Pessary use in patients diagnosed with short cervix and cervical insufficiency
| Autor: | Oya Pekin, Dilşad Herkiloğlu, Sadik Sahin, Nazan Tarhan, Ateş Karateke, Habibe Ayvaci |
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| Rok vydání: | 2021 |
| Předmět: |
Cervical pessary
Pessary medicine.medical_specialty Cervical insufficiency Preterm labor Tocolysis Cervix Uteri 03 medical and health sciences 0302 clinical medicine Obstetric Labor Premature Pregnancy Medicine Humans In patient 030212 general & internal medicine 030219 obstetrics & reproductive medicine business.industry Obstetrics Infant Newborn Obstetrics and Gynecology Pessaries Short cervix Pediatrics Perinatology and Child Health Gestation Premature Birth Female Uterine Cervical Incompetence business |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 35(10) |
| ISSN: | 1476-4954 |
| Popis: | The aim was to evaluate the effectiveness of Arabin pessary use in patients with cervical insufficiency or short cervix before the 24th week of gestation and the impact of cervical examination findings prior to pessary application on the outcome in terms of the gestational week.In our study, among the pregnancies between the 12th and 24th gestational weeks, 60 pregnant women with a preterm delivery history and/or cervical length less than 25 mm were included. Among these 60 patients, 43 of them had a short cervix, 17 of them had cervical insufficiency. Routine medical and obstetric history was obtained. In the vaginal examination, the cervix was evaluated in terms of patency, dilatation, and position. Cervical length, presence of debris, and funneling were evaluated by transvaginal ultrasound. After receiving patients' approval a cervical pessary was applied to patients. Pessaries of pregnant women with 37 weeks of gestation were removed. Before reaching the 37th gestation week, pessaries were withdrawn in patients who had ongoing vaginal bleeding, premature rupture of membranes, and preterm contractions unresponsive to tocolytic treatment.Thirty-one pregnant women (51.7%) out of 60 pregnant women who underwent pessary, delivered at 37 weeks and below. Delivery rates in the short cervical measurement group and cervical insufficiency group at ≤28 weeks, ≤34 weeks and ≤37 weeks were respectively (Our findings showed that, alongside the defined cervical risk factors, cervical funneling and the need for tocolysis are remarkable prognostic variables in pessary application. |
| Databáze: | OpenAIRE |
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