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Immediate Post-placental IUD Insertion: Evaluation of Clinician Knowledge and Views

Purpose: To increase practitioner knowledge and comfort performing immediate post-placental IUD insertion with a session including lecture and simulation. 

Background: Immediate post-placental (within 10 minutes of placental delivery) insertion of an intrauterine device (IUD) has been shown to be both safe and effective contraception. Post-placental IUD insertion removes barriers (loss of insurance, loss to follow up, etc.) in the prevention of unplanned pregnancies. In order to increase practitioner knowledge and comfort performing immediate post-placental IUD insertion, this project developed and administered education and procedural simulation sessions.

Methods: A session consisted of a 10 minute pretest, 15 minute scripted powerpoint presentation, 15 minute procedure simulation, and 10 minute post-test. The primary outcome of knowledge score was calculated as the sum of all knowledge questions. The change in knowledge score and comfort levels were assessed by paired T-tests. Participants were asked to rate their comfort level on performing post-placental IUD insertion on a scale of 1-5 (1=not comfortable at all; 5=completely comfortable).

Results: 62 obstetrical providers attended the sessions. The average knowledge score pre-training was 11.4 (95% CI 10.6-12.2) as compared to 15.5 (14.5-16.5) post-training (p<0.01). Pre-training, participants were less comfortable with immediate post-placental IUD insertion (mean 2.82; 95% CI 2.4-3.2) as compared to post-training (mean 3.96; 95% CI 3.7-4.2), (p<0.01).

Discussions: Education and procedural simulation sessions are an effective method to improving knowledge and procedural comfort of post-placental IUD insertion. A curriculum dedicated to improving knowledge and comfort of post-placental IUD insertion should be integrated into obstetrical training.

Topics: Contraception or Family Planning, Lecture, Simulation, GME, Practice-Based Learning & Improvement, Medical Knowledge, Patient Care, Faculty, Resident, Student, 2019, CREOG & APGO Annual Meeting,

General Information


Intended
Audience
Student,Resident,Faculty,
Competencies
Addressed
Patient Care,Medical Knowledge,Practice-Based Learning & Improvement,
Educational
Continuum
GME,
Educational
Focus
Simulation,Lecture,
Clinical Focus
Contraception or Family Planning,

Author Information

Ariana Hoffman, MD, University of Minnesota; Elizabeth Slagle, MD; Ananta Bangdiwala, MS

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