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2009-06-22Zeitschriftenartikel DOI: 10.1515/JPM.2009.133
The prognosis of pregnancy conceived despite the presence of an intrauterine device (IUD)
dc.contributor.authorKim, Sun Kwon
dc.contributor.authorRomero, Roberto
dc.contributor.authorKusanovic, Juan Pedro
dc.contributor.authorErez, Offer
dc.contributor.authorVaisbuch, Edi
dc.contributor.authorMazaki-Tovi, Shali
dc.contributor.authorGotsch, Francesca
dc.contributor.authorMittal, Pooja
dc.contributor.authorChaiworapongsa, Tinnakorn
dc.contributor.authorPacora, Percy
dc.contributor.authorOggé, Giovanna
dc.contributor.authorGomez, Ricardo
dc.contributor.authorYoon, Bo Hyun
dc.contributor.authorYeo, Lami
dc.contributor.authorLamont, Ronald
dc.contributor.authorHassan, Sonia S.
dc.date.accessioned2017-06-17T07:34:10Z
dc.date.available2017-06-17T07:34:10Z
dc.date.created2010-07-01
dc.date.issued2009-06-22
dc.identifier.issn1619-3997
dc.identifier.urihttp://edoc.hu-berlin.de/18452/11993
dc.description.abstractObjective: Intrauterine devices (IUDs) are used for contraception worldwide; however, the management of pregnancies with an IUD poses a clinical challenge. The purpose of this study was to determine the outcome of pregnancy in patients with an IUD. Study design: A retrospective cohort study (December 1997–June 2007) was conducted. The cohort consisted of 12,297 pregnancies, of which 196 had an IUD. Only singleton pregnancies were included. Logistic regression analysis was used to adjust for potential confounders between the groups. Results: 1) Pregnancies with an IUD were associated with a higher rate of late miscarriage, preterm delivery, vaginal bleeding, clinical chorioamnionitis, and placental abruption than those without an IUD; 2) among patients with available histologic examination of the placenta, the rate of histologic chorioamnionitis and/or funisitis was higher in patients with an IUD than in those without an IUD (54.2% vs. 14.7%; P<0.001). Similarly, among patients who underwent an amniocentesis, the prevalence of microbial invasion of the amniotic cavity (MIAC) was also higher in pregnant women with an IUD than in those without an IUD (45.9% vs. 8.8%; P<0.001); and 3) intra-amniotic infection caused by Candida species was more frequently present in pregnancies with an IUD than in those without an IUD (31.1% vs. 6.3%; P<0.001). Conclusion: Pregnant women with an IUD are at a very high risk for adverse pregnancy outcomes. This finding can be attributed, at least in part, to the high prevalence of intra-amniotic infection and placental inflammatory lesions observed in pregnancies with an IUD.eng
dc.language.isound
dc.publisherKooperation de Gruyter
dc.titleThe prognosis of pregnancy conceived despite the presence of an intrauterine device (IUD)
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:11-100142127
dc.identifier.doi10.1515/JPM.2009.133
dc.identifier.doihttp://dx.doi.org/10.18452/11341
local.edoc.container-titleJournal of Perinatal Medicine
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-publisher-namede Gruyter
local.edoc.container-volume38
local.edoc.container-issue1
local.edoc.container-year2010
local.edoc.container-firstpage45
local.edoc.container-lastpage53
dc.description.versionPeer Reviewed

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