Position Paper of the Task Force for Obstetrics and Prenatal Medicine (AGG - Section Preterm Birth) on the Placement, Removal and Surveillance of the Arabin Cervical Pessary in Patients at Risk for Spontaneous Preterm Birth

Kyvernitakis, Ioannis and Maul, Holger and Rath, Werner and Kraft, Katrina and Kuon, Ruben and Hamza, Amr and Reuschel, Edith and Filsinger, Barbara and Abele, Harald and Garnier, Yves and Bahlmann, Franz and Schleussner, Ekkehard and Berger, Richard (2019) Position Paper of the Task Force for Obstetrics and Prenatal Medicine (AGG - Section Preterm Birth) on the Placement, Removal and Surveillance of the Arabin Cervical Pessary in Patients at Risk for Spontaneous Preterm Birth. GEBURTSHILFE UND FRAUENHEILKUNDE, 79 (11). pp. 1171-1175. ISSN 0016-5751, 1438-8804

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Abstract

y This position paper describes clinically important, practical aspects of cervical pessary treatment. Transvaginal ultrasound is standard for the assessment of cervical length and selection of patients who may benefit from pessary treatment. Similar to other treatment modalities, the clinical use and placement of pessaries requires regular training. This training is essential for proper pessary placement in patients in emergency situations to prevent preterm delivery and optimize neonatal outcomes. Consequently, pessaries should only be applied by healthcare professionals who are not only familiar with the clinical implications of preterm birth as a syndrome but are also trained in the practical application of the devices. The following statements on the clinical use of pessary application and its removal serve as an addendum to the recently published German S2-consensus guideline on the prevention and treatment of preterm birth.

Item Type: Article
Uncontrolled Keywords: SECONDARY PREVENTION; RECOMMENDATIONS; LABOR; Arabin pessary; preterm birth; prevention; recommendations; placement; removal; surveillance
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Geburtshilfe)
Depositing User: Dr. Gernot Deinzer
Date Deposited: 06 Mar 2020 12:56
Last Modified: 06 Mar 2020 12:56
URI: https://pred.uni-regensburg.de/id/eprint/25897

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