Is it normal for a child to be pregnant with an intrauterine device (IUD) in place?

Generally speaking, becoming pregnant after having an intrauterine device (IUD) inserted is relatively rare. If the IUD is correctly positioned and the embryo develops normally, the pregnancy can usually continue. However, if the IUD is displaced or there is a high-risk situation such as an ectopic pregnancy, timely medical intervention is necessary. If any abnormalities occur, prompt medical attention is recommended. Detailed analysis is as follows:

If the IUD is correctly positioned and the embryo implants and develops normally within the uterus, it typically does not directly affect the fetus. In such cases, the pregnancy can continue, but close monitoring of both the IUD position and fetal development is required. The physician may recommend removing the IUD at an appropriate time.

If the IUD is displaced but the embryo still implants inside the uterus, the IUD may interfere with normal fetal development, increasing the risk of miscarriage, preterm birth, or fetal malformations. In such cases, physicians typically recommend either termination of pregnancy or evaluation of whether to remove the IUD based on the specific circumstances. If the IUD has shifted or fallen out, the risk of ectopic pregnancy may increase. An ectopic pregnancy occurs when the embryo implants outside the uterus and is a potentially life-threatening condition that can lead to fallopian tube rupture and severe bleeding. Immediate termination of pregnancy and emergency medical intervention are required in such cases.

Once a pregnancy with an IUD in place is detected, prompt medical evaluation, including ultrasound examination, should be conducted to determine the position of the IUD, assess fetal development, and identify any other potential risks.