Use of Pessary in Case of Cervical Insufficiency and Short Cervix

NCT ID: NCT03096691

Last Updated: 2017-03-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-01

Study Completion Date

2017-03-30

Brief Summary

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Prematurity is the most important cause of obstetric morbidity and mortality. Health centers and obstetricians are trying to reduce the preterm birth rate by taking into account the permanent effects of premature birth on human life in the early and long term.

The most effective solution of preterm delivery is to determine the patients entering the risk group and to prevent preterm labor by putting the correct diagnosis at the right time. Recently, there have been studies on the efficacy of pessary practice in preventing preterm birth, but with the positive results of these studies, there has been hope for early birth prevention as well as other treatments.

The aim of this study is; To assess the effectiveness of pessary use in patients with high risk for preterm labor and prophylactic cervical length less than 25 mm below 25 weeks and with a history of cervical insufficiency.

Detailed Description

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The aim of this study is; To assess the effectiveness of pessary use in patients with high risk for preterm labor and prophylactic cervical length less than 25 mm below 25 weeks and with a history of cervical insufficiency.

100 pregnant women with a preterm delivery history and / or a cervical length of less than 25 mm will be included among the pregnancies between 16 and 24 weeks of gestation referred to obstetric and perinatology clinics. Information will be given about the success of treatment in the prevention of early birth of the pessary and the use of the disease pessary. Urine culture and cervical culture samples will be taken from both groups of patients. In the presence of infection, the patient's treatment will be planned and out of work. If no infection is detected and the patient agrees to use the pessary, the pessary will be used to prevent premature birth.

Conditions

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Preterm Labor

Keywords

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cervical pessary preterm labor Cervical insufficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

100 pregnant women with a preterm delivery history and / or a cervical length of less than 25 mm will be included among the pregnancies between 16 and 24 weeks of gestation referred to obstetric and perinatology clinics. Information about the use of disease pessaries and treatment success in preventing premature birth of the pessary will be provided. Urine culture and cervical culture samples will be taken from both groups of patients. In the presence of infection, the patient's treatment will be planned and out of work. If no infection is detected and the patient agrees to use the pessary, the pessary will be used to prevent premature birth.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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short cervix group

cervical pessary in group with first pregnancy or no preterm labor

Group Type ACTIVE_COMPARATOR

cervical pessary

Intervention Type DEVICE

Silicone rings known as arabin pessary are used to support the cervix in women with a sonographic short cervix.

group with cervical insufficiency

cervical pessary in group with multiple preterm labor

Group Type ACTIVE_COMPARATOR

cervical pessary

Intervention Type DEVICE

Silicone rings known as arabin pessary are used to support the cervix in women with a sonographic short cervix.

Interventions

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cervical pessary

Silicone rings known as arabin pessary are used to support the cervix in women with a sonographic short cervix.

Intervention Type DEVICE

Other Intervention Names

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arabin pessary

Eligibility Criteria

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Inclusion Criteria

* Patients with a cervical length of 25 mm\> and a preterm labor history in the previous pregnancy

Exclusion Criteria

* Patients with vaginal bleeding, with congenital anomalies, chorioamnionitis
Minimum Eligible Age

17 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Zeynep Kamil Maternity and Pediatric Research and Training Hospital

OTHER

Sponsor Role lead

Responsible Party

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Dilsad Herkiloglu

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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dilsad herkiloglu, MD

Role: PRINCIPAL_INVESTIGATOR

Zeynep Kamil Maternity and Children's Hospital

Locations

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Zeynep Kamil Maternity and Children's Hospital

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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dilsad herkiloglu, MD

Role: CONTACT

Phone: 5428423742

Email: [email protected]

Facility Contacts

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dilsad herkiloglu, MD

Role: primary

References

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Nicolaides KH, Syngelaki A, Poon LC, Picciarelli G, Tul N, Zamprakou A, Skyfta E, Parra-Cordero M, Palma-Dias R, Rodriguez Calvo J. A Randomized Trial of a Cervical Pessary to Prevent Preterm Singleton Birth. N Engl J Med. 2016 Mar 17;374(11):1044-52. doi: 10.1056/NEJMoa1511014.

Reference Type BACKGROUND
PMID: 26981934 (View on PubMed)

Goya M, Pratcorona L, Merced C, Rodo C, Valle L, Romero A, Juan M, Rodriguez A, Munoz B, Santacruz B, Bello-Munoz JC, Llurba E, Higueras T, Cabero L, Carreras E; Pesario Cervical para Evitar Prematuridad (PECEP) Trial Group. Cervical pessary in pregnant women with a short cervix (PECEP): an open-label randomised controlled trial. Lancet. 2012 May 12;379(9828):1800-6. doi: 10.1016/S0140-6736(12)60030-0. Epub 2012 Apr 3.

Reference Type BACKGROUND
PMID: 22475493 (View on PubMed)

Dharan VB, Ludmir J. Alternative treatment for a short cervix: the cervical pessary. Semin Perinatol. 2009 Oct;33(5):338-42. doi: 10.1053/j.semperi.2009.06.008.

Reference Type BACKGROUND
PMID: 19796732 (View on PubMed)

Other Identifiers

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058

Identifier Type: -

Identifier Source: org_study_id