Contraceptive Implants Session V B TwoRod Implant Removal

Contraceptive Implants Session V B: Two-Rod Implant Removal Session V B, Slide #1

Two-Rod Implant Removal: Required Equipment • An examination table • Sterile surgical drapes and gloves • Antiseptic solution • Local anesthetic, needles, and syringe • Sterile #11 scalpel, forceps (straight and curved mosquito) • Skin closure, sterile gauze and compresses Session V B, Slide #2

Two-Rod Implant Removal Step 1 • Have the client lie on her back with her arm flexed at the elbow. • Palpate the area to locate both implants. • Clean the patient’s upper arm with an antiseptic solution and frame the area with a drape that has an opening. Session V B, Slide #3

Two-Rod Implant Removal Step 2 • Apply a small amount of local anesthetic, such as lidocaine (1%) to the skin and under the ends of the implants (below the bottom of the “V”). This will raise the ends of the implants. Session V B, Slide #4

Two-Rod Implant Removal Step 3 • Make a 4 mm incision with the scalpel close to the ends of the implants (below the bottom of the “V”). • Do not make a large incision. Session V B, Slide #5

Two-Rod Implant Removal Step 4 • Push each implant gently toward the incision with your fingers. • When the tip is visible or near to the incision, grasp it with mosquito forceps. Session V B, Slide #6

Two-Rod Implant Removal Step 5 • Use the scalpel, the other forceps, or gauze to very gently open the tissue sheath that has formed around the implant. Session V B, Slide #7

Two-Rod Implant Removal Step 6 • Grasp the end of the implant with the second forceps and gently remove it. • Repeat the procedure for the second implant. Session V B, Slide #8

Two-Rod Implant Removal Step 7 • Close the incision with a skin closure. • Apply a sterile gauze and wrap the arm with a pressure bandage. • Before the client is discharged, observe her for a few minutes for signs of bleeding from the insertion site. • Review post-removal instructions and other key messages. • Clean or dispose of the instruments properly. Session V B, Slide #9

Post-removal Options • If the woman decided to keep using this method and is still eligible, insert a new set of implants through the same incision, or if the client prefers, use the other arm. • If the woman decided to discontinue using implants and does not want to become pregnant, counsel her about other contraceptive options. Session V B, Slide #10