Article Text

Download PDFPDF

Intrauterine device insertions: Setting our standards
  1. Asha P Kasliwal, MRCOG, DFFP, Specialist Registrar in Obstetrics and Gynaecology1 and
  2. Anne M C Webb, MRCOG, MFFP, Consultant in Family Planning and Reproductive Health Care2
  1. Arrowe Park Hospital, Upton, Wirral, UK
  2. Women's Health Directorate, Abacus Centres for Contraception and Reproductive Health, North Mersey Community NHS Trust, Liverpool, UK
  1. Correspondence Dr Asha Kasliwal, Department of Obstetrics and Gynaecology, Arrowe Park Hospital, Arrowe Park Road, Upton, Wirral CH49 5PE, UK. E-mail: pradipasha{at}


Objective To determine if the documentation for intrauterine device (IUD) insertions was satisfactory and to agree minimum standards for practice.

Method A list was drawn up with minimum standards for documentation in the case notes. These were agreed at the clinical audit meeting. A retrospective analysis of case notes was done and a list completed for each IUD insertion.

Setting and participants IUD fittings at all the Abacus clinics from 1 September 1999 to 31 October 1999.

Results Of the 232 IUD insertions, the gold standard for documentation was met in 20%, however documentation of essential criteria was met 93% and all criteria 83% of the time. Each doctor received individual, confidential, comparative feedback.

Conclusion We were able to agree a minimum standard for documentation to enhance adequate counselling, safe insertion, communication with colleagues and risk management.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.