[Pregnancies in spite of intrauterine pessaries in situ].

Abstract:

:Reviewing literature the fate of 3027 pregnancies with intrauterine devices in situ, included 43 own cases, is reported. The data strongly suggest to remove the intrauterine devices as early as possible in pregnancy, because otherwise the rate of spontaneous abortion, premature birth and stillbirth is negatively affected. The known elevated risk of extrauterine pregnancies is corroberated. The ratio of 1:4 with the progesterone-T is higher than with other IUDs (1:31 to 1:24,5). The observations do not support the view that intrauterine devices cause malformations. From the results instructions for the management of pregnancies associated with intrauterine devices are set up. :Based on data from current literature, the course of 3027 pregnancies, with an IUD in situ, is examined. With these data in mind, personal observations were made on 2141 women using the IUD type Kupfer-T, out of which 35 became pregnant, and on 236 women using the Progesteron-T, out of which 8 conceived. Observations strongly suggested the removal of the device as early as possible in the case of pregnancy due to the risk of spontaneous abortion, premature birth, and stillbirth. The rate of extra uterine pregnancies is shown to increase. A pregnancy ratio of 1:4 was noted with the Progesteron-T device, which was higher than that of the copper device (T-Cu 200 had a ratio of 1:31 and T-Cu 220C had a ratio of 1:24.5). This study did not confirm the view that IUDs cause malformations of the fetus. Suggestions for the management of pregnancies with an IUD in situ are given.

authors

Zielske F,Becker K,Knauf P

subject

Has Abstract

pub_date

1977-06-01 00:00:00

pages

473-84

issue

6

eissn

0016-5751

issn

1438-8804

journal_volume

37

pub_type

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