Prophylactic use of the Arabin cervical pessary in fetuses with severe congenital diaphragmatic hernia treated by fetoscopic endoluminal tracheal occlusion (FETO): preliminary experience
Articolo
Data di Pubblicazione:
2016
Citazione:
Prophylactic use of the Arabin cervical pessary in fetuses with severe congenital diaphragmatic hernia treated by fetoscopic endoluminal tracheal occlusion (FETO): preliminary experience / O. Dobrescu, M.M. Cannie, A. Cordier, C. Rodó, I. Fabietti, A. Benachi, E. Carreras, N. Persico, I. Hurtado, L. Gucciardo, J.C. Jani. - In: PRENATAL DIAGNOSIS. - ISSN 1097-0223. - 36:1(2016 Jan), pp. 81-87. [10.1002/pd.4716]
Abstract:
OBJECTIVE:
The aim of this study was 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:
The study concerns a consecutive series of 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:
Fifty-nine 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 = 0.28) 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.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Adolescent; Adult; Female; Fetoscopy; Follow-Up Studies; Hernias, Diaphragmatic, Congenital; Humans; Pregnancy; Premature Birth; Prospective Studies; Retrospective Studies; Severity of Illness Index; Trachea; Treatment Outcome; Young Adult; Pessaries
Elenco autori:
O. Dobrescu, M.M. Cannie, A. Cordier, C. Rodó, I. Fabietti, A. Benachi, E. Carreras, N. Persico, I. Hurtado, L. Gucciardo, J.C. Jani
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