{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T03:19:02Z","timestamp":1774581542995,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2010,12,24]],"date-time":"2010-12-24T00:00:00Z","timestamp":1293148800000},"content-version":"vor","delay-in-days":1756,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2006,3,4]]},"abstract":"<jats:p>Women with incontinence and\/or pelvic organ prolapse presenting to an urogynecology service were offered referral to a dedicated midwifery pessary clinic. Charts of these women were reviewed for demographic information, physical examination, pelvic floor disorders, and details of pessary\u2010fitting sessions. Successful fitting was defined as a comfortable fit and retention of the pessary with valsalva and voiding. Continuation was defined as a successfully fit patient who returned at least once after the initial fitting with the pessary still in use. Spearman's correlations identified variables associated with successful fitting and continuation of use. Logistic regression identified variables that predicted continued use. Eighty\u2010six percent of women were successfully fit, and 89% continued pessary use for a mean of 6 months. Predictors of unsuccessful fitting included a history of a prior prolapse procedure or hysterectomy (<jats:italic>P<\/jats:italic> \u2264 .001). Severe posterior prolapse was associated with pessary discontinuation after adjustment for patient's age (<jats:italic>P<\/jats:italic> &lt; .04). Success rates for treatment of stress urinary incontinence, pelvic organ prolapse, or both were not significantly different (success rates of 94%, 89%, and 81%, respectively; <jats:italic>P<\/jats:italic> = .50). Predictors of unsuccessful pessary fitting include history of a prior prolapse procedure and hysterectomy. Severe posterior prolapse was the single predictor of pessary discontinuation.<\/jats:p>","DOI":"10.1016\/j.jmwh.2005.09.003","type":"journal-article","created":{"date-parts":[[2006,3,1]],"date-time":"2006-03-01T20:16:15Z","timestamp":1141244175000},"page":"78-84","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":63,"title":["Predictors of Successful Pessary Fitting and Continued Use in a Nurse\u2010Midwifery Pessary Clinic"],"prefix":"10.1111","volume":"51","author":[{"given":"Jennifer M.","family":"Maito","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zellisha A.","family":"Quam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"Craig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kara A.","family":"Dannerq","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca G.","family":"Rogers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,24]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.353"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00058-6"},{"key":"e_1_2_6_4_2","first-page":"789","article-title":"Nonsurgical management of genital prolapse. A review and recommendations for clinical practice","volume":"45","author":"Poma PA.","year":"2000","journal-title":"J Reprod Med"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1526-9523(99)00003-3"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.10.711"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70243-0"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-197212000-00020"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70043-7"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.08.034"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00481-X"},{"key":"e_1_2_6_12_2","unstructured":"PowersK LazarouG WangA LaCombeJ BensingerG GrestonWM et al.Pessary use in advanced pelvic organ prolapse.Int Urogynecol J Pelvic Floor Dysfunct [Internet]2005. Available from:http:www.springerlink.com."},{"key":"e_1_2_6_13_2","first-page":"205","article-title":"Gynecologists' pattern of prescribing pessaries","volume":"46","author":"Pott\u2010Grinstein E","year":"2001","journal-title":"J Reprod Med"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.04.048"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70049-8"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)00788-2"},{"key":"e_1_2_6_17_2","first-page":"2719","article-title":"Practical use of the pessary","volume":"61","author":"Viera AJ","year":"2000","journal-title":"Am Fam Physician"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.03.083"},{"key":"e_1_2_6_19_2","first-page":"89","article-title":"Prevention of exercise incontinence with mechanical devices","volume":"40","author":"Nygaard I.","year":"1995","journal-title":"J Reprod Med"},{"key":"e_1_2_6_20_2","first-page":"220","article-title":"Pessary test in women with urinary incontinence","volume":"65","author":"Bhatia NN","year":"1985","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_21_2","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1016\/0002-9378(83)90239-9","article-title":"Urodynamic effects of a vaginal pessary in women with stress urinary incontinence","volume":"147","author":"Bhatia NN","year":"1983","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200306000-00024"},{"key":"e_1_2_6_23_2","first-page":"919","article-title":"Vaginal pessaries and their use in pelvic relaxation","volume":"38","author":"Sulak PJ","year":"1993","journal-title":"J Reprod Med"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001920200078"}],"container-title":["Journal of Midwifery &amp; Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.jmwh.2005.09.003","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.jmwh.2005.09.003","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.jmwh.2005.09.003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T19:54:38Z","timestamp":1697399678000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.jmwh.2005.09.003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,3,4]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2006,3,4]]}},"alternative-id":["10.1016\/j.jmwh.2005.09.003"],"URL":"https:\/\/doi.org\/10.1016\/j.jmwh.2005.09.003","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,3,4]]},"assertion":[{"value":"2010-12-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}