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Guidelines for IUD sterilization.

    IPPF Medical Bulletin
    |December 1, 1985
    PubMed
    Summary

    New guidelines offer safe sterilization methods for intrauterine devices (IUDs) using specific solutions like iodine and alcohol. These recommendations ensure proper IUD preparation for family planning services.

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    Area of Science:

    • Family Planning
    • Medical Device Sterilization
    • Infectious Disease Prevention

    Background:

    • Intrauterine devices (IUDs) are widely used contraceptives supplied globally.
    • Standardized sterilization protocols are crucial for ensuring IUD safety and efficacy.
    • The International Planned Parenthood Federation (IPPF) provides IUDs to numerous family planning associations.

    Purpose of the Study:

    • To provide updated guidelines for sterilizing bulk-packaged IUDs.
    • To ensure safe and effective IUD use in family planning programs.
    • To inform healthcare providers about acceptable sterilization methods and precautions.

    Main Methods:

    • Review and formulation of sterilization guidelines by the IPPF International Medical Advisory Panel.
    • Identification of acceptable sterilizing solutions: benzalkonium chloride (1:750), aqueous iodine solution (1:2500), and 75% isopropyl alcohol.
    • Specification of presterilization times and solution preparation instructions.

    Main Results:

    • Acceptable sterilizing solutions include benzalkonium chloride, aqueous iodine, and isopropyl alcohol.
    • Recommended presterilization durations: 24 hours for benzalkonium chloride, 10 minutes for iodine and alcohol.
    • Cautionary notes: avoid prolonged immersion in benzalkonium chloride (>24 hours) due to plastic brittleness; do not use chlorhexidine gluconate (Savlon).
    • Metal instruments require separate sterilization via autoclave or boiling.
    • IUDs must be stored dry and not exceed three sterilization cycles.

    Conclusions:

    • Established guidelines provide clear protocols for IUD sterilization.
    • Adherence to recommended solutions and procedures ensures IUD safety.
    • Proper sterilization practices are essential for effective family planning services.
    Keywords:
    ContraceptionContraceptive MethodsDistributional ActivitiesExaminations And DiagnosesFamily PlanningIudLaboratory Examinations And DiagnosesLaboratory ProceduresOrganization And AdministrationProgram ActivitiesPrograms

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