When pregnancy occurs inadvertently in the presence of an intrauterine contraceptive device (IUD), its removal during the first trimester is recommended. A missing IUD string in these patients often leads to termination of the pregnancy in order to remove the IUD. In 1986, 3,450 first-trimester pregnancy terminations were performed at the Women's Medical Pavilion, Dobbs Ferry, New York. Eight of the women had 'lost' intrauterine devices. The women agreed to undergo video hysteroscopy prior to the termination of pregnancy. In seven of the eight the IUD was localized easily in the lower uterine segment and removed without apparently disrupting the gestational sac. In one patient the IUD was located behind the gestational sac and in the fundus. We believe it is possible to remove a lose IUD under video hysteroscopic guidance without disturbing the pregnancy in women who wish their pregnancies to continue.
|Number of pages||2|
|Journal||Journal of Reproductive Medicine for the Obstetrician and Gynecologist|
|Publication status||Published - Jan 1 1988|
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology