TITLE:
Outcome of Pregnancies under Cupper Intrauterine Device: Experience of 10 Cases Collected at the Principal Clinic of the Togolese Association of Family Well-Being Planning Center (ATBEF)
AUTHORS:
Bingo Kignomon M’bortche, Kossi Edem Logbo-Akey, Tina Ayoko Ketevi, Baguilane Douaguibe, Francis Baramna-Bagou, Abdoul-Samadou Aboubakari, Koffi Akpadza
KEYWORDS:
Contraception, Pregnancy, Etiologies, Outcome, Lomé
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.7,
July
22,
2022
ABSTRACT: Aims: Although the copper
intrauterine device (Cu-IUD) is an effective contraceptive device, cases of
pregnancy under the Cu-IUD have been reported. We here report 10 women who got
pregnant under this condition, with special reference to etiologies and
pregnancy outcomes. Methodology: We analyzed all women who got pregnant
under Cu-IUD at ATBEF Main Clinic from July 1, 2015 to June 30, 2020. Results: We retrieved 10 patients. The durations of Cu-IUD use were 3 months to 6 years.
The etiologies were poor insertion; migration and spontaneous expulsion. The
occurrence of pregnancy was poorly accepted by the women: 20% of women
considered it was due to the providers’ incompetence. Of the 10 pregnancies, 5
women had given vaginal birth spontaneously; 2 induced abortions, 2 spontaneous
abortions and 1 ectopic pregnancy. The contraceptive
method adopted after pregnancy was jadelle implants in 8 cases and spousal
vasectomy in 2 cases. Conclusion: The prevention of IUD pregnancies
may require adequate insertion time, insertion technique and follow-up.