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Re: OB:Pregnancy and Device Intra UterineFrom: Ari Gold (arig@getnet.com)Tue Mar 3 17:42:22 1998
.>-----Original Message----- >From: Richard Chudacoff, MD <richardc@bcm.tmc.edu> >To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> >Date: Monday, March 02, 1998 5:49 PM >Subject: RE:OB:Pregnancy and Device Intra Uterine > >> >>>I would like to know If somebody has experience of a case of pregnancy >>>with Despositivo Intra uterine(IUD). >>>What to do before a case of a patient with 7 weeks of gestation with >>>IUD? >>>Should it remove IUD? >>>Which the abortion chances? >>>Which the consequences of the pregnancy to develop? >>>Does it suit to use drugs that inhibit the prostaglandina before >>>removing IUD? >>> According to Contraceptive Technology: One half of IUP's with IUD in situ end in SAB. If the IUD is removed in early pregnancy, the AB rate will be about 25%. Severe pelvic infections resulting in death are more likely to occur ir the IUS is left in place in a pregnant woman. Approx. 5% of women with an IUD in place will have an ectopic pregnancy. Lewit S. Outcome of pregnancy with intrauterine device. Contraception 1970; 2 (1):47-57. Vessey MP, Johnson B, Doll R, Peto R. Outcome of pregnancy in women using an intrauterine device. Lancet 1974; 1:495-498. Bernstine RL. Review and analysis of the scientific and clinical data on the safety, efficacy, adverse reactions, biologic action, utilization, and design of intrauterine devices. Final Report, Department of Health, Education and Welfare/Food and Drug Administration, Technical Resources Development. Seattle WA: Batelle Memorial Institute, 1975. Ingrid Gold, CNM
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