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Related Experiment Video

Updated: Apr 28, 2026

Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Cervical pessary use and preterm birth.

Luisa A Wetta1, Joseph R Biggio

  • 1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Alabama at Birmingham, Birmingham, Alabama.

Clinical Obstetrics and Gynecology
|June 12, 2014
PubMed
Summary

The cervical pessary shows promise for preventing preterm birth in high-risk pregnancies. Further large-scale trials are needed to confirm its effectiveness before widespread clinical use.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Preterm birth is a significant global health issue with limited prevention strategies.
  • Despite extensive research, effective interventions for preventing preterm birth remain scarce.

Purpose of the Study:

  • To review the current evidence on using cervical pessaries for preterm birth prevention.
  • To evaluate the potential of pessaries in high-risk populations, particularly those with shortened cervical length.

Main Methods:

  • Systematic review of existing studies on cervical pessary use for preterm birth prevention.
  • Analysis of data focusing on singleton and twin gestations, and specific risk groups.

Main Results:

  • Cervical pessaries present a potentially low-cost intervention with minimal side effects.
  • Evidence suggests a possible role in preventing preterm birth, especially in women with short cervices.

Conclusions:

  • Cervical pessaries warrant further investigation as a method for preterm birth prevention.
  • Larger randomized-controlled trials are essential to establish the pessary's efficacy and guide clinical practice.