# Intrauterine device management by nurses in Primary Health Care

## TL;DR

This study examines how nurses in Brazil manage intrauterine devices in primary healthcare settings.

## Contribution

The study provides insights into the current practices and challenges of IUD management by nurses in a specific Brazilian region.

## Key findings

- Most nurses were female, with an average age of 37.3 years.
- The majority used care protocols and performed educational activities regularly.
- Monthly IUD insertions averaged 20.68, indicating active device management.

## Abstract

to assess intrauterine device (IUD) management by nurses in Primary Health Care.

a descriptive and cross-sectional study. Thirty-one nurses qualified to insert IUDs in Mato Grosso do Sul participated. Data were collected online. Frequency analyses and the binomial test were performed using SPSS 24.0, with a 5% significance level.

the majority (83.9%) were female, with a mean age of 37.3 years (±1.35). Of the total, 87.1% had an equipped nursing office and 93.5% used care protocols in their procedures. There was significance in the variables “requests imaging tests”, “prescribes medications” and “performs educational activities” (p<0.001). The monthly mean of insertions was 20.68 (±4.82).

IUD management can be improved with investments in physical and material structures. Nurses are also human resources capable of contributing to the reduction of unplanned pregnancies and their consequences.

avaliar o manejo do dispositivo intrauterino (DIU) por enfermeiros na Atenção Primária à Saúde.

estudo descritivo e transversal. Participaram 31 enfermeiros habilitados para a inserção do DIU no Mato Grosso do Sul. Dados foram coletados online. Realizaram-se as análises das frequências e teste binomial pelo SPSS 24.0, com 5% de significância.

a maioria (83,9%) é do sexo feminino, com média de 37,3 anos (±1,35). Do total, 87,1% dispõem de consultório de enfermagem equipado e 93,5% utilizam protocolos assistenciais em suas condutas. Houve significância nas variáveis “solicita exames de imagem”, “prescreve medicamentos” e “realiza atividades educativas” (p<0,001). A média mensal de inserções foi de 20,68 (±4,82).

o manejo do DIU pode ser melhorado com investimentos em estruturas físicas e materiais. Enfermeiros também são recursos humanos capazes de contribuir com a redução de gravidez não planejada e suas consequências.