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Are Cervical Pessaries Effective in Preventing Preterm Birth?
Morgan Goodell1, Leilani Leechalad2, Varun Soti3
1Obstetrics and Gynecology, Lake Erie College of Osteopathic Medicine, Elmira, USA.
Cureus
|January 8, 2024
Summary
Cervical pessaries show potential for reducing spontaneous preterm birth before 34 weeks. More research is needed to confirm effectiveness, especially when combined with other treatments for preterm labor prevention.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Preterm birth poses significant risks to infants and mothers.
- Effective interventions are crucial for preventing preterm labor.
- Cervical pessaries are one intervention with limited and conflicting research.
Purpose of the Study:
- To systematically review and evaluate the efficacy of cervical pessaries in reducing spontaneous preterm delivery.
- To analyze existing studies to understand the role of cervical pessaries in managing preterm birth risk.
Main Methods:
- Systematic literature review conducted using PubMed from January to September 2023.
- Adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Analysis of studies evaluating cervical pessary effectiveness for preterm birth prevention.
Main Results:
- Some evidence suggests cervical pessaries may be effective when used before 34 weeks gestation.
- Limited statistical evidence supports combined use of cervical pessaries with progesterone.
- Conflicting findings exist regarding cervical pessary efficacy compared to other interventions.
Conclusions:
- Continued research is vital for developing effective preterm birth mitigation strategies.
- Further investigation is required to clarify the impact of cervical pessaries on singleton pregnancies and long-term outcomes.
- Understanding the precise role of cervical pessaries in preterm birth prevention requires more robust evidence.
