Outcomes of Intrauterine Device Insertion by Certified Midwives and Obstetric Nurse Practitioners.
Thalita Vital Botelho, Ana Luiza Vilela Borges
PMID 38018608WHAT IT FOUND
Midwives and obstetric nurses inserted copper IUDs in 75 women with no uterine perforations.
Expulsion within the first year was 5.3%. Pain averaged 4.2 on a 0-10 scale. 93.1% of continuing users were satisfied. These outcomes were comparable to physician-inserted IUDs.
Key findings
01No cases of uterine perforation were reported among the study population.
02The expulsion rate within the first year of use was 5.3%, falling within the expected range of up to 10%.
03Among women who continued using the IUD, 93.1% reported satisfaction with the method.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Pain was assessed via telephone interview after the fact, not immediately after insertion, introducing potential memory bias. Approximately one-third of women did not return for follow-up, so data on complications in that group are missing. The sample size was small and non-probabilistic, limiting generalizability. Routine ultrasonography was not performed for all participants, only those with specific indications.
Declared interests
The paper does not report funding sources or conflicts of interest.
The easy way to misread this
Do not assume this study proves nurse-led insertion is superior to physician-led insertion. It is a descriptive study of outcomes in a specific setting and compares them to existing literature, not to a concurrent control group of physician insertions.