SynthesisThe Cochrane database of systematic reviews2010
Cervical pessary for preventing preterm birth.
Synthesis in The Cochrane database of systematic reviews, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 5 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Cervical pessary for preventing preterm birth in singleton pregnancies.The Cochrane database of systematic reviews · 2022Pooled it
- Cervical Pessary for Prevention of Preterm Birth: A Meta-Analysis.Scientific reports · 2017Pooled it
- Antenatal interventions to reduce preterm birth: an overview of Cochrane Systematic Reviews.BMC research notes · 2014Pooled it
- Cervical pessary for preventing preterm birth.The Cochrane database of systematic reviews · 2013Pooled it
- Cervical assessment by ultrasound for preventing preterm delivery.The Cochrane database of systematic reviews · 2013Pooled it
- Prevention of preterm delivery: current challenges and future prospects.International journal of women's health · 2016Review
- Cervical pessaries for prevention of spontaneous preterm birth: past, present and future.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2013Review
Corrections and comments
- Updated by
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreterm delivery is a major health problem and contributes to more than 50% of the overall perinatal mortality. Cervical incompetence is one of the common causes of preterm birth to which different management strategies have been tried including cervical cerclage. Cervical cerclage is an invasive technique that needs anaesthesia and may be associated with complications. Moreover, there is still a matter of controversy regarding the efficacy and the group of patients which could benefit from this operation. Cervical pessary has been tried as a simple, non-invasive alternative that might replace the above invasive cervical stitch operation.
objectivesTo evaluate the efficacy of cervical pessary for prevention of preterm birth in women with cervical incompetence. SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (May 2010), Current Controlled Trials and the Australian New Zealand Clinical Trials Registry (May 2010). SELECTION CRITERIA: We selected all published and unpublished randomised clinical trials comparing the use of cervical pessary with cervical cerclage or expectant management for prevention of preterm birth. We did not include quasi-randomised trials, cluster-randomised and crossover trials. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials for inclusion. MAIN
resultsThe search identified two trials which we excluded. Three additional trials are ongoing. This review contains no included studies. AUTHORS'
conclusionsThe review did not identify any well-designed randomised clinical trial in order to confirm or refute the benefit of cervical pessary. However, there is evidence from non-randomised trials that showed some benefit of cervical pessary in preventing preterm birth. We are waiting for the results of three ongoing randomised controlled trials, assessing the role of cervical pessary in women with short cervix. There is a need for further well-designed randomised controlled trials.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.