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Background: Intrauterine devices (IUDs) are commonly used as contraceptives worldwide. However, pregnancies in patients carrying this kind of device may occur. IUD removal when the woman wishes to continue their pregnancy may be very challenging. Only 9 manuscripts in literature reported such similar procedure.Case Presentation: We report the case of an hysteroscopic removal of IUD in a young woman at 6 weeks of gestation.Discussion: The case reported highlights safety and efficacy of operative hysteroscopy as a method of IUD removal in early pregnancy, although other different methods have been reported in literature. In our opinion, maintaining a low infusion pressure during the procedure may help avoiding potential gestational sac damage and IUD displacement for better grasping. [ABSTRACT FROM AUTHOR]

As expected, the time between symptom onset and diagnosis was related to the ovarian loss risk ( I p i = .033). It mainly relies on imaging, such as pelvic ultrasounds3 or computed tomography or magnetic resonance imaging scans, but the role of blood tests in diagnoses is controversial.4 Little has been published about the specific risk factors for delayed diagnosis and oophorectomy. [Extracted from the article]

Background: Intrauterine fetal death (IUFD) is a tragic event and, despite efforts to reduce rates, its incidence remains difficult to reduce. The objective of the present study was to examine the etiological factors that contribute to the main causes and conditions associated with IUFD, over an 11-year period in a region of North-East Italy (Friuli Venezia Giulia) for which reliable data in available.Methods: Retrospective analysis of all 278 IUFD cases occurred between 2005 and 2015 in pregnancies with gestational age ≥ 23 weeks.Results: The incidence of IUFD was 2.8‰ live births. Of these, 30% were small for gestational age (SGA), with immigrant women being significantly over-represented. The share of SGA reached 35% in cases in which a maternal of fetal pathological condition was present, and dropped to 28% in the absence of associated pathology. In 78 pregnancies (28%) no pathology was recorded that could justify IUFD. Of all IUFDs, 11% occurred during labor, and 72% occurred at a gestational age above 30 weeks.Conclusion: The percentage of IUFD cases for which no possible cause can be identified is quite high. Only the adoption of evidence-based diagnostic protocols, with integrated immunologic, genetic and pathologic examinations, can help reduce this diagnostic gap, contributing to the prevention of future IUFDs. [ABSTRACT FROM AUTHOR]

The Italian COVID-19 lockdown, from 11 March to 16 May 2020, led to an economic crisis, social uncertainty and stress. However, our data suggest that effective policies are needed to support the Italian birth rate during the COVID-19 pandemic. The first Italian COVID-19 lockdown reduced births and voluntary terminations by just under a fifth. [Extracted from the article]