Use of the pessary in the prevention of preterm delivery
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | http://hdl.handle.net/1843/60899 |
Resumo: | Objective: The gestational complication most associated with perinatal mortality and morbidity is spontaneous preterm birth with gestational age < 37 weeks. Therefore, it is necessary to identify its risk factors and attempt its prevention. The benefits of the pessary in prematurity are under investigation. Our objective was to analyze the use of the pessary in the prevention of preterm births in published studies, and to compare it is efficacy with other methods.Methods: Randomized clinical trials published between 2010 and 2018 were selected from electronic databases. Studies on multiple gestations were excluded.Results: Two studies were in favor of the pessary as a preventive method, one study was contrary to the method and another two showed no statistically significant difference. The meta-analysis showed no statistical difference with the use of a cervical pessary in the reduction of births < 37 (odds ratio [OR]: 0.63; confidence interval [95% CI]: 0.38–1.06) and < 34 weeks (OR: 0.74; 95% CI: 0.35–1.57) Conclusion: The pooled data available to date seems to show a lack of efficacy of the cervical pessary in the prevention of preterm birth, although the heterogeneity of the studies made comparisons more difficult. |
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2023-11-13T21:02:27Z2023-11-13T21:02:27Z2019411535810.1055/s-0038-167651101007203http://hdl.handle.net/1843/60899Objective: The gestational complication most associated with perinatal mortality and morbidity is spontaneous preterm birth with gestational age < 37 weeks. Therefore, it is necessary to identify its risk factors and attempt its prevention. The benefits of the pessary in prematurity are under investigation. Our objective was to analyze the use of the pessary in the prevention of preterm births in published studies, and to compare it is efficacy with other methods.Methods: Randomized clinical trials published between 2010 and 2018 were selected from electronic databases. Studies on multiple gestations were excluded.Results: Two studies were in favor of the pessary as a preventive method, one study was contrary to the method and another two showed no statistically significant difference. The meta-analysis showed no statistical difference with the use of a cervical pessary in the reduction of births < 37 (odds ratio [OR]: 0.63; confidence interval [95% CI]: 0.38–1.06) and < 34 weeks (OR: 0.74; 95% CI: 0.35–1.57) Conclusion: The pooled data available to date seems to show a lack of efficacy of the cervical pessary in the prevention of preterm birth, although the heterogeneity of the studies made comparisons more difficult.Objetivo: O parto com idade gestacional < 37 semanas é a complicação gestacional mais associada à mortalidade e morbidade perinatal, sendo necessária a identificação de seus fatores de risco e a tentativa de sua prevenção. Os benefícios do pessário na prematuridade estão sendo investigados. Nosso objetivo foi analisar os estudos publicados sobre uso do pessário na prevenção do parto pretermo e comparar sua eficácia perante outros métodos.Métodos: Foram selecionados estudos clínicos randomizados publicados entre 2010 e 2018, extraídos de bases eletrônicas de dados. Estudos de gestações múltiplas foram excluídos.Resultados: Dois estudos se mostraram a favor do pessário como método preventivo, um estudo foi contrário ao método, e outros dois não demonstraram diferença estatisticamente significativa. A meta-análise não mostrou diferença significativa no uso do pessário na redução de nascimentos < 37 (razão de chance [RC]: 0,63; intervalo de confiança [IC 95%]: 0,38–1,06) e < 34 semanas (RC: 0,74; IC 95%: 0,35–1,57).Conclusão: Os dados agrupados disponíveis até o momento parecem mostrar uma falta de eficácia do pessário cervical na prevenção do parto pretermo, embora a heterogeneidade dos estudos tenha dificultado as comparações.engUniversidade Federal de Minas GeraisUFMGBrasilMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIARevista Brasileira de Ginecologia e ObstetríciaPessaryPremature BirthDelivery, ObstetricPessaryPreterm birthPrematureShort cervixDelivery, ObstetricUse of the pessary in the prevention of preterm deliveryUso do pessário na prevenção de parto pretermoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.1055/s-0038-1676511Thayane Delazari CorrêaEster AmorimJade TomazelliMário Dias Corrêa Júniorapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/60899/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALUse of the Pessary in the Prevention of Preterm Delivery.pdfUse of the Pessary in the Prevention of Preterm Delivery.pdfapplication/pdf437429https://repositorio.ufmg.br/bitstream/1843/60899/2/Use%20of%20the%20Pessary%20in%20the%20Prevention%20of%20Preterm%20Delivery.pdfaf20548a7f37b8b63674267526b60f4aMD521843/608992023-11-13 19:06:56.678oai:repositorio.ufmg.br:1843/60899Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-11-13T22:06:56Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Use of the pessary in the prevention of preterm delivery |
dc.title.alternative.pt_BR.fl_str_mv |
Uso do pessário na prevenção de parto pretermo |
title |
Use of the pessary in the prevention of preterm delivery |
spellingShingle |
Use of the pessary in the prevention of preterm delivery Thayane Delazari Corrêa Pessary Preterm birth Premature Short cervix Delivery, Obstetric Pessary Premature Birth Delivery, Obstetric |
title_short |
Use of the pessary in the prevention of preterm delivery |
title_full |
Use of the pessary in the prevention of preterm delivery |
title_fullStr |
Use of the pessary in the prevention of preterm delivery |
title_full_unstemmed |
Use of the pessary in the prevention of preterm delivery |
title_sort |
Use of the pessary in the prevention of preterm delivery |
author |
Thayane Delazari Corrêa |
author_facet |
Thayane Delazari Corrêa Ester Amorim Jade Tomazelli Mário Dias Corrêa Júnior |
author_role |
author |
author2 |
Ester Amorim Jade Tomazelli Mário Dias Corrêa Júnior |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Thayane Delazari Corrêa Ester Amorim Jade Tomazelli Mário Dias Corrêa Júnior |
dc.subject.por.fl_str_mv |
Pessary Preterm birth Premature Short cervix Delivery, Obstetric |
topic |
Pessary Preterm birth Premature Short cervix Delivery, Obstetric Pessary Premature Birth Delivery, Obstetric |
dc.subject.other.pt_BR.fl_str_mv |
Pessary Premature Birth Delivery, Obstetric |
description |
Objective: The gestational complication most associated with perinatal mortality and morbidity is spontaneous preterm birth with gestational age < 37 weeks. Therefore, it is necessary to identify its risk factors and attempt its prevention. The benefits of the pessary in prematurity are under investigation. Our objective was to analyze the use of the pessary in the prevention of preterm births in published studies, and to compare it is efficacy with other methods.Methods: Randomized clinical trials published between 2010 and 2018 were selected from electronic databases. Studies on multiple gestations were excluded.Results: Two studies were in favor of the pessary as a preventive method, one study was contrary to the method and another two showed no statistically significant difference. The meta-analysis showed no statistical difference with the use of a cervical pessary in the reduction of births < 37 (odds ratio [OR]: 0.63; confidence interval [95% CI]: 0.38–1.06) and < 34 weeks (OR: 0.74; 95% CI: 0.35–1.57) Conclusion: The pooled data available to date seems to show a lack of efficacy of the cervical pessary in the prevention of preterm birth, although the heterogeneity of the studies made comparisons more difficult. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019 |
dc.date.accessioned.fl_str_mv |
2023-11-13T21:02:27Z |
dc.date.available.fl_str_mv |
2023-11-13T21:02:27Z |
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info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
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article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/60899 |
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10.1055/s-0038-1676511 |
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01007203 |
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10.1055/s-0038-1676511 01007203 |
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http://hdl.handle.net/1843/60899 |
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eng |
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eng |
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Revista Brasileira de Ginecologia e Obstetrícia |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
dc.publisher.department.fl_str_mv |
MED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA |
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Universidade Federal de Minas Gerais |
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