Link: http://www.ncbi.nlm.nih.gov/pubmed/26518248

Prenat Diagn. 2015 Oct 30. doi: 10.1002/pd.4716. [Epub ahead of print]
Prophylactic use of the Arabin cervical pessary in fetuses with severe congenital diaphragmatic hernia treated by fetoscopic endoluminal tracheal occlusion (FETO): preliminary experience.
Dobrescu O1, Cannie MM2,3, Cordier AG4, Rod? C5, Fabietti I6, Benachi A4, Carreras E5, Persico N6, Hurtado I1, Gucciardo L1,7, Jani JC1.
Author information
Abstract
OBJECTIVE:
To describe whether the prophylactic use of a cervical pessary decreases the rate of premature birth in congenital diaphragmatic hernia (CDH) fetuses treated with fetoscopic tracheal occlusion (FETO).

METHODS:
Consecutive series of all cases with CDH and FETO and a group of CDH without FETO. In a subgroup of the FETO group, a prophylactic cervical pessary was inserted the day following the procedure. Gestational age (GA) at birth was the primary outcome.

RESULTS:
59 fetuses with FETO and 47 expectantly managed were included. The last 15 FETO had a cervical pessary inserted. The median GA at delivery in the FETO group with pessary was 35.1 weeks and was not different from that in the FETO group without a pessary (34.3 weeks; p = 0.2, but was below that in the expectantly managed group (38.3 weeks; p < 0.001).

CONCLUSION:
Early results suggest that prophylactic use of an Arabin cervical pessary does not prolong gestation of CDH fetuses treated with FETO. This article is protected by copyright. All rights reserved.

This article is protected by copyright. All rights reserved.

PMID: 26518248 [PubMed - as supplied by publisher]