Modification of cervical length after cervical pessary insertion: correlation weeks of gestation
| Autor: | Luis Cabero, Alberto Muniz Rodriguez, Carme Merced, Miquel Juan, Andrea Gascón, Carlota Rodó, Leonor Valle, Laia Pratcorona, Manel Mendoza, Belén Santacruz, Elena Carreras, A. H. Romero, B. Muñoz, Maria Goya |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Cervical pessary Pessary medicine.medical_specialty Gestational Age Cervix Uteri Asymptomatic Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Prospective Studies 030212 general & internal medicine Watchful Waiting Prospective cohort study Cervical length Gynecology 030219 obstetrics & reproductive medicine Obstetrics business.industry Obstetrics and Gynecology Gestational age Pessaries Pregnancy Complications Short cervix Cervical Length Measurement Case-Control Studies Pediatrics Perinatology and Child Health Premature Birth Gestation Female medicine.symptom business |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 30:1596-1601 |
| ISSN: | 1476-4954 1476-7058 |
| Popis: | To observe the modifications in cervical length (CL) in patients with and without cervical pessary (Arabin® ASQ 65/25/32) and correlate these modifications with gestational age at delivery.Prospective study of asymptomatic singleton pregnancies (PECEP-Trial) between weeks 20 + 0 and 23 + 6 with maternal short cervix (25 mm) randomised into two groups: expectant management and cervical pessary.This study included 380 pregnant women: 190 with pessary and 190 without pessary. Mean CL in both groups at the time of randomisation showed no statistically-significant differences (pessary group: 19.0 mm and management group: 19.0 mm; p = 0.9). Mean CL measured after randomisation was 15.4 mm in patients of the expectant management group and 21.5 mm in the pessary group. These differences were statistically significant (p 0.0001). When means at randomisation and at the second measurement were compared, CL had decreased by 3.6 mm in the expectant management group and increased by 2.6 mm in the pessary group; this difference was statistically significant (p 0.0001). Coefficients of correlation showed that among patients of both groups with the same CL at 20 weeks of gestation, those with a pessary gave birth later.Insertion of an Arabin cervical pessary increased CL in asymptomatic patients with a short cervix, which correlated with shorter gestational age at delivery. The cervical pessary halted the progressive decrease in CL, which correlated with longer gestational age at delivery. |
| Databáze: | OpenAIRE |
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