Successful pregnancy outcome with the levonorgestrel-releasing intrauterine system

Pilkington, Andrea; Misfar, N; Polson, D. W.

doi:10.1783/147118908783332195

Cited by 2 publications

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, some pregnancies proceed without the IUD being detected during pregnancy but were discovered within fetal membranes during delivery. [13][14][15] Notably, in all these case reports, the pregnancies progressed normally, and the patients successfully delivered healthy infants without congenital abnormalities. In contrast, our case involved a patient who was pregnant with an IUD located in the retroplacental region and experienced a miscarriage in the 8th gestational week.…”

Section: Discussionmentioning

confidence: 99%

Early intrauterine pregnancy with an intrauterine device in place and terminated with spontaneous abortion: A case report

Chu,

Tien,

Ding

2024

Medicine

View full text Add to dashboard Cite

Rationale: The overall pregnancy rate in individuals with an intrauterine device (IUD) for contraception is <1%. If pregnancy occurs while an IUD is in place, there is a higher risk of an ectopic pregnancy. We report the case of a woman with an IUD who was 7 weeks pregnant and experienced a spontaneous abortion 1 week later. Patient concern: A 32-year-old woman presented to our outpatient department with intermittent vaginal staining for several days. Diagnoses: She was 7 weeks pregnant and had an IUD in place for over 4 years. A vaginal examination revealed no vaginal bleeding and no blood clots; however, a parous cervix was observed. The IUD string was not visible. Transvaginal ultrasonography revealed a gestational sac in the uterine cavity, with a fetal pole and a crown-rump length of 11.4 mm. The fetal heart rate was 159 beats/min. The IUD was located in the retroplacental region. The bilateral adnexa appeared normal (right ovary, 2.9 cm; left ovary, 2.5 cm). The patient was diagnosed with an intrauterine pregnancy with an IUD in place and threatened abortion. Interventions: Attempts to remove the IUD were abandoned due to its location, and conservative treatment was initiated with Utrogestan (100 mg) administered 3 times a day for 1 week. Bed rest was advised. Outcomes: Unfortunately, she experienced a complete abortion 1 week later. Lessons: The novelty of this case report lies in the rare occurrence of an intrauterine pregnancy with a long-term IUD in place, the challenges posed by the IUD’s specific location, and the complex management of threatened abortion in this context. Our case highlights the diagnostic management approach for intrauterine pregnancy with an IUD in place. Furthermore, it explores the impact of IUD location on pregnancy prognosis.

show abstract

Section: Discussionmentioning

confidence: 99%