Comparison Between Vaginal Pessary and Progestogen in Twin Pregnancy With Short Cervical Length

Randomised Controlled Trial Comparing Vaginal Pessary and Progestogen as an Intervention in Twin Pregnancy With Short Cervical Length to Prevent Spontaneous Preterm Birth

A randomized clinical trial comparing vaginal progestogen and vaginal pessary as an intervention for twin pregnancies with short cervical length.

This is a randomized controlled trial to compare women with twin pregnancies and diagnosed with asymptomatic short cervical length. Two types of interventions will be compared i.e vaginal progestogen and vaginal pessary.

Inclusion Criteria:

• all twin pregnancies
• cervical length less than 30mm

Exclusion Criteria:

• Twin to twin transfusion syndrome
• Stillbirth
• congenital anomaly in one of the fetuses
• previous cervical trauma or surgery
• cervical cerclage in current pregnancy
• premature labour with or without rupture of membranes
• severe vaginal discharge
• acute vaginitis or cervicitis