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Use of the Pessary in the Prevention of Preterm Delivery
Objective The gestational complication most associated with perinatal mortality and morbidity is spontaneous preterm birth with gestational age < 37 weeks. Therefore, it is necessary to identify its risk factors and attempt its prevention. The benefits of the pessary in prematurity are under inve...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10418961/ https://www.ncbi.nlm.nih.gov/pubmed/30716786 http://dx.doi.org/10.1055/s-0038-1676511 |
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author | Corrêa, Thayane Delazari Amorim, Ester Gomes Tomazelli, Jade Aimée Guimarães Corrêa, Mário Dias |
author_facet | Corrêa, Thayane Delazari Amorim, Ester Gomes Tomazelli, Jade Aimée Guimarães Corrêa, Mário Dias |
author_sort | Corrêa, Thayane Delazari |
collection | PubMed |
description | Objective The gestational complication most associated with perinatal mortality and morbidity is spontaneous preterm birth with gestational age < 37 weeks. Therefore, it is necessary to identify its risk factors and attempt its prevention. The benefits of the pessary in prematurity are under investigation. Our objective was to analyze the use of the pessary in the prevention of preterm births in published studies, and to compare its efficacy with other methods. Methods Randomized clinical trials published between 2010 and 2018 were selected from electronic databases. Studies on multiple gestations were excluded. Results Two studies were in favor of the pessary as a preventive method, one study was contrary to the method and another two showed no statistically significant difference. The meta-analysis showed no statistical difference with the use of a cervical pessary in the reduction of births < 37 (odds ratio [OR]: 0.63; confidence interval [95% CI]: 0.38–1.06) and < 34 weeks (OR: 0.74; 95% CI: 0.35–1.57) Conclusion The pooled data available to date seems to show a lack of efficacy of the cervical pessary in the prevention of preterm birth, although the heterogeneity of the studies made comparisons more difficult. |
format | Online Article Text |
id | pubmed-10418961 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Thieme Revinter Publicações Ltda |
record_format | MEDLINE/PubMed |
spelling | pubmed-104189612023-08-12 Use of the Pessary in the Prevention of Preterm Delivery Corrêa, Thayane Delazari Amorim, Ester Gomes Tomazelli, Jade Aimée Guimarães Corrêa, Mário Dias Rev Bras Ginecol Obstet Objective The gestational complication most associated with perinatal mortality and morbidity is spontaneous preterm birth with gestational age < 37 weeks. Therefore, it is necessary to identify its risk factors and attempt its prevention. The benefits of the pessary in prematurity are under investigation. Our objective was to analyze the use of the pessary in the prevention of preterm births in published studies, and to compare its efficacy with other methods. Methods Randomized clinical trials published between 2010 and 2018 were selected from electronic databases. Studies on multiple gestations were excluded. Results Two studies were in favor of the pessary as a preventive method, one study was contrary to the method and another two showed no statistically significant difference. The meta-analysis showed no statistical difference with the use of a cervical pessary in the reduction of births < 37 (odds ratio [OR]: 0.63; confidence interval [95% CI]: 0.38–1.06) and < 34 weeks (OR: 0.74; 95% CI: 0.35–1.57) Conclusion The pooled data available to date seems to show a lack of efficacy of the cervical pessary in the prevention of preterm birth, although the heterogeneity of the studies made comparisons more difficult. Thieme Revinter Publicações Ltda 2019-01 /pmc/articles/PMC10418961/ /pubmed/30716786 http://dx.doi.org/10.1055/s-0038-1676511 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Corrêa, Thayane Delazari Amorim, Ester Gomes Tomazelli, Jade Aimée Guimarães Corrêa, Mário Dias Use of the Pessary in the Prevention of Preterm Delivery |
title | Use of the Pessary in the Prevention of Preterm Delivery |
title_full | Use of the Pessary in the Prevention of Preterm Delivery |
title_fullStr | Use of the Pessary in the Prevention of Preterm Delivery |
title_full_unstemmed | Use of the Pessary in the Prevention of Preterm Delivery |
title_short | Use of the Pessary in the Prevention of Preterm Delivery |
title_sort | use of the pessary in the prevention of preterm delivery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10418961/ https://www.ncbi.nlm.nih.gov/pubmed/30716786 http://dx.doi.org/10.1055/s-0038-1676511 |
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