Abstract

We recently saw a 29-year-old G2P1001 who is 8 weeks pregnant with her copper 380A intrauterine device (IUD) embedded in her cervix. The IUD was placed 7 years ago at an outside facility. On transvaginal ultrasound, the IUD is at least partially in the cervical stroma, not in the canal itself, and appears to be at an angle with one arm in the left portion of the cervix and the remainder in the anterior stroma. This is a desired pregnancy. She has had three attempts at IUD removal, including one with us which was extensive and unsuccessful.

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