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Gynaecology & Obstetrics
An intrauterine pregnancy of approximately 10 weeks gestation is confirmed in a 30-year-old gravida 5, para 4 woman with an IUD in place. The patient expresses a strong desire for the pregnancy to be continued. On examination, the string of the IUD is noted to be protruding from the cervical os. The most appropriate course of action is to
Leave the IUD in place without any other treatment
Leave the IUD in place and continue prophylactic antibiotics throughout pregnancy
Remove the IUD immediately
Terminate the pregnancy because of the high risk of infection
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