Insertion of IUDs is a routine procedure in C&SH Service clinics. Techniques for IUD insertion vary between practitioners.

Researchers conducted this study to describe the preferred approach to various aspects of IUD provision of experienced doctors working in three extensively, teaching C&SH Services, including policies on screening for chlamydia, antibiotic prophylaxis, use otentacularae, use of analgesia/anesthesia, and service of assistants at the time of IUD insertion.

The study design was an anonymous questionnaire to all doctors working in three neighboring services.

The study setting was three community C&SH Services in Hampshire, seeing approximately 92 000 patients each year.

The participants were the doctors regularly working in target C&SH Services.

A total of 94% of doctors cleanse the cervix before IUD insertion, 96% test for chlamydia before fitting an emergency coil, and 18.5% always prescribe prophylactic antibiotics. For routine IUD insertions, 50% of doctors always screen for chlamydia before serving the device. 

The study concluded that the practice varies between practitioners, and doctors training in intrauterine techniques may be given conflicting advice. All clinicians should be able to justify their way on clinical grounds and audit outcomes.

Reference: https://srh.bmj.com/content/29/1/21