open access

Vol 80, No 1 (2009)
ARTICLES
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The use of pessaries in the treatment of incompetent cervix

Jacek Bartosiewicz, Beata Marciniak, Jolanta Patro-Małysza, Bożena Leszczyńska-Gorzelak, Jan Oleszczuk
Ginekol Pol 2009;80(1).

open access

Vol 80, No 1 (2009)
ARTICLES

Abstract

Abstract Vaginal pessaries have been reported to be useful in women who are at risk of preterm delivery since 1959. Bedrest and cervical cerclage have become standard therapy for women with cervical insufficiency. However, cerclage is not without risk. Furthermore, advances in ultrasound have allowed us to identify women who are potentially at risk of preterm delivery by detecting cervical shortening before dilatation. A variety of studies suggest that pessaries can increase the percentage of full-term deliveries when used in women with an incompetent cervix. Pessary use should be considered as adjuncts to cerclage or as a solution for women who are not good candidates for cerclage. This article reviews the published literature concerning the use of pessaries in women with an incompetent cervix or at risk of early delivery.

Abstract

Abstract Vaginal pessaries have been reported to be useful in women who are at risk of preterm delivery since 1959. Bedrest and cervical cerclage have become standard therapy for women with cervical insufficiency. However, cerclage is not without risk. Furthermore, advances in ultrasound have allowed us to identify women who are potentially at risk of preterm delivery by detecting cervical shortening before dilatation. A variety of studies suggest that pessaries can increase the percentage of full-term deliveries when used in women with an incompetent cervix. Pessary use should be considered as adjuncts to cerclage or as a solution for women who are not good candidates for cerclage. This article reviews the published literature concerning the use of pessaries in women with an incompetent cervix or at risk of early delivery.
Get Citation

Keywords

incompetent cervix, Pessaries, preterm labor, cancer

About this article
Title

The use of pessaries in the treatment of incompetent cervix

Journal

Ginekologia Polska

Issue

Vol 80, No 1 (2009)

Bibliographic record

Ginekol Pol 2009;80(1).

Keywords

incompetent cervix
Pessaries
preterm labor
cancer

Authors

Jacek Bartosiewicz
Beata Marciniak
Jolanta Patro-Małysza
Bożena Leszczyńska-Gorzelak
Jan Oleszczuk

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