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Date Published: 27/05/2024
Online Published: 27/05/2024
Abstract Views: 20
Views PDF: 20
DOI: https://doi.org/10.58490/ctump.2024i74.2382
Issue
No. 74 (2024)
Section
Article
How to Cite
Ong , Q. T., Huynh , T. L., Lam , D. T., Van , T. C., Quan , K. P., Nguyen, T. T., & Le , M. T. (2024). EVALUATION OF CERVICAL PESSARY AND PROGESTERONE IN PRETERM BIRTH PREVENTING AT 16-28 WEEKS GESTATION AT CAN THO GYNECOLOGY OBSTETRICS HOSPITAL IN 2022-2024. Cantho Journal of Medicine and Pharmacy, 74, 112-118. https://doi.org/10.58490/ctump.2024i74.2382

EVALUATION OF CERVICAL PESSARY AND PROGESTERONE IN PRETERM BIRTH PREVENTING AT 16-28 WEEKS GESTATION AT CAN THO GYNECOLOGY OBSTETRICS HOSPITAL IN 2022-2024

Quoc Thai Ong 1,, Huỳnh Thanh Liêm2, Lâm Đức Tâm1, Thuy Cam Van 2, Kim Phung Quan 1, Nguyễn Thanh Thủy2, Lê Minh Triết2
1 Can Tho University of Medicine and Pharmacy
2 Can Tho Gynecology Obstetrics Hospital

Main Article Content

Abstract

Background: Preterm birth is the leading cause of death in newborns. Preterm birth also leads to many physical and mental problems and is an economic burden for families and society. Therefore, effective screening and prevention of preterm birth brings many benefits to the quality of the population and future life. Objectives: To evaluate the results of preterm birth prevention using a cervical pessary and progesterone between 16-28 weeks and different factors related to the effectiveness of prolonging gestation. Materials and method: A case series study was conducted on 60 cases pregnant women between 16-28 weeks with a short cervical length who were prevented from preterm birth with an Arabin pessary and progesterone at Can Tho Gynecology Obstetrics Hospital from September, 2022 to December 2023. Results: The birth rate at ≥34 weeks was 90%, and at ≥ 37 weeks was 55%. The average time from intervention to birth was 98.9 ± 36.6 days. The most common side effectisincreased vaginal discharge accounting for 30%. Cervical funneling increases the risk of preterm birth <34 weeks with statistical significance, with an odds ratio of 7.0 (p=0.038; CI 1.1-43.0). Conclusion: Using the Arabin pessary and progesterone for preventing preterm birth in pregnant women is an effective method, simple, method with a low side effect rate.

Article Details

Keywords

Arabin pessary, prevention of preterm birth, hospital

References

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