title: Syncope and profound bradycardia associated with intrauterine contraceptive procedures.
abstract: There has been recent interest in this Journal concerning the occurrence of profound bradycardia with impaired consciousness during insertion of intrauterine contraceptive devices or systems. Questions have been raised regarding the requirement for medication for reversal of the condition, the role of the nurse practitioner in the light of this, and the effects upon sexual and reproductive health care service delivery. We present three cases where this condition affected patients under our care and suggest that although very infrequent, it is important. Medication for treatment and staff trained to administer it should always be available.
authors.affiliation: Liverpool Community Health, Central Abacus, Liverpool, UK. aisling.baird@liverpoolch.nhs.uk
authors.forename: Aisling
authors.initials: A
authors.lastname: Baird
authors.forename: Jane
authors.initials: J
authors.lastname: Dickson
authors.forename: Mary
authors.initials: M
authors.lastname: Jensen
authors.forename: Martin
authors.initials: M
authors.lastname: Talbot
mesh_terms: D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D001285:Atropine / Q000627:therapeutic use; D001919:Bradycardia / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects* / Q000706:statistics & numerical data; D008875:Middle Aged; D010102:Oxygen Inhalation Therapy; D013575:Syncope / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy
chemical_list: D000889:Anti-Arrhythmia Agents; D001285:Atropine