A 35-year-old woman with a Cu-T 380A IUD in situ for 6 years presents with confirmed intrauterine pregnancy. The IUD strings are visible on speculum examination. The recommended management is:
- A Continue pregnancy with IUD in situ
- B Remove the IUD as soon as possible ✓
- C Terminate the pregnancy
- D Wait until delivery to remove the IUD
Correct answer: B. Remove the IUD as soon as possible
Explanation
When an IUD is in situ with a confirmed intrauterine pregnancy and the strings are visible, the IUD should be removed as soon as possible. Removal reduces the risk of spontaneous abortion, preterm delivery, and septic abortion. If the strings are not visible, ultrasound-guided removal or expectant management may be considered, but visible strings mandate removal.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.