Guidelines for management of pregnancy on top of IUD with the help of ultrasound

ABSTRACT

The possibility of pregnancy with IUD in situ is small but the event is clinically significant ranging between 1-4/100 women/year. From this work I can recommend removal of the IUD whenever the gestational age is less than 8 weeks. Between 8-12 weeks removal is recommended if the IUD is situated below the gestational sac. No attempt for removal is to be done if the pregnancy is more than 12 weeks or the IUD is found lateral or above the sac and pregnancy is more than 8 weeks