The prognosis of pregnancy conceived despite the presence of an intrauterine device (IUD)
link https://doi.org/10.1515/JPM.2009.133get_appThe prognosis of pregnancy conceived despite the presence of an intrauterine device (IUD).pdf
account_box Kim, Sun Kwonaccount_box Romero, Robertoaccount_box Kusanovic, Juan Pedroaccount_box Erez, Offeraccount_box Vaisbuch, Ediaccount_box Mazaki Tovi, Shaliaccount_box Gotsch, Francescaaccount_box Mittal, Poojaaccount_box Chaiworapongsa, Tinnakornaccount_box Pacora, Percyaccount_box Ogge, Giovannaaccount_box Gomez, Ricardoaccount_box Yoon, Bo Hyunaccount_box Yeo, Lamiaccount_box Lamont, Ronald F.account_box Hassan, Sonia S.
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Objective: 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.
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| Autor | Kim, Sun Kwon Romero, Roberto Kusanovic, Juan Pedro Erez, Offer Vaisbuch, Edi Mazaki Tovi, Shali Gotsch, Francesca Mittal, Pooja Chaiworapongsa, Tinnakorn Pacora, Percy Ogge, Giovanna Gomez, Ricardo Yoon, Bo Hyun Yeo, Lami Lamont, Ronald F. Hassan, Sonia S. |
| Título | The prognosis of pregnancy conceived despite the presence of an intrauterine device (IUD) |
| Revista | JOURNAL OF PERINATAL MEDICINE |
| ISSN | 0300-5577 |
| ISSN electrónico | 1619-3997 |
| Volumen | 38 |
| Número de publicación | 1 |
| Página inicio | 45 |
| Página final | 53 |
| Fecha de publicación | 2010 |
| Resumen | Objective: 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. |
| Derechos | registro bibliográfico |
| Agencia financiadora | Perinatology Research Branch, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, DHHS EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT |
| DOI | 10.1515/JPM.2009.133 |
| Editorial | WALTER DE GRUYTER GMBH |
| Enlace | |
| Id de publicación en Pubmed | MEDLINE:19650756 |
| Id de publicación en WoS | WOS:000273910800009 |
| Paginación | 9 páginas |
| Palabra clave | Chorioamnionitis intrauterine device microbial invasion of the amniotic cavity pregnancy prematurity preterm delivery preterm labor preterm prelabor rupture of the membranes PRETERM PREMATURE RUPTURE AMNIOTIC-FLUID SLUDGE PLACENTAL ABRUPTION INTRAAMNIOTIC INFECTION CLINICAL-SIGNIFICANCE CANDIDA INFECTION RISK-FACTORS PREVALENCE WOMEN MEMBRANES |
| Tema ODS | 05 Gender Equality 03 Good Health and Well-being |
| Tema ODS español | 05 Igualdad de género 03 Salud y bienestar |
| Tipo de documento | artículo |