Pregnancy Exclusion Criteria

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Pregnancy Exclusion Criteria for IUD / Nexplanon Placement

Ideally, insertion of IUD / Nexplanon should take placeless than or equal to 7 days since the start of LMP since it reliably excludes pregnancy, If patient does not meet criteria for Method A on date of scheduled insertion, she will need to have Method B to Rule out Pregnancy and should have her Insertion Day adjusted.



Excluding pregnancy — Method A

Pregnancy can be reasonably excluded if a client answers YES to any of the following questions:


1. Have you abstained from sexual intercourse since your last menstrual period?


2. Have you had a normal menstrual period within the past seven days?


3. Have you been using a reliable form of contraception consistently and correctly?


4. Have you had a miscarriage or abortion within the past seven days?


5. Have you had a baby within the past four weeks?


6. Have you had a baby within the past six months AND are you are fully or nearly-fully breastfeeding AND have you not had a menstrual period since the delivery?


Excluding Pregnancy - Method B

A urine pregnancy test (UPT) must be ordered and documented to be negative 2 weeks after the last intercourse.



Date of Last Intercourse (DLI):



Date of Negative UPT (Must be at least 14 days after DLI):






.jpeg file Preg exclusion iud.jpeg


http://www.uptodate.com/contents/intrauterine-contraceptive-device-insertion-and-removal


A systematic review of studies evaluating the performance of a pregnancy checklist compared with urine pregnancy test to rule out pregnancy concluded the negative predictive value of a checklist similar to the one above was 99 to 100 percent. Tepper NK, Marchbanks PA, Curtis KM; Use of a checklist to rule out pregnancy: a systematic review. Contraception 2013; 87:661,

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