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How should the intrauterine contraceptive device (IUCD) be removed in the unlikely event that the patient becomes pregnant with the IUCD in situ?

April 26, 2017contraceptive device event Intrauterine iucd patient pregnant removed situ unlikely

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How should the intrauterine contraceptive device (IUCD) be removed in the unlikely event that the patient becomes pregnant with the IUCD in situ?

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If the strings are visible, gentle traction is applied to remove the device. If the strings are not visible, gentle exploration of the cervical canal is performed to locate the IUCD strings. If the IUCD is inaccessible the patient should be informed about the increased risk of spontaneous abortion and premature delivery associated with a retained IUCD during pregnancy. Occasionally a hysterectomy is performed in pregnancy through the IUCD under direct vison.