Os principais benefícios na eficiência do atendimento na inserção do dispositivo intrauterino pelo enfermeiro na atenção primária

Abstract

This study aimed to analyze, through a literature review, the evidence regarding the insertion of the Intrauterine Device (IUD) by nurses in Primary Health Care (PHC) and its impact on the provision of long-acting reversible contraceptives (LARC). The specific objectives included presenting the IUD as a contraceptive method, contextualizing PHC, discussing IUD insertion by nurses, and evaluating how this practice can influence LARC availability. The methodology consisted of an integrative literature review, conducted through searches in academic databases and repositories, considering articles, reports, and official documents published between 2017 and 2025. The results indicate that the IUD, especially the copper model provided by the Brazilian Unified Health System (SUS), is highly effective, long-lasting, low-cost, and reversible, being considered safe for use in PHC. Insertion by trained nurses proved feasible and safe, expanding women’s access to the method, reducing structural barriers, and strengthening female autonomy in reproductive planning. Furthermore, the availability of the IUD in PHC significantly contributes to increasing LARC provision, promoting public health benefits, including the reduction of unplanned pregnancies and improvements in maternal and child health indicators. It is concluded that nurse-led IUD insertion is an effective strategy to promote access to quality contraception, consolidating PHC as a strategic space for the promotion of sexual and reproductive health.