I HAVE RECENTLY READ - Pessary placement and twin pregnancies with a short cervix (February 2016)

• Pessary placement and twin pregnancies with a short cervix (February 2016)

 

Whether pessary placement prolongs the length of gestation in pregnancies with a short cervical length is controversial. In a multi-center randomized trial in Spain, placement of a pessary in twin pregnancies with a short cervix at 18 to 22 weeks significantly reduced the rate of spontaneous preterm birth <34 weeks, the primary study utcome [12]. However, there was no difference in a composite neonatal morbidity outcome for pessary use compared with no pessary use. Pending confirmatory data from additional studies and demonstration of improvement in neonatal outcome, we do not currently advise this intervention. (See "Twin pregnancy: Prenatal issues", section on 'Unproven interventions to prevent or delay preterm labor'.)

     

 
     

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