Pregnant with an IUD


Dear Midwife,
Can a person successfully carry a baby that was conceived while an IUD was in place? The symptoms of pregnancy were all there and a test came out positive. I began bleeding and passing softball sized clots. Is that a possible miscarriage?


It sure sounds like it, especially if you had a positive test. With that much bleeding, you should get follow-up care (if you haven't already) to make sure all the products of conception have been evacuated. In some cases, the IUD will need to be removed for a period of time.

-- Cynthia, CNM

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Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.