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Permanent Contraception: Utilizing Transvaginal Ultrasonography to Confirm Appropriate Insert Placement

Of the 61 million women in the U.S. being of childbearing age, it is estimated that 43 million are at risk for unintended pregnancy. In 2002, the U...

Available credits: 0.50

Time to complete: 30 minutes

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  • Overview

    Of the 61 million women in the U.S. being of childbearing age, it is estimated that 43 million are at risk for unintended pregnancy. In 2002, the US FDA approved the first hysteroscopic sterilization device for female permanent contraception, a microinsert placed into the tubal lumen. Confirmation of placement and tubal occlusion is performed 3 months following insertion and has, in the past, required an invasive process. In July 2015, the FDA approved the use of transvaginal ultrasound (TVU) as an alternate confirmation test for the permanent contraception microinserts as an in-office procedure as opposed to hospital-based, and which permits a faster return to routine activity for the patient.

    Join us as Dr. Hector Chapa and Laura Decker, a certified Diagnostic Sonographer, discuss the emergent role that TVU plays in the confirmation of appropriate placement of permanent contraceptive microinserts, as well as an in-depth visual explanation of the confirmation process. 

  • Disclosure of Conflicts of Interest

    In accordance with the ACCME Standards for Commercial Support, The Omnia-Prova Education Collaborative (TOPEC) requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. TOPEC resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs.

    Faculty

    Hector O. Chapa, MD
    Medical Director, Women's Speciality Center Dallas
    Clinical Faculty Methodist Dallas Medical Center
    Methodist Hospital Dallas Department of Ob/Gyn
    Dallas, TX

    Dr. Chapa receives consulting fees from and is a speaker for Bayer HealthCare.

    Laura Decker, BS, RDMS, MHA
    Practice Sonographer
    Basinski and Juran, MDs
    Newburgh, IN

    Laura Decker has nothing to disclose.

    Reviewers/Planners/Authors

    • Sean T. Barrett, CHCP has nothing to disclose.
    • Barry A. Fiedel, PhD has nothing to disclose.
    • Kia K. Gray, MPH has nothing to disclose.
    • Amanda Hilferty has nothing to disclose.
    • Robert Schneider has nothing to disclose.
    • Elizabeth Stephens has nothing to disclose.
  • Learning Objectives

    After participating in this educational activity, participants should be better able to:

    • Identify patients who are appropriate candidates for TVU to confirm proper microinsert placement
    • Understand the benefits and disadvantages of TVU in the confirmation process for microinsert placement
    • Enhance sonographer awareness of the availability of the training certification program for the confirmation of appropriate TVU insert placement, as requested by the FDA of the device manufacturer
  • Target Audience

    The target audience for this activity includes Sonographers and Ob/Gyn specialty sonographers.

  • Accreditation and Credit Designation Statements

    The Omnia-Prova Education Collaborative, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Omnia-Prova Education Collaborative, Inc. designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • Commercial Support

    This activity is supported by an independent educational grant from Bayer HealthCare.

  • Disclaimer

    All rights reserved. No part of this publication may be reproduced without written permission from the publisher.

    The material presented in this Omnia Education continuing medical education activity does not necessarily reflect the views and opinions of Omnia Education. Neither Omnia Education nor the faculty endorse or recommend any techniques, commercial products, or manufacturers.

  • System Requirements

    Our site requires a computer, tablet or mobile device and a connection to the Internet. For best results, a high-speed Internet connection is recommended (DSL/cable). We also recommend using the latest version of your favorite browser to ensure compliance with W3C standards, such as Internet Explorer, Microsoft Edge, Chrome, Firefox or Safari. Users accustomed to IE8, IE9 IE10 are advised to update their browsers for the best experience."

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