Prophylactic use of the Arabin cervical pessary in fetuses with severe congenital diaphragmatic hernia treated by fetoscopic endoluminal tracheal occlusion (FETO): preliminary experience

Autor:	Oana, Dobrescu, Mieke M, Cannie, Anne-Gael, Cordier, Carlota, Rodó, Isabella, Fabietti, Alexandra, Benachi, Elena, Carreras, Nicola, Persico, Ivan, Hurtado, Léonardo, Gucciardo, Jacques C, Jani
Rok vydání:	2015
Předmět:	Adult Adolescent Fetoscopy Pessaries Severity of Illness Index Trachea Young Adult Treatment Outcome Pregnancy Humans Premature Birth Female Prospective Studies Hernias Diaphragmatic Congenital Follow-Up Studies Retrospective Studies
Zdroj:	Prenatal diagnosis. 36(1)
ISSN:	1097-0223
Popis:	The aim of this study was to describe whether the prophylactic use of a cervical pessary decreases the rate of premature birth in congenital diaphragmatic hernia (CDH) fetuses treated with fetoscopic tracheal occlusion (FETO).The study concerns a consecutive series of cases with CDH and FETO and a group of CDH without FETO. In a subgroup of the FETO group, a prophylactic cervical pessary was inserted the day following the procedure. Gestational age (GA) at birth was the primary outcome.Fifty-nine fetuses with FETO and 47 expectantly managed were included. The last 15 FETO had a cervical pessary inserted. The median GA at delivery in the FETO group with pessary was 35.1 weeks and was not different from that in the FETO group without a pessary (34.3 weeks; p = 0.28) but was below that in the expectantly managed group (38.3 weeks; p 0.001).Early results suggest that prophylactic use of an Arabin cervical pessary does not prolong gestation of CDH fetuses treated with FETO. © 2015 John WileySons, Ltd.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::b544da6c2c0d3d801887308708937035 https://pubmed.ncbi.nlm.nih.gov/26518248 Zobrazit plný text záznamu Plný text