{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T05:54:24Z","timestamp":1769925264429,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2012,10,11]],"date-time":"2012-10-11T00:00:00Z","timestamp":1349913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2012,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe the outcome of patients with twin\u2010to\u2010twin transfusion syndrome and cervical length\u2009\u2264\u200925\u2009mm, treated with laser and an Arabin cervical pessary.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of a consecutive series of all cases with severe twin\u2010to\u2010twin transfusion syndrome who underwent laser surgery: a group with cervical length above 25\u2009mm (group A) and two groups who had a cervical length of 25\u2009mm or less prior to the procedure. The first 8 cases (group B) were managed expectantly and the next 8 cases had a cervical pessary inserted immediately after laser surgery (group C). Gestational age at birth was the primary outcome. The secondary outcome was a composite one encompassing severe neonatal morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median gestational age at laser surgery was 20\u2009weeks in all groups but the median gestational age at delivery was significantly higher in group C versus B (28 vs 32\u2009weeks, <jats:italic>p<\/jats:italic>\u2009=\u20090.01). Severe neonatal morbidity was present in 18% in group C and 70% in group B (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Early results suggest a potential role for pessary use in prolonging gestation in cases with shortened cervix at the time of laser. A randomized trial to test this hypothesis should be performed. \u00a9 2012 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.3982","type":"journal-article","created":{"date-parts":[[2012,10,11]],"date-time":"2012-10-11T13:25:11Z","timestamp":1349961911000},"page":"1181-1185","source":"Crossref","is-referenced-by-count":27,"title":["Arabin cervical pessary to prevent preterm birth in severe twin\u2010to\u2010twin transfusion syndrome treated by laser surgery"],"prefix":"10.1002","volume":"32","author":[{"given":"Elena","family":"Carreras","sequence":"first","affiliation":[{"name":"Maternal\u2010Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Catalonia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Ar\u00e9valo","sequence":"additional","affiliation":[{"name":"Maternal\u2010Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Catalonia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Carlos","family":"Bello\u2010Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Maternal\u2010Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Catalonia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Goya","sequence":"additional","affiliation":[{"name":"Maternal\u2010Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Catalonia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlota","family":"Rod\u00f3","sequence":"additional","affiliation":[{"name":"Maternal\u2010Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d'Hebron Universitat Aut\u00f2noma de Barcelona  Barcelona Catalonia 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