Article ; Online: Pregnancy outcomes with a copper 380 mm
2023 Volume 125, Page(s) 110090
Abstract: Objectives: To investigate pregnancy outcomes in patients with pregnancies with a copper 380 mm: Study design: In this retrospective study, we identified patients with pregnancies with a copper 380 mm: Results: We identified a total of 246 ... ...
Abstract | Objectives: To investigate pregnancy outcomes in patients with pregnancies with a copper 380 mm Study design: In this retrospective study, we identified patients with pregnancies with a copper 380 mm Results: We identified a total of 246 patients with pregnancies with an IUD. We excluded six (2.4%) patients without follow-up data and seven (2.8%) patients with levonorgestrel-IUD and included the remaining 233 (44 [18.9%] ectopic pregnancy, 31 [13.3%] nonviable IUP, and 158 [67.5%] viable IUP) patients. Among the 158 women with viable IUP, 21 (13.3%) underwent abortion, leaving 137 (86.7%) who elected to continue the pregnancy. A total of 54 (39.4%) patients with ongoing pregnancy had the IUD removed. We found a lower rate of pregnancy loss among those who underwent removal (18/54 [33.3%]) compared to those with a retained IUD (51/83 [61.4%], p < 0.001). After accounting for pregnancy loss, adverse pregnancy outcomes remained increased in the IUD-retained group (17/32 [53.1%]) compared to the IUD-removed group (10/36 [27.8%], p = 0.03). Conclusions: Pregnancy in the setting of a copper 380 mm Implications: Prior studies have suggested that the removal of the IUD improves outcomes, but all have limitations. Our results from a very large series with care in a single institution provide contemporary evidence to support copper 380 mm |
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MeSH term(s) | Pregnancy ; Female ; Infant, Newborn ; Humans ; Pregnancy Outcome ; Retrospective Studies ; Copper ; Turkey/epidemiology ; Intrauterine Devices, Copper/adverse effects ; Premature Birth/epidemiology ; Placenta ; Pregnancy, Ectopic/epidemiology ; Pregnancy, Ectopic/etiology ; Intrauterine Devices ; Abortion, Spontaneous/epidemiology ; Abortion, Spontaneous/etiology |
Chemical Substances | Copper (789U1901C5) |
Language | English |
Publishing date | 2023-06-16 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 80106-9 |
ISSN | 1879-0518 ; 0010-7824 |
ISSN (online) | 1879-0518 |
ISSN | 0010-7824 |
DOI | 10.1016/j.contraception.2023.110090 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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