12 de janeiro de 1996. Regula o § 7º do art. 226 da Constituição Federal, que trata do planejamento familiar, estabelece penalidades e dá outras providências. 1996. Disponível em: http ://www.planalto.gov.br/ccivil_03/leis/L9263.htm. Acessado em: 24 de agosto de 2023.
BRASIL. Instituto Sírio-libanês de Ensino e Pesquisa. Protocolos da atenção básica: saúde das mulheres. 2016. Disponível em: https ://bvsms.saude.gov.br/bvs/publicacoes/protocolos_atencao_basica_saude_mulheres.pdf. Acessado em: 09 de março de 2023.
BRASIL. Manual técnico para profissionais de saúde: DIU com cobre T Cu 380A. 2018. Disponível em: https ://portaldeboaspraticas.iff.fiocruz.br/wp-content/uploads/2018/12/manual_diu_08_2018.pdf. Acessado em: 25 de agosto de 2023.
BRASIL. Assistência em Planejamento Familiar: Manual Técnico/Secretaria de Políticas de Saúde, Área Técnica de Saúde da Mulher. 2002. Disponível em: https ://bvsms.saude.gov.br/bvs/publicacoes/saude_sexual_saude_reprodutiva.pdf. Acessado em: 25 de agosto de 2023.
CHE Y, et al. Effectiveness, safety, and acceptability of postplacental insertion of GyneFix postpartum intrauterine device among women undergoing cesarean section: A multicenter prospective cohort study in China. Contraception, 2023; 122: 109999.
COFEN. CONSELHO FEDERAL DE ENFERMAGEM. Parecer de Comissão nº 004/2019/CNSM/COFEN de 24 de setembro de 2019. Inserção de dispositivo intrauterino (DIU TCU 380A) com cobre por enfermeiros na rede de atenção especializada. 2019. Disponível em: http ://www.cofen.gov.br/parecer-de-comissao-no-004-2019-cnsmcofen_86641.html. Acessado em: 27 de agosto de 2023.
DINEHART E, et al. Levonorgestrel IUD: is there a long-lasting effect on return to fertility? J Assist Reprod Genet, 2020; 37: 45-52.
FASSETT MJ, et al. Risks of uterine perforation and expulsion associated with intrauterine devices. Obstetrics & Gynecology, 2023; 142(3): 641- 551.
FEBRASGO. FEDERAÇÃO BRASILEIRA DAS ASSOCIAÇÕES DE GINECOLOGIA E OBSTETRÍCIA. Contracepção reversível de longa ação. Série orientações e recomendações FEBRASGO. 2016; 3(1).
GARCIA EA, et al. Assessment of pain and ease of intrauterine device placement according to type of device, parity, and mode of delivery. Eur J Contracept Reprod Health Care, 2023; 28(3): 163-167.
GONÇALVES MR, et al. Comparative study between intrauterine devices inserted in women in the puerperium under different techniques and periods. Arq Med Hosp Fac Cienc Med Santa Casa São Paulo, 2019; 64(3): 213-20.
GONZAGA VAS, et al. Barreiras organizacionais para disponibilização e inserção do dispositivo intrauterino nos serviços de atenção básica à saúde. Rev Esc Enferm USP, 2017; 51.
MILLER HE, et al. Addressing postpartum contraception practices utilizing a multidisciplinary Pregnancy Heart Team approach. AJOG Glob Rep, 2022; 2(4): 00100.
MUKHERJEE S e SWAIN D. Barriers and Acceptance of Intrauterine Contraceptive Devices (IUCD) Among Married Women of Reproductive Age in Odisha, India. Cureus, 2023; 15(6): 40919.
NAHAS G, et al. Immediate Postpartum Insertion of Copper Intrauterine Device in a Brazilian University Hospital: Expulsion and Continuation Rates. Rev Bras Ginecol Obstet, 2023; 45(1): 31–37.
NUNES IB, et al. Sexualidade no puerpério: uso de contraceptivos/Sexuality in the puerperium: contraceptive use. Braz. J. Health Rev, 2021; 4(1): 3150-3172.
OUZZANI M, et al. Rayyan—a web and mobile app for systematic reviews. Syst. Rev., 2016; 5: 1-10.
PAGE MJ, et al. A declaração PRISMA 2020: diretriz atualizada para relatar revisões sistemáticas. Rev Panam Salud Publica, 2020; 46: 112, 2020.
PRADHAN E, et al. Integrating postpartum contraceptive counseling and IUD insertion services into maternity care in Nepal: results from stepped wedge randomized controlled trial. Reprod Health, 2019; 16: 1-15.
RUELLE Y, et al. Effects of a short training workshop on the insertion/removal of intrauterine devices and contraceptive implants by general practice residents and their supervisors in France. Contraception, 2023; 127: 110117.
SANTA CATARINA. SECRETARIA DA SAÚDE. Linha de cuidado saúde da mulher e planejamento familiar: protocolo para a inserção do dispositivo intrauterino (DIU). 2019. Disponível em: https ://www.joinville.sc.gov.br/public/portaladm/pdf/jornal/1676574b38271b889bb3e3c3b20145f0.pdf. Acessado em: 09 de março de 2023.
SANTOS ISF, et al. Características do uso dos métodos contraceptivos em mulheres na idade fértil. Braz. J. Implantol. Health Sci, 2023; 5(3): 44-63.
SILVA AS, et al. The multiprofessional team’s performance in serving a large burn: a case report. Rev Bras Queimaduras, 2021; 20(1): 70-74.
TRIGUEIRO TH, et al. Acompanhamento da inserção de dispositivos intrauterinos de cobre por enfermeiros e médicos: estudo longitudinal prospectivo. Rev Bras Enferm, 2020; 73: 20200156.
VENTURA HN, et al. O papel do enfermeiro no programa de planejamento reprodutivo: uma revisão integrativa. Rev. Enferm. Atual In Derme, 2022; 96(40).
WHITTEMORE R e KNAFL K. The integrative review: update methodology. J Adv Nurs, 2005; 52(5): 546-53.
YADAV V, et al. Comparison of outcomes at 6 weeks following postpartum intrauterine contraceptive device insertions by doctors and nurses in India: A case-control study. Contraception, 2016; 93(4): 347-355.
ZUGAIB M. Obstetrícia Zugaib. 3. ed. São Paulo: Manole. 2016. Disponível em: https ://observatorio.fm.usp.br/handle/OPI/15093. Acessado em: 24 de agosto de 2023.