We recently saw a 29-year-old G2P1001 who is 8 weeks pregnant with her copper 380A
intrauterine device (IUD) embedded in her cervix. The IUD was placed 7 years ago at
an outside facility. On transvaginal ultrasound, the IUD is at least partially in
the cervical stroma, not in the canal itself, and appears to be at an angle with one
arm in the left portion of the cervix and the remainder in the anterior stroma. This
is a desired pregnancy. She has had three attempts at IUD removal, including one with
us which was extensive and unsuccessful. I am curious what your thoughts are about
removal options (or nonremoval options). What are your thoughts about hysteroscopic
removal and continuing the pregnancy? Any thoughts on the risks of local anesthetic/vasopressin
to a continuing pregnancy?
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Article info
Publication history
Published online: November 14, 2012
Accepted:
September 21,
2012
Received in revised form:
September 19,
2012
Received:
September 6,
2012
Identification
Copyright
© 2013 Published by Elsevier Inc.
