Answer
The contraceptive implant is currently approved for contraception in women, including nulliparous women, adolescents, and breastfeeding mothers. [8] The implant is approved for immediate postpartum use. It may be inserted as soon as 10 minutes after placental delivery, thus providing safe and effective reversible contraception prior to hospital discharge. The insertion technique does not differ for immediately postpartum placement. [11]
The contraceptive implant is an etonorgestrel implant, which works by the same mechanism as other progesterone-only methods: by inhibiting ovulation, thinning the endometrium, and thickening cervical mucus. [5, 12]
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Patient's wrist is parallel to her ear or her hand is positioned next to her head.
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The insertion site, which is at the inner side of the nondominant upper arm about 8cm above the medial epicondyle of the humerus.
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The transparent protection cap should be removed by sliding it horizontally away from the device.
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With your free hand, use countertraction on the skin as you insert the needle at a 30 degree angle.
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Once the needle has punctured the skin, hold the applicator horizontal to the skin, and tent the skin upwards as you slide the entirety of the needle into the subdermal space.
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While holding the applicator in place, unlock the purple slider with your index finger by pushing the slider downwards and backwards until it locks.
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At this point the needle is inside the applicator and the applicator can be removed from the field.
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The practitioner and patient should palpate the implant immediately after insertion.
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