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Re: Mirena and IUPFrom: Charles Bloom (cdsb@bellsouth.net)Fri Apr 18 17:11:42 2008
The literature is relatively clear on this; pull the IUD with patient consent. The risks to the mother and fetus are double if the IUD is left in situ. Charles _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry Gregor Sent: Friday, April 18, 2008 2:17 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Mirena and IUP Listers...my apologies for not googling or doing PubMed, etc. Manufacturer's guidance is for removal if IUP present, but in the case just brought to my attention, on sono the gestational sac would seem to be a pretty good bet to be disrupted if the device is pulled. I've seen pregnancies deliver when they weren't recognized for a few months while oral levonorgestrel oc's were being taken into late second trimester. Patient desires maintenance of pregnancy. Observrations/experiences?? Thanks. Hank
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