Hide This

FREEHER HealthToolkit

HER Health Toolkit

Sign up for EmpowHER updates and you'll receive our
FREE HER Health Toolkit

Pregnancy

Get Email Updates

Pregnancy Guide

Susan Cody HERWriter Guide

Have a question? We're here to help. Ask the Community.

ASK

Health Newsletter

Receive the latest and greatest in women's health and wellness from EmpowHER - for free!

Pessary May Help Some Women Avoid Preterm Labor, Says Study

By mariasmith76 HERWriter Blogger
 
Rate This
Pessary May Help Some Women Avoid Preterm Labor, Says Study 3 5 3
use of pessary may help prevent preterm labor
MonkeyBusiness Images/PhotoSpin

A 2013 ProTWIN study carried out by doctors in Amsterdam found that an Arabian-style pessary reduced the number of poor neonatal outcomes in women with short cervixes who were carrying multiples.

A pessary is a removable device placed into the vagina to help bear the weight of the pregnancy. The device, typically used in women experiencing pelvic organ prolapse, is fitted around the cervix and shifts the extra weight off the delicate cervix area.

This study included 813 women with a multiple pregnancy seen at 40 hospitals across the Netherlands.

It was randomized to usual care or open-label placement of an Arabian pessary between 16 and 20 weeks gestation in the pregnancy, and was left in place until 36 weeks gestation or the rupture of membranes, severe contractions, vaginal bleeding or mother's discomfort.

In the ProTWIN study, researchers found poor neonatal outcomes were 60 percent less likely for women with a short cervix (in the bottom 25 percentile for cervical length) who used a pessary. Out of the 813 women in this study, 145 of them "qualified" as having a short cervix.

Researchers found this group had a 29 percent rate of poor neonatal outcome when typical care was given (without a pessary) but those that had a pessary inserted lowered the poor neonatal outcome rate to 12 percent.

There was also a big drop in mortality for this group as a result of of using the pessary. Though two twins died while in hospital in the pessary group, researchers compared that to the 10 infants who died in the usual care group. These clearly significant results were reported at the Society of Maternal-Fetal Medicine meeting in February 2013.

Senior author Dick Bekedam, MD, PhD, of Onze Lieve Vrouwe Gasthuis in Amsterdam, is cautiously hopeful about these results. In an interview given recently, he expressed the fact that the results from this study are important for the relatively small group of women with short cervixes carrying multiples.

There has been very little done to intervene in preterm births, which cause many of the poor neonatal outcomes, so this research is a good start.

Add a CommentComments

There are no comments yet. Be the first one and get the conversation started!

Image CAPTCHA
Enter the characters shown in the image.
By submitting this form, you agree to EmpowHER's terms of service and privacy policy

We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.

Improved

1768 Health

Changed

669 Lives

Saved

532 Lives
4 lives impacted in the last 24 hrs Learn More

Take Our Featured Health Poll

Pregnant? Where do you get your information and support about pregnancy and delivery? :
View Results