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Cervical pessary for preterm twin pregnancy in women with a short cervix
OBJECTIVE: We aimed to evaluate the effectiveness of cervical pessary for extending twin pregnancy in women with a short cervix. METHODS: Between January 2014 and March 2019, the use of a cervical pessary for twin pregnancy in women with a cervical length of ≤15 mm was investigated between 16 and 28...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231939/ https://www.ncbi.nlm.nih.gov/pubmed/32489967 http://dx.doi.org/10.5468/ogs.2020.63.3.231 |
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author | Jung, Da Un Choi, Min Jung Jung, Sun Young Kim, Suk Young |
author_facet | Jung, Da Un Choi, Min Jung Jung, Sun Young Kim, Suk Young |
author_sort | Jung, Da Un |
collection | PubMed |
description | OBJECTIVE: We aimed to evaluate the effectiveness of cervical pessary for extending twin pregnancy in women with a short cervix. METHODS: Between January 2014 and March 2019, the use of a cervical pessary for twin pregnancy in women with a cervical length of ≤15 mm was investigated between 16 and 28 weeks of gestation. We included women with a shortened cervix after a cerclage procedure and visible fetal membranes and cervical dilatation. Thirteen patients underwent pessary insertion and were matched with a control group of 15 patients. Pregnancy and neonatal outcomes were compared between the groups. We excluded women with major fetal anomalies discovered before or after birth and known placenta previa. RESULTS: Women who underwent pessary insertion were diagnosed with a short cervix (0.65±0.47 vs. 0.66±0.51 cm in the pessary and control groups, respectively; P=0.957) at a gestational age similar to that of the controls (23.29 vs. 25.14 weeks, P=0.294). There was no significant difference in gestational age at delivery between them (33.29 vs. 27.29 weeks in the pessary and control groups, respectively, P=0.058). The pessary group had a longer interval between the diagnosis and delivery than the control group (60.7±28.3 vs. 22.6±24.5 days, P=0.001). The number of adverse neonatal outcomes was significantly lower in the pessary group (n=7; 28.0%) than in the control group (n=14; 58.3%; P=0.032). CONCLUSION: The use of a cervical pessary may prolong gestation in twin pregnancies in women with an extremely short cervix until viable gestational age. |
format | Online Article Text |
id | pubmed-7231939 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-72319392020-06-01 Cervical pessary for preterm twin pregnancy in women with a short cervix Jung, Da Un Choi, Min Jung Jung, Sun Young Kim, Suk Young Obstet Gynecol Sci Original Article OBJECTIVE: We aimed to evaluate the effectiveness of cervical pessary for extending twin pregnancy in women with a short cervix. METHODS: Between January 2014 and March 2019, the use of a cervical pessary for twin pregnancy in women with a cervical length of ≤15 mm was investigated between 16 and 28 weeks of gestation. We included women with a shortened cervix after a cerclage procedure and visible fetal membranes and cervical dilatation. Thirteen patients underwent pessary insertion and were matched with a control group of 15 patients. Pregnancy and neonatal outcomes were compared between the groups. We excluded women with major fetal anomalies discovered before or after birth and known placenta previa. RESULTS: Women who underwent pessary insertion were diagnosed with a short cervix (0.65±0.47 vs. 0.66±0.51 cm in the pessary and control groups, respectively; P=0.957) at a gestational age similar to that of the controls (23.29 vs. 25.14 weeks, P=0.294). There was no significant difference in gestational age at delivery between them (33.29 vs. 27.29 weeks in the pessary and control groups, respectively, P=0.058). The pessary group had a longer interval between the diagnosis and delivery than the control group (60.7±28.3 vs. 22.6±24.5 days, P=0.001). The number of adverse neonatal outcomes was significantly lower in the pessary group (n=7; 28.0%) than in the control group (n=14; 58.3%; P=0.032). CONCLUSION: The use of a cervical pessary may prolong gestation in twin pregnancies in women with an extremely short cervix until viable gestational age. Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 2020-05 2020-03-26 /pmc/articles/PMC7231939/ /pubmed/32489967 http://dx.doi.org/10.5468/ogs.2020.63.3.231 Text en Copyright © 2020 Korean Society of Obstetrics and Gynecology http://creativecommons.org/licenses/by-nc/3.0/ Articles published in Obstet Gynecol Sci are open-access, distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Jung, Da Un Choi, Min Jung Jung, Sun Young Kim, Suk Young Cervical pessary for preterm twin pregnancy in women with a short cervix |
title | Cervical pessary for preterm twin pregnancy in women with a short cervix |
title_full | Cervical pessary for preterm twin pregnancy in women with a short cervix |
title_fullStr | Cervical pessary for preterm twin pregnancy in women with a short cervix |
title_full_unstemmed | Cervical pessary for preterm twin pregnancy in women with a short cervix |
title_short | Cervical pessary for preterm twin pregnancy in women with a short cervix |
title_sort | cervical pessary for preterm twin pregnancy in women with a short cervix |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231939/ https://www.ncbi.nlm.nih.gov/pubmed/32489967 http://dx.doi.org/10.5468/ogs.2020.63.3.231 |
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