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606 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:

ALeave the IUD in place without any other treatment
BRemove the IUD to decrease the risk of malformations
CRemove the IUD to decrease the risk of infection
DTerminate the pregnancy because of the high risk of malformations.
Gynaecology & Obstetrics
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