{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T21:58:44Z","timestamp":1790459924829,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We evaluated clinical performance when the TCu380A intrauterine device (IUD) and the levonorgestrel (LNG) 52\u2010mg intrauterine system (IUS) were inserted by different categories of healthcare professionals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was conducted at the University of Campinas, Brazil. The medical records were reviewed of all women in whom an IUD was inserted between January 1980 and December 2018, with data for at least 1\u00a0year, and for whom information on the healthcare provider who inserted the device was available.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 19\u2009132 (76.9%) IUD and 5733 (23.1%) LNG\u2010IUS insertions were included, with residents\/interns performing 13\u2009853 (55.8%), nurses 7024 (28.2%), and physicians 3988 (16.0%). Removals for pregnancy and infection were significantly higher when physicians inserted the device, while removals for bleeding\/pain and other medical reasons were more common when nurses performed the insertion. Expulsion and removals for personal reasons were similar for all three categories.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Clinical outcomes were similar regardless of whether trained nurses, residents\/interns, or physicians inserted the device, and were irrespective of users\u2019 age and parity. These results could stimulate other healthcare services, particularly in regions where there is a shortage of physicians, to invest in training nurses to perform insertions of IUDs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13396","type":"journal-article","created":{"date-parts":[[2020,9,27]],"date-time":"2020-09-27T11:39:39Z","timestamp":1601206779000},"page":"196-201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Evaluation of clinical performance when intrauterine devices are inserted by different categories of healthcare professional"],"prefix":"10.1002","volume":"152","author":[{"given":"Montas","family":"Laporte","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas Faculty of Medical Sciences Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandra","family":"Becerra","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas Faculty of Medical Sciences Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lester","family":"Castro","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas Faculty of Medical Sciences Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Nelio","family":"Veiga","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas Faculty of Medical Sciences Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ximena","family":"Espejo\u2010Arce","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas Faculty of Medical Sciences Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Bahamondes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Campinas Faculty of Medical Sciences Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1110855"},{"key":"e_1_2_8_3_1","unstructured":"Family Planning Worldwide 2019 Data Sheet. Population Reference Bureau.https:\/\/www.prb.org\/2019\u2010family\u2010planning\u2010data\u2010sheethighlights\u2010family\u2010planning\u2010method\u2010use\u2010around\u2010the\u2010world\/. Accessed February 17 2020."},{"key":"e_1_2_8_4_1","unstructured":"National Survey of Family Growth: Current contraceptive status and method used in month of interview among women 15\u201044 years of age Special Tabulation by NCHS.https:\/\/www.cdc.gov\/nchs\/nsfg\/key_statistics\/c.htm#currentuse. Accessed January 22 2020."},{"key":"e_1_2_8_5_1","volume-title":"Fact Sheet. Adding it Up: Investing in Contraception and Maternal and Newborn Health","author":"Guttmacher Institute","year":"2017"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30481-9"},{"key":"e_1_2_8_7_1","unstructured":"Brasil. Conselho Federal de Medicina.https:\/\/portal.cfm.org.br\/images\/PDF\/2019_nota_tecnica_diu.pdf. 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