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Position paper of the task force for obstetrics and prenatal medicine (AGG - section preterm birth) on the placement, removal and surveillance of the Arabin cervical pessary in patients at risk for spontaneous preterm birth = Positionspapier der Arbeitsgemeinschaft Geburtshilfe und Pränatalmedizin (AGG – Sektion Frühgeburt) zur Platzierung, Entfernung und Überwachung von Arabin-Zervixpessaren bei Patientinnen mit erhöhtem Frühgeburtsrisiko

This position paper describes clinically important, practical aspects of cervical pessary treatment. Transvaginal ultrasound is standard for the assessment of cervical length and selection of patients who may benefit from pessary treatment. Similar to other treatment modalities, the clinical use and...

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Main Authors: Kybernētakēs, Iōannēs (Author) , Maul, Holger (Author) , Rath, Werner (Author) , Kraft, Katrina (Author) , Kuon, Ruben-Jeremias (Author) , Hamza, Amr (Author) , Reuschel, Edith (Author) , Filsinger, Barbara (Author) , Abele, Harald (Author) , Garnier, Yves (Author) , Bahlmann, Franz (Author) , Schleußner, Ekkehard (Author) , Berger, Richard (Author)
Format: Article (Journal)
Language:English
Published: 11. Nov 2019
In: Geburtshilfe und Frauenheilkunde
Year: 2019, Volume: 79, Issue: 11, Pages: 1171-1175
ISSN:1438-8804
DOI:10.1055/a-1007-8613
Online Access:Verlag, Volltext: https://doi.org/10.1055/a-1007-8613
Verlag, Volltext: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846727/
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Author Notes:Ioannis Kyvernitakis, Holger Maul, Werner Rath, Katrina Kraft, Ruben Kuon, Amr Hamza, Edith Reuschel, Barbara Filsinger, Harald Abele, Yves Garnier, Franz Bahlmann, Ekkehard Schleußner, Richard Berger
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Summary:This position paper describes clinically important, practical aspects of cervical pessary treatment. Transvaginal ultrasound is standard for the assessment of cervical length and selection of patients who may benefit from pessary treatment. Similar to other treatment modalities, the clinical use and placement of pessaries requires regular training. This training is essential for proper pessary placement in patients in emergency situations to prevent preterm delivery and optimize neonatal outcomes. Consequently, pessaries should only be applied by healthcare professionals who are not only familiar with the clinical implications of preterm birth as a syndrome but are also trained in the practical application of the devices. The following statements on the clinical use of pessary application and its removal serve as an addendum to the recently published German S2-consensus guideline on the prevention and treatment of preterm birth.
Item Description:Gesehen am 02.03.2020
Physical Description:Online Resource
ISSN:1438-8804
DOI:10.1055/a-1007-8613

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