Retained intrauterine contraceptive device in pregnancy digital illustration

Retained intrauterine contraceptive device in pregnancy Save


ICD-10 code: O26.3

Chapter: Pregnancy, childbirth and the puerperium

Retained Intrauterine Contraceptive Device in Pregnancy: Causes, Symptoms, and Treatment

Retained Intrauterine Contraceptive Device (IUCD) is a rare but possible complication that can occur during pregnancy. An IUCD is a small, T-shaped device that is inserted into the uterus to prevent pregnancy. When a woman becomes pregnant with an IUCD in place, the device can either be expelled or become embedded in the uterine wall. When the device is embedded, it is referred to as a retained IUCD.

  1. Causes
  2. The exact cause of a retained IUCD is not known. However, some factors that may increase the risk of this complication include:

    • An improperly placed IUCD
    • An IUCD that has been in place for too long
    • An IUCD that has been inserted too soon after childbirth
    • An IUCD that has moved out of position
    • An IUCD that has broken during removal
  3. Symptoms
  4. The symptoms of a retained IUCD may vary depending on the severity of the complication. Some common symptoms include:

    • Abnormal vaginal bleeding or discharge
    • Abdominal pain or cramping
    • Fever or chills
    • Difficulty passing urine
  5. Treatment
  6. The treatment of a retained IUCD depends on the severity of the complication, the stage of pregnancy, and the woman's overall health. In some cases, the device may need to be removed surgically. In other cases, the device can be safely removed during a scheduled cesarean delivery or after delivery of the baby.

    If the IUCD cannot be safely removed, the woman may need to be closely monitored throughout the pregnancy to ensure that there are no further complications.

In conclusion, a retained IUCD is a rare but possible complication that can occur during pregnancy. Women who have an IUCD in place should be aware of the signs and symptoms of this complication and seek medical attention if they experience any of these symptoms. With prompt diagnosis and appropriate treatment, most women with a retained IUCD can have a successful pregnancy and delivery.