• Clin Obstet Gynecol · Sep 2014

    Review

    Cervical pessary use and preterm birth.

    • Luisa A Wetta and Joseph R Biggio.
    • Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
    • Clin Obstet Gynecol. 2014 Sep 1; 57 (3): 607-15.

    AbstractPreterm birth remains a considerable public health concern and priority. Little headway has been made in the prevention of preterm birth despite considerable research in this area. New ideas and treatments are desperately needed. The pessary has emerged as a possible treatment for the prevention of preterm birth in both singleton and twin gestations. It appears to be low cost with minimal side effects. This review focuses on the available evidence for the use of cervical pessaries for the prevention of preterm birth, especially in a high-risk population with a shortened cervical length. Larger scale randomized-controlled trials are warranted before incorporation of the pessary into standard obstetrical practice.

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