Management of an Intrauterine Device Migration Resulting in a Pregnancy - Clinical Case.

Intrauterine devices (IUD) are one of the most commonly used methods of contraception worldwide. The long term effect makes it desirable by most patients. The insertion of an IUD is not difficult as a technique but it involves multiple complications such as uterine perforation and migration into the abdominal cavity, urinary bladder perforation, fistula formation, bowel perforation and intra-abdominal adhesions.

Medical treatment of ectopic pregnancies: a randomized clinical trial comparing methotrexate-mifepristone and methotrexate-placebo.

Background: Medical treatment of ectopic pregnancies is common. To increase the efficacy of methotrexate, the association of mifepristone has been proposed.

Methods: We performed a large prospective multicentre double-blind sequential randomized trial in order to compare the efficacy of methotrexate and mifepristone (600 mg given orally) versus methotrexate and placebo.

Cervical length and funneling at 22 and 27 weeks to predict spontaneous birth before 32 weeks in twin pregnancies: a French prospective multicenter study.

Objective: Our aim was to determine the accuracy of cervical length and funneling of the internal os in the prediction of the spontaneous very preterm birth of twin pregnancies.

Study Design: In a prospective study at 13 centers, routine transvaginal ultrasound scanning was used to examine 251 women with twin pregnancies at 22 weeks of gestation and 215 women at 27 weeks of gestation; cervical length, spontaneous cervical funneling, and funneling after transfundal pressure were evaluated. Receiver operating characteristic curve analysis was used to determine the best cervical length for the prediction of spontaneous preterm birth before 32 and 35 weeks of gestation.