Literature DB >> 20334532

Pessary use for the treatment of cervical incompetence and prevention of preterm labour.

Zaneta Kimber-Trojnar1, Jolanta Patro-Małysza, Bożena Leszczyńska-Gorzelak, Beata Marciniak, Jan Oleszczuk.   

Abstract

OBJECTIVE: To evaluate the efficacy and safety of polyvinyl chloride pessary in patients with cervical incompetence or at risk of preterm labour.
METHODS: Study was conducted on 56 pregnant women who were treated with pessary and delivered in the Department of Obstetrics and Perinatology in Lublin during a half-year period. Statistical evaluation included Spearman correlation analysis and Wilcoxon signed-rank test.
RESULTS: The mean gestational age at pessary insertion was 23 weeks gestation. Pessary was electively removed after 37 weeks gestation. The mean interval between pessary insertion and delivery was 13 weeks, the mean gestational age at delivery 38.3 weeks and birth weight was 3255 g. Two (3.6%) women delivered before 34 weeks. A total of 58 live infants was born. No significant complications that could be attributed to pessary use were observed.
CONCLUSIONS: Pessary may be useful in women with cervical incompetence or at risk of preterm labour.

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Year:  2010        PMID: 20334532     DOI: 10.3109/14767051003678093

Source DB:  PubMed          Journal:  J Matern Fetal Neonatal Med        ISSN: 1476-4954


  7 in total

1.  Transabdominal evaluation of uterine cervical length during pregnancy fails to identify a substantial number of women with a short cervix.

Authors:  Edgar Hernandez-Andrade; Roberto Romero; Hyunyoung Ahn; Youssef Hussein; Lami Yeo; Steven J Korzeniewski; Tinnakorn Chaiworapongsa; Sonia S Hassan
Journal:  J Matern Fetal Neonatal Med       Date:  2012-03-16

2.  Cervical strain determined by ultrasound elastography and its association with spontaneous preterm delivery.

Authors:  Edgar Hernandez-Andrade; Roberto Romero; Steven J Korzeniewski; Hyunyoung Ahn; Alma Aurioles-Garibay; Maynor Garcia; Alyse G Schwartz; Lami Yeo; Tinnakorn Chaiworapongsa; Sonia S Hassan
Journal:  J Perinat Med       Date:  2014-03       Impact factor: 1.901

3.  Is Early Treatment with a Cervical Pessary an Option in Patients with a History of Surgical Conisation and a Short Cervix?

Authors:  I Kyvernitakis; R Khatib; N Stricker; B Arabin
Journal:  Geburtshilfe Frauenheilkd       Date:  2014-11       Impact factor: 2.915

Review 4.  Vaginal progesterone vs. cervical cerclage for the prevention of preterm birth in women with a sonographic short cervix, previous preterm birth, and singleton gestation: a systematic review and indirect comparison metaanalysis.

Authors:  Agustin Conde-Agudelo; Roberto Romero; Kypros Nicolaides; Tinnakorn Chaiworapongsa; John M O'Brien; Elcin Cetingoz; Eduardo da Fonseca; George Creasy; Priya Soma-Pillay; Shalini Fusey; Cetin Cam; Zarko Alfirevic; Sonia S Hassan
Journal:  Am J Obstet Gynecol       Date:  2012-11-15       Impact factor: 8.661

5.  Cervical pessaries for the prevention of preterm birth: a systematic review.

Authors:  Sophie M S Liem; Mariëlle G van Pampus; Ben Willem J Mol; Dick J Bekedam
Journal:  Obstet Gynecol Int       Date:  2013-03-31

6.  Evaluation of two treatment strategies for the prevention of preterm birth in women identified as at risk by ultrasound (PESAPRO Trial): study protocol for a randomized controlled trial.

Authors:  Lourdes Cabrera-García; Sara Cruz-Melguizo; Belén Ruiz-Antorán; Ferrán Torres; Ana Velasco; Cristina Martínez-Payo; Cristina Avendaño-Solá
Journal:  Trials       Date:  2015-09-25       Impact factor: 2.279

Review 7.  Cervical pessaries for prevention of spontaneous preterm birth: past, present and future.

Authors:  B Arabin; Z Alfirevic
Journal:  Ultrasound Obstet Gynecol       Date:  2013-10       Impact factor: 7.299

  7 in total

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