Pregnancy with an IUD In-Situ

Question 1

How do IUD’s relate to risk of ectopic pregnancy?

Answer 1

• Overall decreased risk compared to no IUD
• Increased risk if IUD failure

Question 2

If pregnancy occurs with an IUD in-situ, what are the main risks? The management?

Answer 2

• Increased preterm labour and spontaneous miscarriage
• Remove if possible up to 12 weeks OR leave in-situ, confirm intrauterine pregnancy, seek IUD at delivery