Module 14: Women Health Problems (Assessment)
A 28-year-old Para 1 teacher had removal and insertion of new Multiload Cu IUCD 2 months ago complains of delayed periods. Her period is now overdue by 2 weeks. Abdominal ultrasound shows a gestational sac with viable foetal heart, with the IUCD still within the uterus. She wants to keep the pregnancy. What is your next step of management?
A. Refer for termination of pregnancy to prevent intrauterine infection
B. Prescribe antibiotics to prevent ascending pelvic infection
C. Order transvaginal ultrasound to rule out ectopic pregnancy
D. Remove the IUCD and allow pregnancy to continue
E. Continue with the pregnancy with the IUCD in the uterus
A 28-year-old Para 1 teacher had removal and insertion of new Multiload Cu IUCD 2 months ago complains of delayed periods. Her period is now overdue by 2 weeks. Abdominal ultrasound shows a gestational sac with viable foetal heart, with the IUCD still within the uterus. She wants to keep the pregnancy. What is your next step of management?
A. Refer for termination of pregnancy to prevent intrauterine infection
B. Prescribe antibiotics to prevent ascending pelvic infection
C. Order transvaginal ultrasound to rule out ectopic pregnancy
D. Remove the IUCD and allow pregnancy to continue
E. Continue with the pregnancy with the IUCD in the uterus