Cervical pessary as a method of primary prevention of prematurity

Authors

Keywords:

premature birth, pregnancy, cervical patency, cervicometry, cervical pessary

Abstract

Introduction:

Preterm birth is complex and multifactorial. Cervicometry is based on the premise that there is a relationship between cervical length and the onset of labor.

Objective:

Describing the use of the cervical pessary as a method of preventing prematurity.

Methods:

A descriptive observational study was carried out in a series of cases, municipality of Güira de Melena, province of Artemisa, Cuba, from January 2019 to September 2022. Cervical pessary were place to a sample of 42 pregnant women with single pregnancies and risk cervicometry. The variables analyzed were: gestational age at insertion of the pessary, functional cervical length; patency of the internal cervical orifice and gestational age at the delivery. The statistical program SPSS version 21® for Windows was used for the data. Descriptive statistics were used, with measurements of absolute frequencies, percentages, central tendency and minimum-maximum.

Results:

The gestational age that predominated when placing the pessary was less than 28 weeks with 69%, the average gestational age was 23.4 weeks with a minimum of 22 and a maximum of 32. 73.8 %. of pregnant women, had a functional cervical length between 20.1 mm and 25 mm. 83.3% of patients had a patency of less than five mm. 76 % of pregnant women gave birth after 37 weeks and only 7.1% gave birth between 28 and 33.6 weeks.

Conclusions:

The cervical pessary is used as a method of primary prevention of preterm birth, with a short neck.

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Author Biographies

Luis Gustavo García Baños, Policlínico Docente José Manuel Segui Jimenéz.Güira de Melena. Artemisa.

Especialista de II grado en Ginecología y Obstetricia Investigador y Profesor Auxiliar. Máster en Atención Integral a la Mujer y Cirugía de Mínimo Acceso. Policlínico Docente ¨José Manuel Seguí Jiménez¨. Güira de Melena, Artemisa.

Marilín Alonso Sicilia, Policlínico Docente José Manuel Seguí Jiménez.Güira de Melena. Artemisa.

Especialista de I grado en Ginecología y Obstetricia. Asistente. Policlínico Docente ¨José Manuel Seguí Jiménez¨. Güira de Melena, Artemisa

Olga Lidia Baños Carmona, Hospital General Docente ¨Iván Portuondo¨. Güira de Melena, Artemisa

Especialista de I grado en Enfermería Materno Infantil. Máster en Atención Integral al niño. Licenciada en Enfermería. Investigador Agregado. Asistente. Hospital General Docente ¨Iván Portuondo¨. Güira de Melena, Artemisa.

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Published

2024-06-24

How to Cite

1.
García Baños LG, Alonso Sicilia M, Baños Carmona OL. Cervical pessary as a method of primary prevention of prematurity. Medimay [Internet]. 2024 Jun. 24 [cited 2024 Nov. 5];31:e2444. Available from: https://revcmhabana.sld.cu/index.php/rcmh/article/view/2444

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