Pregnancy with IUDs in Place: What Is the Risk of Complications?

SYNOPSIS: In this retrospective cohort study, 233 individuals who conceived with a copper intrauterine device (IUD) in place were followed. There were 44 ectopic pregnancies, 31 non-viable intrauterine pregnancies, and 158 viable intrauterine pregnancies. Of the viable pregnancies, 137 patients continued the pregnancy and, of these, 54 had the IUD removed. Those who underwent IUD removal had a lower rate of pregnancy loss (33%) compared to those who retained the IUD (61.4%).

SOURCE: Karakus SS, Karakus R, Akalin EE, Akalin M. Pregnancy outcomes with a copper 380 mm² intrauterine device in place: A retrospective cohort study. Contraception 2023; Jun 16:110090. doi: 10.1016/j.contraception.2023.110090. [Online ahead of print].