Navigation Links
Annual sonograms are needed to verify correct IUD position, UT Southwestern obstetricians say
Date:3/29/2011

DALLAS March 29, 2011 A retrospective study of women who became pregnant while using intrauterine devices shows that more than half of the IUDs were malpositioned.

Though the displacement may have occurred over time, a UT Southwestern Medical Center researcher suggests that routine sonograms after IUD placement would in the least confirm proper initial positioning.

"Gynecologists typically do a pelvic and speculum exam after placing an IUD, but there's no sonogram involved," said Dr. Elysia Moschos, associate professor of obstetrics and gynecology and lead author of the study, available online and planned for the May issue of the American Journal of Obstetrics & Gynecology. "Based on the results of our study, we believe that sonographic evaluation of IUDs after insertion and for surveillance should be a topic of ongoing consideration."

In the retrospective study of 42 women with IUD placement and a positive pregnancy test, 36 had IUDs that were visualized through ultrasound and 2D imaging. Fifteen of these IUDs were normally positioned, and 21 were malpositioned.

Dr. Moschos said obstetricians and gynecologists should consider sonograms as part of the protocol after IUD insertion and possibly schedule them annually for those with IUDs, which can remain in the body for up to 10 years.

IUDs are a highly effective form of birth control, and pregnancy rates are extremely low. In the rare cases where women do become pregnant while using an IUD, transvaginal sonography during the first trimester can reduce complications by determining the pregnancy and IUD location, as well as whether the device can be retrieved.

Pregnancies complicated by an IUD's presence are at increased risk for first- and second-trimester miscarriage or preterm delivery if the device is left in place. While removing the IUD reduces these risks, the removal process itself carries a small risk of miscarriage.

In the study, 31 women had intrauterine pregnancies, three had ectopic pregnancies and eight had pregnancies of unknown location (biochemical proof of pregnancy but no sac in the uterus). Such cases, Dr. Moschos said, might indicate an early pregnancy that hasn't shown itself yet, an ectopic pregnancy or a miscarriage. Each of the eight pregnancies of unknown location in the study resulted in spontaneous abortion. The three ectopic pregnancies were treated successfully.

All of the patients had given birth before, with an average of two previous deliveries each. Their mean age was 26. The average length of time their IUD had been in place prior to pregnancy was just over two years. At the time the pregnancy was confirmed and IUD location verified, the mean gestational age was eight weeks.

Sonograms of the 31 women with intrauterine pregnancies showed that eight had IUDs within the endometrium; 17 had malpositioned devices; and six had IUDs which were not visible. Patient symptoms were not necessarily predictive of IUD malposition. Some women reported bleeding, pain and missing IUD strings, but 11 women had no indications.

Twenty women went on to have full-term deliveries, while six had failed pregnancies of 20 weeks or less. The outcomes for five of the 31 women were unavailable. Ten of the term pregnancies had successful IUD removals, and five others had no identifiable IUDs, later diagnosed as device expulsions.


'/>"/>

Contact: Robin Russell
robin.russell@utsouthwestern.edu
214-648-3404
UT Southwestern Medical Center
Source:Eurekalert

Related medicine news :

1. Pet Dental Month Prime Time To Schedule Preventive Annual Cleaning For Pets
2. AAPC to Host 18th Annual National Conference in Nashville
3. Firmex Achieves 237% Annual Revenue Growth Despite Tough M&A Environment in 2009
4. MIT's Center for Transportation & Logistics Announces new Environmental Performance Consortium at Annual Crossroads Conference
5. Tyco International to Host 2010 Annual General Meeting of Shareholders
6. Heska Announces Q4 and Annual 2009 Results
7. Aflac Incorporated to Present at the 35th Annual Association of Insurance and Financial Analysts (AIFA) Conference
8. The 32nd Annual Los Angeles Chinatown Firecracker 5K/10K Run, Bike Ride, and Nite N Day Festival Celebrates the Year of the Tiger This Weekend
9. Restaurants, C-Stores and Retailers Defy the Challenging Economy Raising A Record $5.6 Million During Annual St. Jude Halloween Promotion
10. NIAID media tip sheet: Annual Meeting of the American Academy of Allergy, Asthma and Immunology
11. National Patient Advocate Foundation Delivers Constituent Cases to White House Health Summit Participants to Urge Elimination of Pre-Existing Conditions, Annual/Lifetime Limits and Capping Out-of-Pocket Expenses
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/5/2016)... ... February 05, 2016 , ... Today, the Whole-Food Warrior TV show, ... much-anticipated feature with author Jahnavi Foster, specialist in healthy vegetarian cuisine, will stream on ... week, on his weekly Whole-Food Warrior TV show, Frank Davis highlights Whole-Food Warriors - ...
(Date:2/5/2016)... New York, New York (PRWEB) , ... February 05, 2016 , ... ... your life? The answer may be at the tips of your toes. Foot massage, ... benefits as well as pure comfort and relaxation. The American Board of Multiple ...
(Date:2/5/2016)... ... February 05, 2016 , ... In the fourth quarter of ... at the La Valencia Hotel in San Diego, California to discuss changes in ... year’s most outstanding franchise, walking away with the coveted David Wright Award of ...
(Date:2/5/2016)... ... 2016 , ... Pivot Point Consulting, a leading national Healthcare ... Services for HIT Implementation Support & Staffing report with an outstanding score of ... healthcare executives, managers and clinicians representing over 4,500 hospitals and 2,500 clinics. , ...
(Date:2/5/2016)... ... , ... Colorize is a web theme package created exclusively for ... Colorize's dynamic moving camera. Colorize is perfect for personal and web related videos and ... 1 to 5 focus points per scene, stage floor scene presets that are great ...
Breaking Medicine News(10 mins):
(Date:2/4/2016)... Feb. 4, 2016  SciClone Pharmaceuticals, Inc. (NASDAQ: ... has entered into a settlement agreement with the ... resolving the SEC,s investigation into possible violations of ... terms of the settlement agreement, SciClone has agreed ... disgorgement, pre-judgment interest and a penalty.  This payment ...
(Date:2/4/2016)... -- Frontier Pharma: Chronic Obstructive Pulmonary Disease (COPD) ... Chronic Obstructive Pulmonary Disease (COPD) is a ... airways and lungs. Persistent breathing difficulties and repeated ... of the leading causes of morbidity and the ... is linked to cumulative exposure to risk factors, ...
(Date:2/4/2016)... ALBANY, N.Y. , Feb. 4, 2016  AMRI (NASDAQ: ... Vice President of Pfizer Inc. and President of Pfizer Global ... effective as of February 4, 2016. In addition, the Company ... member of the audit committee since 2010, has retired from ... time and attention to his other business ventures.  ...
Breaking Medicine Technology: