Cervical pessary is not beneficial for the prevention of preterm birth, may be harmful

Clinical Question

Does use of a cervical pessary in pregnancy for individuals with a short cervix safely reduce the risk of preterm birth?

Bottom line

The use of a cervical pessary in pregnancy beginning in the second trimester did not reduce the incidence of preterm birth for pregnant patients with a cervical length of 20 mm or less and no history of preterm birth. Cervical length was measured by transvaginal ultrasonography between 16 0/7 and 23 6/7 weeks' gestation. Pessary was associated with a statistically significant increase in the risk of fetal or neonatal death. 1b

Study design: Randomized controlled trial (nonblinded)

Funding: Government

Setting: Outpatient (specialty)

Reviewer

Linda Speer, MD
Professor and Chair, Department of Family Medicine
University of Toledo
Toledo, OH


Discuss this POEM


Comments

ARUP KUMAR DHARA

Impact assessment

Very good

Anonymous

CERVICAL PESSARY

GOOD TO KNOW