1 / 10

Pregnancy with IUCD in situ

O & G Department. Pregnancy with IUCD in situ. Dr. Anand Gangji. IUCD efficacy. 0.6 – 0.8 % at 1 year for Cu IUCD 0.2 – 0.3 % at 1 year for LNG IUS Highest risk of failure in first year Malposition of IUCD. Misplaced IUCD with intrauterine pregnancy. Pregnancy with IUCD.

archer
Télécharger la présentation

Pregnancy with IUCD in situ

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. O & G Department Pregnancy with IUCD in situ Dr. Anand Gangji

  2. IUCD efficacy • 0.6 – 0.8 % at 1 year for Cu IUCD • 0.2 – 0.3 % at 1 year for LNG IUS • Highest risk of failure in first year • Malposition of IUCD

  3. Misplaced IUCD with intrauterine pregnancy

  4. Pregnancy with IUCD • Woman’s Intention for the pregnancy • IUCD strings visible • Location of pregnancy • Gestation

  5. Pregnancy with IUCD • Early risks – Miscarriage, sepsis • Late risks – Preterm delivery, Chorioamnionitis • No increased risk of birth defects • Removal – increased risk of miscarriage, infection, preterm delivery

  6. First trimester • Wanted pregnancy, strings seen – Remove IUCD • Wants termination, strings seen – Remove IUCD • Ectopic pregnancy, strings seen – Remove IUCD and manage ectopic by surgery • Medical management of ectopic, IUCD may be left in situ.

  7. First trimester • Strings not seen, wanted Intrauterine pregnancy – counsel risks, +/- USS guidance removal • Strings not seen, Ectopic pregnancy - manage ectopic pregnancy, search for IUCD at the time of procedure

  8. Second trimester • String seen, wanted pregnancy – remove IUCD • String not seen, wanted pregnancy – counsel, USS guidance • Unwanted pregnancy, if strings seen – remove, plan medical termination • Antibiotic cover

  9. Jadelle (LNG implant) • Pregnancy symptoms • Risk of ectopic 1 in 2000 HWY of use • Removal • No increased risk of birth defects

  10. Thank you

More Related