Pemasangan Alat Kontrasepsi Dalam Rahim (AKDR)/ IUD Interval

Summary

This video demonstrates the step-by-step process of IUD (Intrauterine Device) insertion, beginning with a friendly introduction and client consultation. It covers essential pre-procedural steps, such as explaining the procedure, ensuring client comfort, and performing necessary tests. The video details the hygienic preparations, tools, and techniques used to insert the IUD, including the proper handling of instruments and ensuring sterility throughout the process. The procedure concludes with post-insertion care, instructions for follow-up visits, and ensuring the client's understanding of aftercare.

Takeaways

• 😀 Greet the client warmly and introduce yourself before starting the procedure.
• 😀 Always ask for the client's identification and perform an anamnesis to understand their concerns.
• 😀 Clearly explain the advantages and limitations of the contraceptive method (IUD) being offered.
• 😀 Ensure the client is well-informed about the procedure, the type of IUD, and its insertion process.
• 😀 Have the client empty their bladder before the procedure to ensure comfort during the IUD insertion.
• 😀 Follow a strict hygiene protocol: wash hands, prepare the necessary instruments, and maintain a sterile environment.
• 😀 Prepare all the required tools including the IUD kit, surgical instruments, and antiseptic solutions.
• 😀 Position the client properly on the gynecological examination table and ensure their privacy is maintained.
• 😀 Perform necessary diagnostic procedures, such as abdominal and bimanual exams, to check for contraindications.
• 😀 Carefully insert the IUD using a sterilized inserter, and ensure to properly cut and dispose of any excess thread length.
• 😀 After insertion, provide the client with post-procedure care instructions and inform them about follow-up appointments.

Q & A

What is the first step when performing IUD insertion?

The first step is to welcome the client warmly, introduce yourself, and ask for their identity. Conduct an anamnesis to understand their concerns and what assistance they need.

How should the healthcare provider explain the IUD procedure to the client?

The provider should explain the types of IUDs, their benefits, and limitations. The client should be fully informed about the procedure before making their choice.

What should the client do before the IUD insertion procedure?

The client should empty their bladder before the procedure to ensure comfort during the process.

What are the important tools needed for IUD insertion?

The necessary tools include a spotlight, apron, trolley, basin with enzymatic solution, waste bin, gynecology table, sterilized instruments like scissors, tenaculum, speculum, and gauze.

How should the client be positioned during the procedure?

The client should be positioned in the lithotomy position (lying on their back with legs in stirrups) on the gynecology table, ensuring privacy with a blanket.

What is the purpose of the external and internal examination before the IUD insertion?

The external and internal examinations help assess the condition of the vagina and cervix. It ensures there are no contraindications for the IUD insertion and allows the provider to determine the uterus size.

Why is it necessary to clean the vaginal area with antiseptic solution?

Cleaning the vaginal area with antiseptic solution ensures sterility and reduces the risk of infection during the procedure.

What should be done if no contraindications are found during the examination?

If no contraindications are found, the procedure can proceed. The cervix is gently clamped with a tenaculum, and the IUD insertion is prepared.

How is the IUD inserted into the uterus?

The IUD is inserted using a sterilized inserter tube, ensuring it is properly positioned in the uterus. The inserter is carefully removed, leaving the IUD in place.

What should be done after the IUD is successfully inserted?

After the IUD insertion, the speculum is removed carefully, the area is cleaned with antiseptic solution, and all contaminated materials are disposed of properly. The healthcare provider should then provide post-procedure care instructions to the client.

What follow-up care should be given to the client after the IUD insertion?

The client should be advised to return for a follow-up visit one week after the procedure to ensure the IUD is properly placed and there are no complications.