کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6147461 | 1594962 | 2011 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: ResearchObstetricsIntrauterine devices in early pregnancy: findings on ultrasound and clinical outcomes ResearchObstetricsIntrauterine devices in early pregnancy: findings on ultrasound and clinical outcomes](/preview/png/6147461.png)
ObjectiveThe objective of this study was to describe ultrasound findings, clinical symptoms, and outcomes of first-trimester pregnancies with intrauterine devices (IUDs).Study DesignThis was a retrospective review of 42 women with history of IUD placement and positive serum human chorionic gonadotropin in the first trimester.ResultsThere were 31 intrauterine pregnancies (IUPs), 3 ectopic pregnancies, and 8 pregnancies of unknown location. Of 36 IUDs visualized, 15 were normally positioned and 21 malpositioned. Of 31 IUPs, 8 IUDs were within the endometrium, 17 were malpositioned, and 6 were not seen. Indications included bleeding (14 of 31), pain (12 of 31), and missing strings (5 of 31); 11 had no symptoms. Of 26 IUPs with known pregnancy outcomes, 20 were term deliveries and 6 had failed pregnancies of 20 weeks or less.ConclusionMore than half of IUDs identified in the first trimester were malpositioned. IUP was 3 times as likely with a malpositioned or missing IUD. Three quarters of the IUPs with known outcomes had term deliveries. Symptoms were not predictive of IUD malposition.
Journal: American Journal of Obstetrics and Gynecology - Volume 204, Issue 5, May 2011, Pages 427.e1-427.e6