Pessary cervical and prevention preterm birth based on literature review

Hita, María del Mar Molina; Paniza, Laura Revelles; Durán, Susana Ruiz

doi:10.15406/ipcb.2018.04.00108

Cited by 2 publications

(4 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Акушерский пессарий. Ведение акушерского пессария с целью коррекции ИЦН не рекомендовано в качестве назначения первой линии [15,27,28]. Акушерский пессарий при короткой шейке матки вводят при нецелесообразности серкляжа [15,27,28].…”

unclassified

“…Ведение акушерского пессария с целью коррекции ИЦН не рекомендовано в качестве назначения первой линии [15,27,28]. Акушерский пессарий при короткой шейке матки вводят при нецелесообразности серкляжа [15,27,28]. Чаще всего применение пессария связано с диагностикой короткой шейки матки при одноплодной беременности на сроках более 24 нед гестации при отсутствии отягощённого анамнеза [27,29].…”

unclassified

“…Акушерский пессарий при короткой шейке матки вводят при нецелесообразности серкляжа [15,27,28]. Чаще всего применение пессария связано с диагностикой короткой шейки матки при одноплодной беременности на сроках более 24 нед гестации при отсутствии отягощённого анамнеза [27,29]. Возможно сочетание наложения акушерского пессария с использованием вагинального прогестерона или серкляжем для повышения эффективности терапии [15,27,29].…”

unclassified

“…По данным M.M. Hita (2018), в настоящее время пессарий относят к средствам с недоказанной эффективностью профилактики самопроизвольных преждевременных родов, как при одноплодной, так и при многоплодной беременности [27] .…”

unclassified

See 3 more Smart Citations

Current views on the possibility of cervical insufficiency correction

2019

View full text Add to dashboard Cite

The main role in spontaneous abortion in 2nd and 3d trimesters is assigned to cervical insufficiency. According to a number of researchers, bed rest, elevated lower limbs, restriction of physical activity, tocolysis, antibacterial therapy do not affect the prolongation of pregnancy and are ineffective for preventing premature spontaneous labor. Correction of cervical insufficiency can be carried out by a vaginal form of progesterone, cerclage, pessary. The use of vaginal progesterone is justified in women with recurrent miscarriage, a history of premature birth, and shortening of the cervix to less than 25 mm. Indications for surgical correction are limited to patients with habitual loss of pregnancy due to cervical weakness or a history of premature birth. In the absence of significant obstetric history, cerclage has no advantages over the use of progesterone. The optimal time for cerclage is up to 20 weeks of pregnancy. Unlike progesterone cerclage has complications, the frequency and severity of which are attributable to the timing and indications for correction. Transabdominal cerclage is performed only when there is a technical impossibility of vaginal access due to the absence of a vaginal part of the cervix or after unsuccessful attempts of vaginal cerclages. Most often, the use of a pessary is associated with the diagnosis of a short cervix in terms of more than 24 weeks of gestation in the absence of an aggravated history. The combined use of gestagens, pessary and cerclage does not increase the efficiency of carrying a singleton pregnancy. Methods for the prevention of preterm delivery in multiple pregnancy, such as the introduction of a specialized outpatient service, bed rest, antibacterial therapy, progesterone, preventive cerclage or the insertion of a pessary do not change the incidence and mortality of newborns.

show abstract

unclassified

See 2 more Smart Citations

Current views on the possibility of cervical insufficiency correction

2019

View full text Add to dashboard Cite

show abstract

The Clinical Assessment of the Cervical Perforated Pessary for the Prevention of Preterm Labor in Women With Prior Preterm Births

Konkov

Zhurauleu²,

Honcharenko

et al. 2022

Wiad Lek

View full text Add to dashboard Cite

The aim: The assessment of clinical effectiveness the cervical perforated pessary (CPP) used for prevention of preterm labor. Materials and methods: Caucasian women with prior SPL who were randomized to receive a CPP (clinical group) or without pessary (control group) was conducted at the Vinnytsya maternal hospital №1, from 2014 through 2018. Eligible women were those referred to the institution for a diagnosis of cervical incompetence between 16 weeks and 18 weeks +6 days. Outcomes will be PTL before 28, 32, 35, and 37 weeks of gestation; a composite of poor perinatal outcomes. Results: The incidence of SPL at less than 37 weeks of gestation was occurred in 14,1% vs 29,3% (RR 0,48, 95% CI, 0,23-0,99), lower rate of SPL at less than 35 weeks of gestation (RR 0,30, 95% CI, 0,10-0,88), longer gestational age (Dif. -1,4, 95% CI, -2,30 to -0,50), higher birth weight (Dif. -197,9, 95% CI, -307,6 to -88,15), lower incidence of adverse composite perinatal outcome (RR 0,28, 95% CI, 0,1-0,81) from the pessary and control group respectively. The participants pessary clinical group had a higher rate than the control group of increased vaginal discharge (RR 1,31, 95% CI, 1,01-1,69), but no differences in pelvic discomfort (RR 0,54, 95% CI, 0,14-2,18), chorioamnionitis (RR 0,30, 95% CI, 0,06-1,44). Conclusions: The women with prior SPL use of a CPP, resulted in a lower rate of SPL. The component in the successful results of preventive strategy SPL is consideration of vaginal microbiota and role of special trained staff for installation and care cervical pessary.

show abstract

Pessary cervical and prevention preterm birth based on literature review

Cited by 2 publications

References 32 publications

Current views on the possibility of cervical insufficiency correction

Current views on the possibility of cervical insufficiency correction

The Clinical Assessment of the Cervical Perforated Pessary for the Prevention of Preterm Labor in Women With Prior Preterm Births

Contact Info

Product

Resources

About