Effectiveness of cervical pessary in women with arrested preterm labor compared to those with asymptomatic cervical shortening

Letter to the Editor: FIGO good practice recommendations on the use of pessary for reducing the frequency and improving outcomes of preterm birth

“…After the RCT of Goya et al 7 multicenter trials were started ignoring the device instructions. In the STOPPIT‐2 trial, 8 the average treatment/center was three—leading to patient complaints as compared to centers with experience 9 . As part of the German task force to prevent preterm birth we have published guidelines about cervical pessary treatment based on approximately 1000 treated cases of the first author 10 .…”

“…In the STOPPIT-2 trial, 8 the average treatment/center was three-leading to patient complaints as compared to centers with experience. 9 As part of the German task force to prevent preterm birth we have published guidelines about cervical pessary treatment based on approximately 1000 treated cases of the first author. 10 The complaints described by Norman et al 8 were never reported and may rather reflect lack of clinical expertise during insertion, continuity of care, reassurance, or removal and lack of audit.…”