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This was a retrospective study sharing the experience of women high risk for spontaneous preterm birth managed by Arabin pessary.
The study recruitment was from 1st January 2013 until 31st December 2019. Inclusion criteria were previous mid-trimester miscarriage and/or preterm birth, previous cervical surgery or short cervical length on routine ultrasound. The primary outcome measure was birth before 34 weeks gestation.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Arabin pessary | Device | Arabin pessary was inserted intravaginally electively in women with cervical insufficiency (history based) or as emergency in those with short cervix on ultrasound. |
| Measure | Description | Time Frame |
|---|---|---|
| Birth at or more than 34 weeks | Gestation of birth in percentage that occurred at or more than 34 weeks gestation | From insertion of the Arabin pessary until birth of the foetus |
| Measure | Description | Time Frame |
|---|---|---|
| Type of labour | Type of labour whether spontaneous or induced | From insertion of the Arabin pessary until birth of the foetus |
| Mode of delivery | Mode of delivery whether vaginal or caesarean section |
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Inclusion Criteria:
Exclusion Criteria:
Females only
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All women high risk for spontaneous preterm birth who were managed with Arabin pessary were included.
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| Name | Affiliation | Role |
|---|---|---|
| Rahana Abd Rahman | UKM | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National University of Malaysia | Cheras | Kuala Lumpur | 56000 | Malaysia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33971828 | Derived | Rahman RA, Atan IK, Ali A, Kalok AM, Ismail NAM, Mahdy ZA, Ahmad S. Use of the Arabin pessary in women at high risk for preterm birth: long-term experience at a single tertiary center in Malaysia. BMC Pregnancy Childbirth. 2021 May 10;21(1):368. doi: 10.1186/s12884-021-03838-x. |
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Methodology
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| From onset of labour until birth of the foetus |
| Median birth weight | Median neonatal birth weight in gram | At birth |
| Admission into neonatal intensive care unit | The need to admit the neonate to neonatal care intensive care unit at birth | At birth until discharged from the hospital |
| Mean cervical length | The mean cervical length at insertion of the Arabin pessary | At insertion of the Arabin pessary |
| Subsequent management | The management of the patients after insertion of the Arabin pessary | From insertion of Arabin pessary until birth of the foetus |
| Combination with progestogen therapy | Addition of progestogen therapy either vaginally or parenterally | from insertion of Arabin pessary until birth of the foetus |
| Complications | Antenatal complications such as diabetes, hypertension and rupture of membranes | From insertion of Arabin pessary until birth of the foetus |