| Abstract: | A higher frequency of complications has been observed among pregnant women with IUDs in situ. These complications include maternal death (more frequently observed among users of the Dalkon shield), ectopic pregnancy, spontaneous abortion, and partus immaturus or prematurus. Partus prematurus or immaturus was observed in 7 of 19 pregnant women with IUDs in situ observed in the Wilhelmina Clinic. In 6 of these cases, the birth began with premature rupture of the amniotic sac, probably caused by the IUD. Pregnancy in IUD patients should be diagnosed as soon as possible. The IUD should be removed by gentle pressure on the control thread, if possible. If the IUD remains in situ, the woman and her partner should be thoroughly informed of the possible risks of the pregnancy. If it is decided to carry the pregnancy to term, frequent control check-ups should be given and the patient should be thoroughly instructed of possible symptoms of complications. |
