The outcome of pregnancies associated with intrauterine contraceptive devices

الملخص EN

In this retrospective study we sought to determine the outcome of pregnancies associated with intrauterine con¬traceptive devices.

Medical records of2000 women, who used IUCD, were reviewed in detail.

All IUCDs were in¬serted either post menstrual, post delivery or post miscar¬riage.

1196 (60 %) IUCDs were inserted by doctors and the remaining 804 (40 %) by midwives.

The cohort was divided to four groups on the basis of their age.

There were 300, 950,300 and 450 women in 18-22, 23-27, 28-32 and 33-37 years groups respectively.

They were also divided to three groups on the basis of their parity with 300 Para 1 women, 1100 Para 2-4 women and 600 Para 5 or more.

37 (1.85 %) unintended pregnancies occurred, including 35 intrauterine pregnancy and 2 ectopic pregnancies.

9 (3 %) of these pregnancies occurred in 18- 22 year group, 16 (1.68 %) in 23-27 age group, 8 (2.67 %) in 28-32 age group and 4 (0.89 %) in 33-37 age group (Figure 1).

19 (1.59 %) of the pregnancies occurred in women whose IUCDs were inserted by medical staff and 18 (1.51 %) in those whose IUCDs were inserted by midwives.

The outcome of intrauterine pregnancies included 19 (51 %) term pregnancies, 9 (24 %) miscarriages, no septic abortions, 7 (19 %) Preterm labour including 2, 26-28 weeks and 5 29-32 weeks.

No puerperal sepsis or congenital abnormalities were reported (Figure 2).