Previous Mid Trimester Miscarriage, Previous Preterm Birth, Previous Cervical Surgery, Short Cervix on Ultrasound
Conditions
Keywords
Arabin pessary, spontaneous preterm birth
Brief summary
This was a retrospective study sharing the experience of women high risk for spontaneous preterm birth managed by Arabin pessary.
Detailed description
The study recruitment was from 1st January 2013 until 31st December 2019. Inclusion criteria were previous mid-trimester miscarriage and/or preterm birth, previous cervical surgery or short cervical length on routine ultrasound. The primary outcome measure was birth before 34 weeks gestation.
Interventions
DEVICEArabin pessary
Arabin pessary was inserted intravaginally electively in women with cervical insufficiency (history based) or as emergency in those with short cervix on ultrasound.
Sponsors
National University of Malaysia
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* all women high risk for spontaneous preterm birth
Exclusion criteria
* had Arabin insertion elsewhere * delivered elsewhere * incomplete record
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Birth at or more than 34 weeks | From insertion of the Arabin pessary until birth of the foetus | Gestation of birth in percentage that occurred at or more than 34 weeks gestation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mode of delivery | From onset of labour until birth of the foetus | Mode of delivery whether vaginal or caesarean section |
| Median birth weight | At birth | Median neonatal birth weight in gram |
| Admission into neonatal intensive care unit | At birth until discharged from the hospital | The need to admit the neonate to neonatal care intensive care unit at birth |
| Type of labour | From insertion of the Arabin pessary until birth of the foetus | Type of labour whether spontaneous or induced |
| Subsequent management | From insertion of Arabin pessary until birth of the foetus | The management of the patients after insertion of the Arabin pessary |
| Combination with progestogen therapy | from insertion of Arabin pessary until birth of the foetus | Addition of progestogen therapy either vaginally or parenterally |
| Complications | From insertion of Arabin pessary until birth of the foetus | Antenatal complications such as diabetes, hypertension and rupture of membranes |
| Mean cervical length | At insertion of the Arabin pessary | The mean cervical length at insertion of the Arabin pessary |
Countries
Malaysia
Outcome results
None listed