Use of Cervical Pessary in the Management of Cervical Insufficiency

被引:3
作者
Timofeev, Julia [1 ]
机构
[1] Johns Hopkins Sch Med, Div Maternal Fetal Med, Dept Gynecol & Obstet, Baltimore, MD USA
关键词
cervical insufficiency; cervical pessary; cerclage; preterm birth; cervical length; PREVENT PRETERM BIRTH; MULTIPLE PREGNANCY PROTWIN; SONOGRAPHIC SHORT CERVIX; VAGINAL PROGESTERONE; CERCLAGE PESSARY; DOUBLE-BLIND; WOMEN; MULTICENTER; PECEP; RISK;
D O I
10.1097/GRF.0000000000000196
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Prevention of spontaneous preterm birth is an important public health priority. Pessary may be a potential therapy in cases of cervical insufficiency, in singleton and multiple gestations. Availability of transvaginal sonography for accurate assessment of cervical length is allowing for the tailoring of therapy to a more specific subset of patients who may benefit from this treatment. Pessary therapy is attractive given the favorable side effect profile, low cost, and ease of placement and removal. Large randomized trials are ongoing to validate initial favorable findings.
引用
收藏
页码:311 / 319
页数:9
相关论文
共 25 条
  • [1] Noninvasive cerclage for the management of cervical incompetence: A prospective study
    Acharya G.
    Eschler B.
    Grønberg M.
    Hentemann M.
    Ottersen T.
    Maltau J.M.
    [J]. Archives of Gynecology and Obstetrics, 2006, 273 (5) : 283 - 287
  • [2] Vaginal progesterone, cerclage or cervical pessary for preventing preterm birth in asymptomatic singleton pregnant women with a history of preterm birth and a sonographic short cervix
    Alfirevic, Z.
    Owen, J.
    Carreras Moratonas, E.
    Sharp, A. N.
    Szychowski, J. M.
    Goya, M.
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2013, 41 (02) : 146 - 151
  • [3] Cervical pessaries for prevention of spontaneous preterm birth: past, present and future
    Arabin, B.
    Alfirevic, Z.
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2013, 42 (04) : 390 - 399
  • [4] Is treatment with vaginal pessaries an option in patients with a sonographically detected short cervix?
    Arabin, B
    Halbesma, JR
    Vork, F
    Hübener, M
    van Eyck, J
    [J]. JOURNAL OF PERINATAL MEDICINE, 2003, 31 (02) : 122 - 133
  • [5] Arabin cervical pessary in women at high risk of preterm birth: a magnetic resonance imaging observational follow-up study
    Cannie, M. M.
    Dobrescu, O.
    Gucciardo, L.
    Strizek, B.
    Ziane, S.
    Sakkas, E.
    Schoonjans, F.
    Divano, L.
    Jani, J. C.
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2013, 42 (04) : 426 - 433
  • [6] Arabin cervical pessary to prevent preterm birth in severe twin-to-twin transfusion syndrome treated by laser surgery
    Carreras, Elena
    Arevalo, Silvia
    Carlos Bello-Munoz, Juan
    Goya, Maria
    Rodo, Carlota
    Angeles Sanchez-Duran, Maria
    Luis Peiro, Jose
    Cabero, Lluis
    [J]. PRENATAL DIAGNOSIS, 2012, 32 (12) : 1181 - 1185
  • [7] Committee on Practice BulletinsObstetrics The American College of Obstetricians and Gynecologists, 2012, Obstet Gynecol, V120, P964
  • [8] CROSS RG, 1959, LANCET, V2, P127
  • [9] Prophylactic administration of progesterone by vaginal suppository to reduce the incidence of spontaneous preterm birth in women at increased risk: A randomized placebo-controlled double-blind study
    da Fonseca, EB
    Bittar, RE
    Carvalho, MHB
    Zugaib, M
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2003, 188 (02) : 419 - 424
  • [10] Sonographic cervical length measurement in pregnant women with a cervical pessary
    Goya, M.
    Pratcorona, L.
    Higueras, T.
    Perez-Hoyos, S.
    Carreras, E.
    Cabero, L.
    [J]. ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2011, 38 (02) : 205 - 209