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Possible advantages of cervical pessaries include the easy, \u2018one\u2010off\u2019 application, good side\u2010effect profile, good patient tolerance and relatively low cost compared with current alternatives. Use of transvaginal sonography to assess cervical length in the second trimester allows much better selection of patients who may benefit from the use of a cervical pessary, but future clinical trials are needed to establish clearly the role of pessaries as a preterm birth prevention strategy worldwide. \u00a9 2013 The Authors. 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