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OBJECTIVE: To determine the Presentation, Diagnosis and Management of Misplaced Intrauterine
Contraceptive Device (IUCD).
METHEDOLOGY: It was an observational retrospective study carried out in the obstetrics and
gynecology Unit II, Liaquat University of Medical and Health Sciences Jamshoro from January 2016 to
December 2017. Twenty patients enrolled were presented / referred with missing IUCD thread or
misplaced IUCD . Performa was designed which contained age, parity, whom inserted , place and
duration of IUCD insertion and clinical presentation. Other parameters of Performa contained diagnostic
tools for localization of IUCD, and procedure for retrieval of IUCD.
RESULTS: During study period 391 patients were gynae admissions out of them 20 had misplaced IUCD
so frequency of misplaced IUCD was 5.11%. 13(65%) patients were grand multipara, 12(60%) were 26-40
years of age, 11(55%) of women presented with complain of loss string of IUCD, lower abdominal pain in
3(15%), menstrual problem in 5(25%), and pregnancy with IUCD in 1(5%). In 8(40%) women IUCD was
removed with curettage and retrieval forceps, 5(25%) of patients IUCD was removed directly from
cervical canal. In 7(35%) laparotomy was performed for IUCD removal.
CONCLUSION: IUCD is mostly inserted by lady health workers and family planning staff without prior
assessment and training. Therefore proper training program should be arrange for community health
care professionals to provide better, safe and effective family planning services for community and
reduce the occurance of misplaced IUCD or perforation of uterus and it sequel.
Farhana Shaikh, Naheed Parveen, Agha Taj Mohammad. (2019) Misplaced Intrauterine Contraceptive Device (IUCD) Presentation, Diagnosis and Management, Journal of Liaquat University of Medical and Health Sciences, Volume-18, Issue-4.
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