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Family Planning: A Global Handbook for Providers

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Family Planning

A GLOBAL HANDBOOK FOR PROVIDERS

Inserting Implants

Explaining the Insertion Procedure for Jadelle and Norplant

A woman who has chosen implants needs to know what will happen during insertion. The following description can help explain the procedure to her. Learning to insert and remove implants requires training and practice under direct supervision. Therefore, this description is a summary and not detailed instructions.

Inserting implants usually takes only a few minutes but can sometimes take longer, depending on the skill of the provider. Related complications are rare and also depend on the skill of the provider. (Implanon is inserted with a specially made applicator similar to a syringe. It does not require an incision.)

The provider uses proper infection-prevention procedures
1. The provider uses proper infection-prevention procedures.

A woman receiving an injection under the skin to prevent pain while implants are being inserted
2. The woman receives an injection of local anesthetic under the skin of her arm to prevent pain while the implants are being inserted. This injection may sting. She stays fully awake throughout the procedure.

The provider makes a small incision in the skin on the inside of the upper arm
3. The provider makes a small incision in the skin on the inside of the upper arm.

The provider inserts the implants just under the skin
4. The provider inserts the implants just under the skin. The woman may feel some pressure or tugging.

The provider closes the incision with an adhesive bandage
5. After all implants are inserted, the provider closes the incision with an adhesive bandage. Stitches are not needed. The incision is covered with a dry cloth and the arm is wrapped with gauze.