A woman with a Cu-IUD develops an unplanned pregnancy at 9 weeks gestation. The IUD threads are not visible. Ultrasound shows the IUD within the uteri...

Question

A woman with a Cu-IUD develops an unplanned pregnancy at 9 weeks gestation. The IUD threads are not visible. Ultrasound shows the IUD within the uterine cavity alongside a viable intrauterine pregnancy. She wishes to continue the pregnancy. What is the recommended management?

Accepted Answer

Leave the IUD in situ and counsel the woman about the increased risks of miscarriage, preterm birth, and infection

Answer

Attempt removal under ultrasound guidance

Answer

The pregnancy must be terminated

Answer

Attempt blind removal with a hook

Answer

Prescribe prophylactic antibiotics and schedule elective removal at 20 weeks

uk-dfsrh MCQ (SBA): Pregnancy with IUC Non-Visible Threads

A woman with a Cu-IUD develops an unplanned pregnancy at 9 weeks gestation. The IUD threads are not visible. Ultrasound shows the IUD within the uterine cavity alongside a viable intrauterine pregnancy. She wishes to continue the pregnancy. What is the recommended management?