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Cervical pessary and spontaneous preterm birth

Brun, S

Journal de gynecologie, obstetrique et biologie de la reproduction, 2016-12, Vol.45 (10), p.1324

France

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  • Title:
    Cervical pessary and spontaneous preterm birth
  • Author: Brun, S
  • Subjects: Cervix Uteri ; Female ; Humans ; Pessaries ; Pregnancy ; Pregnancy, Twin ; Premature Birth - prevention & control
  • Is Part Of: Journal de gynecologie, obstetrique et biologie de la reproduction, 2016-12, Vol.45 (10), p.1324
  • Description: To determine the efficacy of the cervical pessary for the prevention of preterm delivery and to propose recommendations. We searched the MedLine and the Cochrane Library and checked the international guidelines: ACOG and SOGC. The data concerning the efficacy of the cervical pessary for the prevention of preterm birth in a population of asymptomatic women with a singleton pregnancy with a short cervix≤25mm between 20 and 24 weeks 6 days of gestation and in a population of asymptomatic women with a twin pregnancy at high risk of preterm delivery defined by a short cervix are contradictory. More studies are necessary to recommend its use in these indications (Professional consensus). A cervical pessary placed before 22 weeks of gestation does not reduce the risk of preterm birth in the general population of asymptomatic women with a twin pregnancy (EL1). It is therefore not recommended to use the cervical pessary in order to prevent preterm delivery in the general population of asymptomatic women with a twin pregnancy (grade A). More studies are necessary to recommend the use of the cervical pesssary in singleton and in twin pregnancies with a short cervix.
  • Publisher: France
  • Language: French

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