Document Detail

Removal of retained intrauterine contraceptive devices in pregnancy.
MedLine Citation:
PMID:  1575829     Owner:  NLM     Status:  MEDLINE    
Using real-time ultrasound and clinical expertise gained from chorionic villus sampling, we describe a technique for ultrasound-guided intrauterine device removal in those cases in which the string is not visible. Utilizing a stone clamp for intrauterine manipulation, we were easily able to extract the device without interrupting the pregnancy. We concur with recent recommendations advocating all intrauterine devices can be removed if pregnancy termination is declined.
Physicians at leading hospitals in Boston, Massachusetts were able to remove a retained IUD from 3 women who were in their 1st trimester of pregnancy. They took cervical cultures to test for chlamydia, beta-hemolytic Streptococcus, and gonococcus before attempting to remove the IUD. They used a 3.5 MHz transducer from an Acuson 128 machine to perform a transabdominal ultrasound scan. The physicians used a transcervically introduced stone clamp to retrieve the IUD. The technique was like that used for transcervical chorionic villus sampling. The 1st case was a 36-year old gravida 3 with a copper-7 IUD whose string had disappeared from sight. She was 8 weeks' gestation. The IUD was laying below the gestational sac. She delivered a full-term healthy infant weighing 3348 gm. The 2nd patient was a 27-year old Chinese woman who had been pregnant before, but had no living children. She was 9 weeks' gestation and had a stringless metal ring IUD. It was in the lower uterus. She experienced some bleeding afterwards. She did not experience any difficulties during the rest of her pregnancy and delivered a full-term infant (2665 gm). The 3rd case was also a Chinese woman with a metal ring IUD. She was gravida 2 para 1 at 10 weeks' gestation. Like the other Chinese woman, the IUD was in the lower uterus. She experienced bleeding throughout the 1st trimester. Nevertheless, at 40 weeks' gestation, she had a healthy 2665 gm infant. This method is best accomplished by someone skilled in in utero manipulation as is done with chorionic villus sampling. The physicians recommend that other physicians should try to remove a retained IUD using this technique no matter its location, type, or the presence of a visible string or not, if the patient indeed wants to continue the pregnancy.
B P Sachs; K Gregory; C McArdle; A Pinshaw
Related Documents :
4648569 - Flurandrenolide tape.
24056559 - Intravenous iron sucrose therapy for moderate to severe anaemia in pregnancy.
8842589 - The missing forgotten intrauterine contraceptive device.
16394049 - Unplanned pregnancy: does past experience influence the use of a contraceptive method?
1753309 - Methodological issues for the assessment of clusters of adverse pregnancy outcomes in t...
10146639 - Outcome of removal of intrauterine devices with flexible hysteroscopy in early pregnancy.
20103799 - Clinical findings of multiple pregnancy with a complete hydatidiform mole and coexistin...
22367669 - First trimester screening for aneuploidies in successive pregnancies: correlations betw...
8903259 - The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnose...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of perinatology     Volume:  9     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-06-11     Completed Date:  1992-06-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  139-41     Citation Subset:  IM; J    
Department of Obstetrics and Gynecology, Charles A. Dana Research Institute, Beth Israel Hospital, Boston, MA 02215.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Chorionic Villi Sampling
Intrauterine Devices*
Pregnancy Complications / prevention & control*
Pregnancy Outcome*
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Significance of antenatal detection and the choice of the delivery place of severely small for gesta...
Next Document:  Emergency cerclages: a review of 40 consecutive procedures.