The prognosis of pregnancy conceived despite the presence of an intrauterine device (IUD)

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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.authorOgge, Giovanna
dc.contributor.authorGomez, Ricardo
dc.contributor.authorYoon, Bo Hyun
dc.contributor.authorYeo, Lami
dc.contributor.authorLamont, Ronald F.
dc.contributor.authorHassan, Sonia S.
dc.date.accessioned2024-01-10T12:44:05Z
dc.date.available2024-01-10T12:44:05Z
dc.date.issued2010
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.
dc.description.abstractStudy 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.
dc.description.abstractResults: 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).
dc.description.abstractConclusion: 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.
dc.description.funderPerinatology Research Branch, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, DHHS
dc.description.funderEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT
dc.description.funderEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT
dc.format.extent9 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1515/JPM.2009.133
dc.identifier.eissn1619-3997
dc.identifier.issn0300-5577
dc.identifier.pubmedidMEDLINE:19650756
dc.identifier.urihttps://doi.org/10.1515/JPM.2009.133
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/77645
dc.identifier.wosidWOS:000273910800009
dc.information.autorucMedicina;Gómez R;S/I;80926
dc.issue.numero1
dc.language.isoen
dc.nota.accesoSin adjunto
dc.pagina.final53
dc.pagina.inicio45
dc.publisherWALTER DE GRUYTER GMBH
dc.revistaJOURNAL OF PERINATAL MEDICINE
dc.rightsregistro bibliográfico
dc.subjectChorioamnionitis
dc.subjectintrauterine device
dc.subjectmicrobial invasion of the amniotic cavity
dc.subjectpregnancy
dc.subjectprematurity
dc.subjectpreterm delivery
dc.subjectpreterm labor
dc.subjectpreterm prelabor rupture of the membranes
dc.subjectPRETERM PREMATURE RUPTURE
dc.subjectAMNIOTIC-FLUID SLUDGE
dc.subjectPLACENTAL ABRUPTION
dc.subjectINTRAAMNIOTIC INFECTION
dc.subjectCLINICAL-SIGNIFICANCE
dc.subjectCANDIDA INFECTION
dc.subjectRISK-FACTORS
dc.subjectPREVALENCE
dc.subjectWOMEN
dc.subjectMEMBRANES
dc.subject.ods05 Gender Equality
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa05 Igualdad de género
dc.subject.odspa03 Salud y bienestar
dc.titleThe prognosis of pregnancy conceived despite the presence of an intrauterine device (IUD)
dc.typeartículo
dc.volumen38
sipa.codpersvinculados80926
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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