An Integrative Review on Arabin Pessary: The New Kid on the Block in Womb Wellness
Prema Priya G, Ananya Girish, Jeyamani Baskaran, Vijayakarthikeyan Madhu
Keywords :
Cervical length, Preterm birth, SPTB
Citation Information :
G PP, Girish A, Baskaran J, Madhu V. An Integrative Review on Arabin Pessary: The New Kid on the Block in Womb Wellness. J South Asian Feder Obs Gynae 2024; 16 (6):719-723.
Preterm birth as a result of cervical insufficiency is one of the most common causes for perinatal mortality and morbidity. Alongside the traditional approach of interventions like cervical cerclages and pharmacotherapy like progesterone, newer methods like Arabin pessary are burgeoning, thanks to their safer and more effective outcomes. Articles of Arabin pessary elucidating its mechanism of action, its outcomes and its comparison with other methods were collected, and an integrative review has been penned to shine a better understanding on its utilization.
Romero R, Conde-Agudelo A, Da Fonseca E, et al. Vaginal Progesterone for preventing preterm birth and adverse perinatal outcomes in singleton gestations with short cervix-A meta-analysis of individual patient data. Am J Obstet Gynecol 2018;218(2):161–180. DOI: 10.1016/j.ajog.2017.11.576.
Westerway SC, Pedersen LH, Hyett J. Cervical length measurement: A comparison of transabdominal and transvaginal approach. Australas J Ultrasound Med 2015;18(1):19–26. DOI: 10.1002/j.2205-0140.2015.tb00019.x.
World Health Organization. Preterm birth. Available from: http://www.who.int/news-room/factsheets/detail/preterm.
Brown R, Gagnon R, Delisle MF, et al. Cervical insufficiency and cervical cerclage. J Obstet Gynaecol Can 2013;35(12):1115–1127. DOI: 10.1016/S1701-2163(15)30764-7.
Iams JD, Goldenberg RL, Meis PJ, et al. The length of the cervix and the risk of spontaneous premature delivery. National Institute of Child Health and Human Development Maternal Fetal Medicine Unit Network. N Engl J Med 1996;334(9):567–572. DOI: 10.1056/NEJM199602293340904.
Alfirevic Z, Stampalija T, Medley N. Cervical stitch (cerclage) for preventing preterm birth in singleton pregnancy. Cochrane Database Syst Rev 2017;6(6):CD008991. DOI: 10.1002/14651858.CD008991.pub3.
Dodd JM, Grivell RM, O'Brien CM, et al. Prenatal administration of progestogens for preventing spontaneous preterm birth in women with a multiple pregnancy. Cochrane Database Syst Rev 2017;10:CD012024. DOI: 10.1002/14651858.CD012024.pub2.
Li C, Shen J, Hua K. Cerclage for women with twin pregnancies: A systematic review and metaanalysis. Am J Obstet Gynecol 2019;220(6):543–557.e1. DOI: 10.1016/j.ajog.2018.11.1105.
Ivandic J, Care A, Goodfellow LR, et al. cervical pessary for short cervix in high risk pregnant women: 5 years’ experience in a single Centre. J Matern Fetal Neonatol Med 2018;25:1–7.
Daskalakis G, Zacharakis D, Theodora M, et al. Safety and efficacy of the cervical pessary combined with vaginal progesterone for the prevention of spontaneous preterm birth. J Perinat Med 2018;46(5):531–537. DOI: 10.1515/jpm-2017-0009.
Abdel-Aleem H, Shaaban OM, Abdel-Aleem MA, et al. Cervical pessary for preventing preterm birth in singleton pregnancies. Cochrane Database Syst Rev 2022;12(12):CD014508. DOI: 10.1002/14651858.CD014508.
Araben H, Pessar therapie (Therapy with Pessaries). In: Gynakologic, Martuis G (Ed). Thieme Sturrtgart – New York; 1991. pp. 263–276.
Araben B, Halbesma JR, Vork F, et al. Is treatment with vaginal pessaries an option in patients with a sonographically detected short cervix? J Perinat Med 2003;31(2):122–133. DOI: 10.1515/JPM.2003.017.
Arabin B, Roos C, Kollen B, et al. Comparison of transvaginal sonography in recumbent and standing maternal positions to predict spontaneous preterm birth in singleton and twin pregnancies. Ultrasound Obstet Gynecol 2006;27(4):377–386. DOI: 10.1002/uog.2694.
Becher N, Adams Waldorf K, Hein M, et al. The cervical mucus plug: Structured review of the literature. Acta Obstet Gynecol Scand 2009;88(5):502–513. DOI: 10.1080/00016340902852898.
Lee DC, Hassan SS, Romero R, et al. Protein profiling underscores immunological functions of uterine cervical mucus plug in human pregnancy. J Proteomics 2011;74(6):817–828. DOI: 10.1016/j.jprot.2011.02.025.
Cannie MM, Dobrescu O, Gucciardo L, et al. Arabin cervical pessary in women at high risk of preterm birth: A magnetic resonance imaging observational follow-up study. Ultrasound Obstet Gynecol 2013;42(4):426–433. DOI: 10.1002/uog.12507.
Ferguson JKW. A study of the motility of the intact uterus at term. Surg Gynecol Obstet 1941;73(3):359–366.
Arabin B, Alfirevic Z. Cervical pessaries for prevention of spontaneous preterm birth: Past, present and future. Ultrasound Obstet Gynecol 2013;42(4):390–399. DOI: 10.1002/uog.12540.
Goya M, Pratcorona L, Merced C, et al. Cervical pessary in pregnant women with a short cervix(PECEP): An open-label randomised controlled trial. Lancet 2012;379(9828):1800–1806. DOI: 10.1016/S0140-6736(12)60030-0.
Hui S, Chor C, Lau T, et al. Cerclage pessary for preventing preterm birth in women with a singleton pregnancy and a short cervix at 20 to 24 weeks: A randomized controlled trial. Am J Perinatol 2013;30(4):283–288. DOI: 10.1055/s-0032-1322550.
Nicolaides K, Syngelaki A, Poon L, et al. A randomized trial of a cervical pessary to prevent preterm singleton birth. New Engl J Med 2016;374(11):1044–1052. DOI: 10.1056/NEJMoa1511014.
Tsikouras P, Anastasopoulos G, Maroulis V, et al. Comparative evaluation of Arabin pessary and cervical cerclage for the prevention of preterm labor in asymptomatic women with high risk factors. Int J Environ Res Public Health 2018;15(4):791. DOI: 10.3390/ijerph15040791.
Alfirevic Z, Owen J, Carreras Moratonas E, et al. Vaginal progesterone, cerclage or cervical pessary for preventing preterm birth in asymptomatic singleton pregnant women with history of preterm birth and a sonographic short cervix. Ultrasound Obstet Gynecol 2013;41(2):146–151. DOI: 10.1002/uog.12300.
Rahman RA, Atan IK, Ali A, et al. Use of the Arabin pessary in women at high risk for preterm birth: Long-term experience at a single tertiary center in Malaysia. BMC Pregnancy Childbirth 2021;21(1):368. DOI: 10.1186/s12884-021-03838-x.
Barinov SV, Shamina IV, Lazareva OV, et al. Comparative assessment of Arabin pessary, cervical cerclage and medical management for preterm birth prevention in high-risk pregnancies. J Matern Fetal Neonatal Med 2017;30(15):1841–1846. DOI: 10.1080/14767058.2016.1228054.
Carreras E, Arevalo S, Bello-Munoz JC, et al. Arabin cervical pessary to prevent preterm birth in severe twin-to-twin transfusion syndrome treated by laser surgery. Prenat Diagn 2012;32(12):1181–1185. DOI: 10.1002/pd.3982.
Liem S, Schuit E, Bais J, et al. Pessaries in multiple pregnancy as a prevention of preterm birth (ProTWIN): A randomized controlled trial. Am J Obstet Gynecol 2013;208(Suppl). DOI: 10.1016/j.ajog.2012. 10.175.
Liem S, Schuit E, Hegeman M, et al. Cervical pessaries for prevention of preterm birth in women with a multiple pregnancy (ProTWIN): A multicentre, open-label randomised controlled trial. Lancet 2013;382(9901):1341–1349. DOI: 10.1016/S0140-6736(13)61408-7.
Fox NS, Gelber SE, Kalish RB, et al. History-indicated cerclage: Practice patterns of maternal-fetal medicine specialists in the USA. J Perinat Med 2008;36(6):513–517. DOI: 10.1515/JPM.2008.083.
Lee SM, Jun JK. Prediction and prevention of preterm birth after cervical conization. J Gynecol Oncol 2010;21(4):207–208. DOI: 10.3802/jgo.2010.21.4.207.
Nam KH, Kwon JY, Kim YH, et al. Pregnancy outcome after cervical conization: Risk factors for preterm delivery and the efficacy of prophylactic cerclage. J Gynecol Oncol 2010;21(4):225–229. DOI: 10.3802/jgo.2010.21.4.225.
Kyvernitakis I, Arabin B. (P299) Early treatment of cerivical shortening after conization. Is there a place for the Arabin pessary and abdominal cerclage? COGI congress, Lisbon 2012. Available from: http://www.congressmed.com/cogilisbon/program/e-posters.html.
Garg R, Rawat A, Lal P, et al. Evidence-based approach for preventing preterm birth: Cervical stitch (cerclage) vs role of arabin pessary for cervical insufficiency. J South Asian Feder Obst Gynae 2020;12(1):1–4. DOI: 10.5005/jp-journals-10006-1745.