ABSTRACT
The intrauterine contraceptive device (IUCD) is a highly effective form of reversible contraception with a reported failure rate of 0.4-2.4 per 100 woman years. The presence of an IUCD is associated with an increased risk of EP. This association may be due to its excellent ability to prevent intrauterine pregnancy, rather than an actual increase in the number of EPs. This chapter deals with the management of intrauterine pregnancy with the IUCD in situ. Eighty percent of IUCD failures are related to incorrect placement. The failures also include cases of expulsion, perforation (partial or complete), and rarely translocation (i.e. spontaneous migration through the uterine wall-0.2%).
