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Re: IUD and PIDFrom: MTRingstaf@aol.comSat May 29 11:43:11 1999
In a message dated 5/28/99 8:57:57 PM Eastern Daylight Time, scrawfmd@zoomnet.net writes: << A physician would know this simple fact, in all due respect to you. >> Oh my, I'm going to leave this statement alone....but I will save it for future reference. << In all due respect, IUD placement, in my opinion only, should occur in collaboration with a physician. >> Dr. Crawford: perhaps you haven't had the opportunity of working with NP's or CNM's, but I consider my practice to be in an environment of collaboration, in the patients best interest, of course. Do you practice in isolation or do you also collaborate with other health care providers? When I posted a question last year regarding a Norplant problem, I got a couple of private flames, suggesting that my back-up gyn should handle the problem. I wasn't sure how to politely respond that my back-up has never inserted or removed a Norplant & I've probably handled 300+, thus, regardless of the initials following the name, I'm his "back-up" in terms of experience. Now my question to the list, would you remove an IUD if a patient required a cervical procedure such as cryo or a LEEP? DISCLAIMER: This is a generic question, not designed to inflame anyone, if the patient in question does receive an IUD, it will be within the confines of a collaborative practice. Since I work in a public health setting and I help monitor your tax dollars spent on family planning, I have to also consider if the patient is "IUD worthy." Yours for truly collaborative health care, Marilyn Ringstaff, CNM Rome, GA BTW, my trusty Speroff says "Current, recent, or recurrent PID" is a contraindication to IUD insertion.
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