I Always Told My Patients IUDs Were Over 99 Percent Effective. Then I Got Pregnant.

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I Always Told My Patients IUDs Were Over 99 Percent Effective. Then I Got Pregnant.
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No amount of “being careful” can protect everyone from an unintended pregnancy and the ways it can jeopardize health and well-being.

What were you doing when the headlines broke about the leak of the Supreme Court’s draft opinion reversing? The news came out on a Monday night when I should have been home, putting my kids to bed and then lying still in their room until I heard the sounds of heavy breathing.

But I was not at home. Instead, I was in a hospital bed with antibiotics running into my arm, drenched in sweat and tears. Not 48 hours earlier, I had undergone an emergency surgery to extract an infected pregnancy from my uterus, a procedure that saved my life.It started like this: Five weeks earlier, I had woken up with a feeling of nausea familiar to me from my two prior pregnancies. When I took a pregnancy test, it was official: I had gotten pregnant despite an IUD.

Despite these risks, a smile crept across my face as I imagined an unexpected third child. I decided to let nature take its course: If it were meant to be, I would stay pregnant. If not, I would grieve the loss, give thanks for my two sweet kids, and return to the life my husband and I had planned for a family of four.My husband asked if there was any risk to my health. “No,” I replied, “the risk is to the baby, not to me.” Doctors can be very reassuring. That doesn’t mean we’re always right.

The first-trimester nausea, which had been manageable in my prior pregnancies, made me feel so ill that I canceled most of my clinics. I had intermittent bleeding, but each time my obstetrician placed an ultrasound probe on my belly, we could hear the reassuring whoosh of cardiac activity.At the end of April, six days before the Supreme Court leak and 10 weeks into the pregnancy, my temperature spiked to 102 degrees.

The overnight obstetrician came to my bedside at the beginning of his shift to explain the need for an urgent abortion, and I consented to the procedure. As the team wheeled my bed into the cold, bright operating room, I looked forward to anesthesia as a break from the day’s exhaustion and raw emotion. Once I was asleep, the doctors suctioned out my uterus and fished out the IUD.

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