PREGNANCY OUTCOMES IN PREGNANT WOMEN WITH SHORT CERVIX MANAGED WITH PESSARY PLACEMENT AT VINMEC NHA TRANG INTERNATIONAL HOSPITAL
Main Article Content
Abstract
Objectives: To describe clinical characteristics, evaluate pregnancy outcomes, and analyze prognostic factors in pregnant women with a short cervix managed with a pessary. Methods: A retrospective descriptive study was conducted on 54 pregnant women with a short cervix who received a pessary at Vinmec Nha Trang International General Hospital from December 2022 to December 2024. Data were analyzed using descriptive statistics and logistic regression to identify prognostic factors for preterm birth. Results: The majority of pregnancies were singleton (88.9%), with no history of preterm birth (96.3%), and a short cervix ≤ 25mm (87%). The term birth rate (≥37 weeks) was 77.8%. The mean gestational age at delivery was 36.97 ± 4.04 weeks. Twin gestation was identified as an independent prognostic factor that significantly increased the risk of preterm birth (OR =29.28; 95%CI: 2.83 - 303.13; p = 0.005). The rate of adverse effects was low, with one recorded case (1.9%) of preterm premature rupture of membranes. Conclusion: Cervical pessary placement is a safe intervention associated with favorable pregnancy outcomes in a carefully selected pregnant women. However, twin gestation is a critical prognostic factor for a higher risk of treatment failure.
Keywords
Cervical pessary, Preterm birth, Short cervix, Twin gestation
Article Details
References
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