A multi-centre, non-inferiority, randomised controlled trial to compare a cervical pessary with a cervical cerclage in the prevention of preterm delivery in women with short cervical length and a history of preterm birth - PC studyKoullali, B., van Kempen, L. E. M., van Zijl, M. D., Naaktgeboren, C. A., Schuit, E., Bekedam, D. J., Franssen, M. T. M., Bijvank, S. W. A. N., Sueters, M., van Baal, M., de Boer, M. A., Hooker, A. B., Hermsen, B. B. J., Toolenaar, T. A. A. M., Zwart, J. J., van der Ham, D. P., van der Made, F. W., Prefumo, F., de Tejada, B. M., Papatsonis, D. N. M., Huisjes, A. J. M., Scheepers, L. H. C. J., van Hoorn, M. E., Hasaart, T. H. M., Schuitemaker, N. W. E., Vollebregt, K. C., Mueller, M. A., Evers, I. M., Post, M. S., de Boer, K., Visser, H., van Charante, N. A. M., Langenveld, J., Steemers, N. Y. C., Mol, B. W. J., Oudijk, M. A. & Pajkrt, E. 6-Jul-2017 In : BMC Pregnancy and Childbirth. 17, 9 p., 215
Research output: Scientific - peer-review › Article
Background: Preterm birth is in quantity and in severity the most important contributor of perinatal morbidity and mortality both in well- and low-resource countries. Cervical pessary and cervical cerclage are both considered as preventive treatments in women at risk for preterm birth. We aim to evaluate whether a cervical pessary can replace cervical cerclage for preventing recurrent preterm birth in women with a prior preterm birth due to cervical insufficiency or in women with a prior preterm birth and a short cervix in the current pregnancy.
Methods/design: A nationwide open-label multicentre randomised clinical trial will be set up to study women with a singleton pregnancy and a prior preterm birth before 34 weeks of gestation. Women are eligible in case of previous preterm birth based on cervical insufficiency (primary intervention,
Discussion: The outcome of this study will indicate the effectiveness and the cost-effectiveness of a cervical cerclage and of a cervical pessary.
|Number of pages||9|
|Journal||BMC Pregnancy and Childbirth|
|State||Published - 6-Jul-2017|
- Preterm birth, Prevention, Cerclage, Pessary, Morbidity, INCOMPETENCE, RECURRENCE, PREGNANCY, PECEP