Contraceptive failure with copper T380A intrauterine device (IUD): A single tertiary center experience

Objective: the objective of this study was to assess the risk factors of pregnancy with copper (cu)t380a iud and pregnancy outcomes. methods: a retrospective study evaluating the risk factors and pregnancy outcomes of 81 patients who conceived with cut380a iud in situ. results: four ectopic pregnancies and 77 intrauterine pregnancies were detected. twenty-six pregnancies (33.76%,26/77) were terminated according to maternal desire. twenty-five patients (32.46%,25/77) whose iuds were removed constituted the removed iud group,and the remaining 26 patients constituted iud left in situ group. term pregnancy rates (76% vs. 20.8%,p=0.002) were significantly higher in the removed iud group compared with the iud left in situ group. abortion rates (16% vs. 53.84%,p=0.008) were detected significantly higher in the iud left in situ group. conclusion: the main result of our study was that pregnancy with cut380a in situ is a significant risk factor for adverse perinatal outcome. adjusting the scheduled follow-ups for checking the iud seems to be important in order to prevent accidental pregnancy. © 2016,professional medical publications. all rights reserved.