The evaluation of 318 intrauterine pregnancy cases with an intrauterine device

İnal, Murat; Ertopcu, Kenan; Özelmas, İsa

doi:10.1080/13625180500195340

Cited by 36 publications

(17 citation statements)

References 23 publications

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“…This observation is in accordance with previous trials evaluating the expulsion rate of copperdevices [15,17]. Predictors of copper-IUD expulsions are young age, excessive length of the endometrial cavity, reinsertion after expulsion, nulliparity and heavy menstrual flow [2,13,19,20]. There is little evidence concerning risk factors for the expulsion of the LNG-IUD.…”

Section: Discussionsupporting

confidence: 89%

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Partial and complete expulsion of the Multiload 375 IUD and the levonorgestrel-releasing IUD after correct insertion

Merki‐Feld¹,

Schwarz²,

Imthurn³

et al. 2008

European Journal of Obstetrics & Gynecology and Reproductiv

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Objective: The contraceptive efficacy of intrauterine devices (IUD) is thought to relate to the position of the IUD in the uterine cavity. Several trials examined the number of copper IUD expulsions, but none evaluated the partial and complete expulsion rate of the levonorgestrelreleasing device (LNG-IUD).Study design: This retrospective cohort study compares the dislocation rate of the Multiload 375 IUD (ML 375) and the LNG-IUD in 214 women (107 subjects with each IUD). Transvaginal ultrasound was used to monitor the IUD position immediately after insertion, after 6 weeks, and later on at intervals of 6 months. The observation period included 3631 cycles.Results: We detected a significantly lower number of dislocations in LNG-IUD users. Previous expulsion was associated with a significantly higher risk for a re-expulsion in both IUD groups. Hypermenorrhea was not associated with an increased dislocation rate in LNG-IUD users. Conclusion: Expulsions are less likely to occur with the LNG-IUD, which might contribute to its contraceptive efficacy. #

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Section: Discussionsupporting

confidence: 89%

“…There is a close relation between correct intrauterine position of an IUD and its contraceptive efficacy [13,14]. Downward migration of devices can occur without clinical symptoms and without expulsion.…”

Section: Discussionmentioning

confidence: 99%

Partial and complete expulsion of the Multiload 375 IUD and the levonorgestrel-releasing IUD after correct insertion

Merki‐Feld¹,

Schwarz²,

Imthurn³

et al. 2008

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Moreover, dislocation of device was reported to be an important factor affecting the course of pregnancy, a phenomenon most common in the first year of IUD usage 11,16. Among the study population, the patients who were not adjusted to scheduled follow-ups constituted 61% of all patients.…”

Section: Discussionmentioning

confidence: 99%

Contraceptive failure with Copper T380A intrauterine device (IUD): A single tertiary center experience

et al. 2016

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Objective:The objective of this study was to assess the risk factors of pregnancy with Copper (Cu)T380A IUD and pregnancy outcomes.Methods:A retrospective study evaluating the risk factors and pregnancy outcomes of 81 patients who conceived with CuT380A IUD in situ.Results:Four ectopic pregnancies and 77 intrauterine pregnancies were detected. Twenty-six pregnancies (33.76%, 26/77) were terminated according to maternal desire. Twenty-five patients (32.46%, 25/77) whose IUDs were removed constituted the Removed IUD Group, and the remaining 26 patients constituted IUD Left in situ Group. Term pregnancy rates (76% vs. 20.8%, p=0.002) were significantly higher in the Removed IUD Group compared with the IUD Left in situ Group. Abortion rates (16% vs. 53.84%, p=0.008) were detected significantly higher in the IUD Left in situ Group.Conclusion:The main result of our study was that pregnancy with CuT380A in situ is a significant risk factor for adverse perinatal outcome. Adjusting the scheduled follow-ups for checking the IUD seems to be important in order to prevent accidental pregnancy.

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“…The initial approach is to complete a thorough history, including patient age, previous pregnancy history, last menstrual period and last normal menstrual period (LMP/LNMP), regularity of menstrual cycles, past use of medications or current medication use, and most recent use of contraceptive methods, especially intrauterine devices (IUDs). Pregnancy that occurs with an IUD in place carries a risk of spontaneous abortion of 50% to 60% if the device is left in place 14 . The IUD should be removed if the strings are visible 15 .…”

Section: Evaluation Of the Woman With First‐trimester Bleedingmentioning

confidence: 99%

Assessment and Management of Bleeding in the First Trimester of Pregnancy

Snell

2009

J Midwife Womens Health

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Vaginal bleeding occurs in 15% to 25% of early pregnancies. While 50% of women who have vaginal bleeding in the first trimester of pregnancy will continue to have a viable pregnancy, the event creates significant anxiety for the woman and can be managed in a multitude of ways. The 3 main differential diagnoses associated with vaginal bleeding are spontaneous abortion, ectopic pregnancy, and gestational trophoblastic disease. This article reviews early pregnancy development, etiologies of vaginal bleeding in the first trimester, strategies for evaluation, and recognition and management of the main diagnostic considerations. Case study examples illustrating the complexity of the assessment and management of vaginal bleeding in early pregnancy are presented.

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The evaluation of 318 intrauterine pregnancy cases with an intrauterine device

Abstract: IUD dislocation is a significant factor affecting IUD pregnancies. The fact that dislocation is most common in the first year reveals the necessity for more frequent controls in this period.

Cited by 36 publications

References 23 publications

Partial and complete expulsion of the Multiload 375 IUD and the levonorgestrel-releasing IUD after correct insertion

Partial and complete expulsion of the Multiload 375 IUD and the levonorgestrel-releasing IUD after correct insertion

Contraceptive failure with Copper T380A intrauterine device (IUD): A single tertiary center experience

Assessment and Management of Bleeding in the First Trimester of Pregnancy

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