A retrospective study of ectopic pregnancies in a tertiary care hospital
International Journal of Reproduction Contraception Obstetrics and Gynecology
Objective: To determine the outcome of pregnancies occurring on top of missed intra-uterine devices (IUDs) and the relation to IUD site at a tertiary care hospital. Methods: All files of patients admitted at Tanta University Hospitals were reviewed in the period of in the period from January 1, 2013, to December 31, 2015. The relation between pregnancy outcomes and presence of missed IUD were evaluated. Results: The age of enrolled patients was ranged from 19to 44 years, the mean duration since
... mean duration since IUD insertion was 36.82 ± 19.65 months. The most common type of IUDs detected in this study was the Multiload ® being detected in 73.58% of patients. Most full-term deliveries 13/53 (24.53%) and preterm deliveries 30/53 (56.60%) occurred in the displaced IUD group. On the other hand, abortions were higher in the in-situ IUD group 51/81 (62.96%) versus 30/81 (37.04%) especially late abortions. No differences were found in the incidence of ectopic pregnancies in both groups. Conclusion: Poor pregnancy outcomes were increased with in-situ IUDs rather than displaced IUDs except for preterm labor as most patients in the in-situ IUDs abort early.