|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Pessary and preterm laborFrom: Peter Wein (p.wein@obsgyn-mercy.unimelb.EDU.AU)Mon Mar 22 17:22:44 1999
>> >I think there is a great difference between "having experience with..." >and "...having data to support the intervention..." I am unaware of any >data to support the use of pessaries for either preterm labor or >incompetent cervix. > 1. Data = information. I have information from colleagues that pessaries may be helpful. 2. "I am unaware of any data" is not the same as "there aren't any data". It just means you don't know of them. It's like when a bureaucrat says "We inquired and did not find any evidence to support the contention that....". It's not that there wasn't any information - they didn't try hard to find it. I did! Subject: Search History To: p.wein@obsgyn-mercy.unimelb.edu.au * #4 #2 and #3 (13 records ) #3 explode 'Cervix Incompetence' / all subheadings (756 records ) #2 explode 'Pessaries' / all subheadings (517 records ) #1 pessary (333 records ) TITLE: [Use of a pessary for bloodless cerclage for cervical insufficiency in pregnant women--25 years' experience] AUTHOR(S): Bechinie-E SOURCE (BIBLIOGRAPHIC CITATION): Cesk-Gynekol. 1992 Jun; 57(5): 217-9 INTERNATIONAL STANDARD SERIAL NUMBER: 0374-6852 LANGUAGE OF ARTICLE: CZECH; NON-ENGLISH MEDLINE ACCESSION NUMBER: 1993046784 TITLE: [Conization and pregnancy--an analysis of various therapeutic measures for the prevention of premature labor] AUTHOR(S): David-M; Jorde-A SOURCE (BIBLIOGRAPHIC CITATION): Zentralbl-Gynakol. 1991; 113(23): 1304-12 INTERNATIONAL STANDARD SERIAL NUMBER: 0044-4197 LANGUAGE OF ARTICLE: GERMAN; NON-ENGLISH ABSTRACT: In the period under review from 1/6/1980 to 31/3/1990 119 women with a state after conisation of the cervix have been delivered. For treatment of a resultant cervical incompetence there were used in 46% a cervical cerclage, in 7% a support pessary, in 20% the combination of cerclage: pessary and in 27% conservative measures. Retrospectively the final gestational week, the proportion prematured rupture of membranes, of prematurity and dates of the fetal outcome have been examined. The results demonstrate that a selection of patients has to be made with state after conisation according to the seriousness of the cervical incompetence giving the adequate indication for a conservative or active (cerclage and/or pessary) treatment referrend to pregnancy length and the uterine cervix findings. A general determination of only one treatment method for prophylaxis of therapy with state after cervix conisation is not advisable, be cause the results of all examined patient grou! ps--after selection--were not significantly different. MEDLINE ACCESSION NUMBER: 1992180482 TITLE: [The support pessary--a therapeutic possibility in premature opening of the uterine cervix] AUTHOR(S): Gmoser-G; Girardi-F; Mayer-HO; Hermann-J; Haas-J SOURCE (BIBLIOGRAPHIC CITATION): Gynakol-Rundsch. 1991; 31 Suppl 2: 117-9 INTERNATIONAL STANDARD SERIAL NUMBER: 0017-6001 LANGUAGE OF ARTICLE: GERMAN; NON-ENGLISH MEDLINE ACCESSION NUMBER: 1992165125 TITLE: [The Arabin cerclage pessary--an alternative to surgical cerclage] AUTHOR(S): Quaas-L; Hillemanns-HG; du-Bois-A; Schillinger-H SOURCE (BIBLIOGRAPHIC CITATION): Geburtshilfe-Frauenheilkd. 1990 Jun; 50(6): 429-33 INTERNATIONAL STANDARD SERIAL NUMBER: 0016-5751 LANGUAGE OF ARTICLE: GERMAN; NON-ENGLISH ABSTRACT: During 1986-1988, the Arabin-cerclage pessary was used alternatively to surgical cerclage in 58 patients for prophylactic and in 44 cases of therapeutic indications. In 5 additional patients, the pessary was applied instead of emergency cerclage. The advantages of the cerclage pessary compared to other rigid pessary types, are based on its flexibility and adjustment to the anatomic conditions of vagina and cervix. The bowl-shaped pessary is inserted with the curvature upwards and the cervix is fixed in the central opening of the cerclage pessary. Thus a constriction, reconfiguration, and elongation of the incompetent cervix is obtained as evidenced by ultrasonography. The only side effect of the pessary treatment is an increase in cervical secretion and subsequent vaginal discharge. No infectious complications occurred. In 92% of the treated gravidae the cerclage pessary could be removed after the 36th week of gestation. Cerclage pessary can be recommended as a favo! urable alternative to surgical procedures as prophylactic or therapeutic approach, reducing surgical treatment significantly to less than 0.5%. MEDLINE ACCESSION NUMBER: 1990330123 TITLE: [Therapy of cervix insufficiency--cerclage or support pessary?] AUTHOR(S): Forster-F; During-R; Schwarzlos-G SOURCE (BIBLIOGRAPHIC CITATION): Zentralbl-Gynakol. 1986; 108(4): 230-7 INTERNATIONAL STANDARD SERIAL NUMBER: 0044-4197 LANGUAGE OF ARTICLE: GERMAN; NON-ENGLISH ABSTRACT: To evaluate the efficiency of cerclage or pessary a prospective random study has been done from 1982 to 1983. Pelvic score of Bishop and tocolysis index of Baumgarten were used to define the situation at the beginning. Success has been estimated with help of neonatal parameters (birth weight, Apgar score and RDS-morbidity) and final gestational week. Both methods are equal in their effects. MEDLINE ACCESSION NUMBER: 1986210699 TITLE: [Changes in the vaginal flora caused by supporting pessary treatment in pregnancy] AUTHOR(S): Jorde-A; Kastli-K; Hamann-B; Pockrandt-H SOURCE (BIBLIOGRAPHIC CITATION): Zentralbl-Gynakol. 1983; 105(13): 855-62 INTERNATIONAL STANDARD SERIAL NUMBER: 0044-4197 LANGUAGE OF ARTICLE: GERMAN; NON-ENGLISH ABSTRACT: 200 pregnant women with supporting pessary treatment because of cervical insufficiency were compared with one of normal pregnancies concerning microbiological findings and puerperal morbidity. -- 5,5% of the women in the supporting pessary group had pathogenic organisms in their cervix before first amnioscopy, compared to 2% in the control group. The different results of cultural microbiologic examinations in both groups depend on type and duration of birth as well as time of amnion rupture. Women with premature rupture of the membranes (31,0%) had more pathogenic organisms than women with rupture (2,5%) in time. There was no higher infection morbidity compared to the control group. MEDLINE ACCESSION NUMBER: 1983304542 TITLE: The incompetent cervix: a 1982 update. AUTHOR(S): Thomason-JL; Sampson-MB; Beckmann-CR; Spellacy-WN SOURCE (BIBLIOGRAPHIC CITATION): J-Reprod-Med. 1982 Apr; 27(4): 187-92 INTERNATIONAL STANDARD SERIAL NUMBER: 0024-7758 LANGUAGE OF ARTICLE: ENGLISH MEDLINE ACCESSION NUMBER: 1982241878 TITLE: Cervical incompetence, 1980: a time for reappraisal. AUTHOR(S): Cousins-L SOURCE (BIBLIOGRAPHIC CITATION): Clin-Obstet-Gynecol. 1980 Jun; 23(2): 467-79 INTERNATIONAL STANDARD SERIAL NUMBER: 0009-9201 LANGUAGE OF ARTICLE: ENGLISH MEDLINE ACCESSION NUMBER: 1980244860 TITLE: [Prevention of premature labor by means of supporting pessaries (1st experiences)] AUTHOR(S): Dahl-J; Barz-MS SOURCE (BIBLIOGRAPHIC CITATION): Z-Arztl-Fortbild-Jena. 1979 Nov 1; 73(21): 1010-1 INTERNATIONAL STANDARD SERIAL NUMBER: 0044-2178 LANGUAGE OF ARTICLE: GERMAN; NON-ENGLISH MEDLINE ACCESSION NUMBER: 1981017194 TITLE: [Non-invasive cerclage using supportive pessaries for prevention and therapy of premature birth] AUTHOR(S): Seyffarth-K SOURCE (BIBLIOGRAPHIC CITATION): Zentralbl-Gynakol. 1978; 100(23): 1566-70 INTERNATIONAL STANDARD SERIAL NUMBER: 0044-4197 LANGUAGE OF ARTICLE: GERMAN; NON-ENGLISH ABSTRACT: It was told about a pessary, with the help of which could be done an excellent therapy and prophylaxis of the threatening of a partus pramaturus imminens in cervixinsufficiency. To make use of it is very simple. With the help of this method one could lower the rate of miscarriages to 3,6% in comparison to a period without cerclage or pessary, when the rate of premature children was 6,6%. MEDLINE ACCESSION NUMBER: 1979120666 TITLE: [A cubical support pessary within the scope of complex therapy of threatening prematurity] AUTHOR(S): Jorde-A; Hamann-B; Deicke-P; Belling-KH SOURCE (BIBLIOGRAPHIC CITATION): Zentralbl-Gynakol. 1978; 100(4): 235-41 INTERNATIONAL STANDARD SERIAL NUMBER: 0044-4197 LANGUAGE OF ARTICLE: GERMAN; NON-ENGLISH ABSTRACT: Report about experience with a cubic supperting pessary for the prophylaxis and therapy in cervixinsufficiency or inpending premature delivery. The indication, selection, evaluation of riscfactors and the application of a complex therapy are discussed.--Information on therapeutic results and a first conclusion concerning the longtime incorporation of pessaries during pregnancy and the questions related to this. For the period under review, in which intensive prophylactic measures were carried out, a considerable decrease in premature deliveries could be achieved in the territory of pregnancy care center attached to our hospital. MEDLINE ACCESSION NUMBER: 1978183306 TITLE: [Various new aspects for prevention and therapy of impending premature birth] AUTHOR(S): Bayer-H SOURCE (BIBLIOGRAPHIC CITATION): Zentralbl-Gynakol. 1977; 99(9): 547-51 INTERNATIONAL STANDARD SERIAL NUMBER: 0044-4197 LANGUAGE OF ARTICLE: GERMAN; NON-ENGLISH ABSTRACT: After a short representation of the present possibilities in prophylaxis and therapy of premature infants an information is given about disturbances of metabolism of the liver follow up the treatment with beta-adrenergic substances. Further a first report is given about laying in of pessars in addition to cerclage in cases of insufficiency of the cervix uteri. MEDLINE ACCESSION NUMBER: 1977238666 TITLE: [Treatment of cervix incompetence in pregnant women by means of Mayer's pessary. Discussion contribution on the paper of K. Jiratek et al. "Directed therapy of threatened premature abortion--comparison of treatment results using cerclage and pessary"] AUTHOR(S): Bechinie-E SOURCE (BIBLIOGRAPHIC CITATION): Cesk-Gynekol. 1977 Apr; 42(3): 205-6 INTERNATIONAL STANDARD SERIAL NUMBER: 0069-231X LANGUAGE OF ARTICLE: CZECH; NON-ENGLISH MEDLINE ACCESSION NUMBER: 1977160166
-- Peter Wein
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:31:00 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.