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Ultrasonically controlled retrieval of an intrauterine contraceptive device (IUCD) in early pregnancy
Author(s) -
Shalev Eliezer,
Edelstein Shmuel,
Engelhard Joel,
Weiner Ehud,
Zuckerman Henryk
Publication year - 1987
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870150804
Subject(s) - medicine , pregnancy , obstetrics , gestational sac , gynecology , intrauterine device , gestation , family planning , research methodology , population , genetics , environmental health , biology
Removal of an intrauterine contraceptive device (IUCD) in nonpregnant patients under ultrasonic guidance has previously been reported, but results of the method in pregnancy are controversial. In the present study removal of the IUCD was performed in 16 women who conceived with the device in place. Four women were scheduled for pregnancy termination and 12 women wished to continue their pregnancy. Removal was successful in all 16 patients with minimal complications. Fetal loss occurred in one case out of the 12 who wished to continue their pregnancy. The procedure was found to be feasible even in cases with the IUCD located behind the gestational sac. We suggest ultrasonic guided removal of the IUCD during pregnancy to be the method of choice.