{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T05:41:49Z","timestamp":1648791709337},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\nHintergrund Bei Auftreten einer Zervixverk\u00fcrzung\n&lt;25\u2009mm vor der 34. SSW kann gem\u00e4\u00df der\nAMWF-Leitlinie (015\u2013025 Stand Februar 2019) die Einlage eines\nZerclage Pessars erfolgen. Die Datenlage zum Nutzen einer Pessar-Einlage zur\nVermeidung der Fr\u00fchgeburtlichkeit ist allerdings kontrovers.<\/jats:p><jats:p>\nMaterial\/Methoden Wir haben in unserer Klinik zwischen der 20.\nund 32. SSW bei 83 Patientinnen ein Cerclage-Pessar eingelegt und supportiv\nintravaginal 200\u2009mg Progesteron appliziert und unsere Daten im\nHinblick auf die Verl\u00e4ngerung der Tragzeit durch diese Intervention\nausgewertet und mit der Literatur verglichen. Retrospektiv konnte das\nPatientinnen-Kollektiv zur Auswertung in eine high-risk Gruppe mit einer\nZervixl\u00e4nge &lt;\u200915\u2009mm und eine low-risk Gruppe\nmit einer Zervixl\u00e4nge zwischen 15 bis 25\u2009mm unterteilt\nwerden.<\/jats:p><jats:p>\nErgebnisse Unsere Daten belegen, dass bei 59% der Patientinnen\neine Fr\u00fchgeburt vermieden werden konnte, bzw. die Geburt sogar zu\n79% nach der 34+0 SSW erfolgte. Die Rate der\nFr\u00fchgeburtlichkeit vor der 34+0 SSW lag sowohl in der\nhigh-risk Gruppe (&lt;15\u2009mm Zervixl\u00e4nge) als auch in\nder low-risk Gruppe bei ca. 20%.<\/jats:p><jats:p>\nSchlussfolgerung Zusammenfassend konnte durch die Therapie mit\nProgesteron und Pessar bei minimaler Nebenwirkungsrate und guter Compliance\nder Patientinnen die Hospitalisierung reduziert werden. Trotz divergenter\nDatenlage zu diesem Thema denken wir, dass unser Management eine\nkosteng\u00fcnstige, die Compliance verbessernde Intervention\ndarstellt.<\/jats:p>","DOI":"10.1055\/a-1153-9355","type":"journal-article","created":{"date-parts":[[2020,5,11]],"date-time":"2020-05-11T23:02:15Z","timestamp":1589238135000},"page":"51-54","source":"Crossref","is-referenced-by-count":0,"title":["Vermeidung der Fr\u00fchgeburt durch Einlage eines Zerclage-Pessars \u2013 Eine klinische retrospektive\nKohortenanalyse"],"prefix":"10.1055","volume":"225","author":[{"given":"Anna","family":"Hentrich","sequence":"additional","affiliation":[{"name":"Gyn\u00e4kologie und Geburtshilfe, Sana Klinikum Offenbach GmbH, Offenbach"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne","family":"Marek","sequence":"additional","affiliation":[{"name":"Gyn\u00e4kologie und Geburtshilfe, Sana Klinikum Offenbach GmbH, Offenbach"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Jackisch","sequence":"additional","affiliation":[{"name":"Gyn\u00e4kologie und Geburtshilfe, Sana Klinikum Offenbach GmbH, Offenbach"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,5,11]]},"reference":[{"key":"ref2","doi-asserted-by":"crossref","first-page":"1800","DOI":"10.1016\/S0140-6736(12)60030-0","article-title":"Cervical pessary in pregnant women with a short cervix (PECEP): An open-label\nrandomised controlled trial","volume":"379","author":"M Goya","year":"2012","journal-title":"The Lancet"},{"key":"ref3","first-page":"283","article-title":"Cerclage pessary for preventing preterm birth in women with a singleton\npregnancy and a short cervix at 20 to 24 weeks: a randomized controlled\ntrial","volume":"30","author":"S Y Hui","year":"2013","journal-title":"American Journal of Perinatology"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1002\/uog.12540","article-title":"Cervical pessaries for prevention of spontaneous preterm birth: past, present\nand future","volume":"42","author":"B Arabin","year":"2013","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.7863\/ultra.16.08054","article-title":"Cervical Pessary of Preventing Preterm Birth in Singleton Pregnancies With Short\nCervical Length","volume":"36","author":"G Saccone","year":"2017","journal-title":"J Ultrasound Med"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1055\/s-0038-1676511","article-title":"Use of the Pessary in the Prevention of Preterm Delivery","volume":"41","author":"T D Corr\u00eaa","year":"2019","journal-title":"Rev Bras Ginecol Obstet"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1055\/a-1007-8613","article-title":"Position paper of the Task Force for Obstetrics and Prenatal Medicine (AGG-\nSection Preterm Birth) on the placement, removal and surveillance of the Arabin\nCervical Pessary in patients at risk for spontaneous preterm birth","volume":"79","author":"I Kyvernitakis","year":"2019","journal-title":"Geburtsh Frauenheilkd"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1097\/AOG.0000000000002884","article-title":"Cervical pessary compared with vaginal progesterone f\u00fcr preventing early\npreterm birth: a randomized controlled trial","volume":"132","author":"S Cruz-Melguizo","year":"2018","journal-title":"Obstet Gynecol"},{"key":"ref9","first-page":"714","article-title":"Cervical pessary after arrested preterm labor: a randomzied controlled\ntrial","volume":"132","author":"FJ R Hermanns","year":"2018","journal-title":"Obstet Gynecol"},{"key":"ref10","first-page":"228","article-title":"Retrospektiver Vergleich des perinatalen Outcomes bei drohender\nFr\u00fchgeburt vor und nach Einf\u00fchrung der\nSekund\u00e4rprophylaxe mittels Cerclagepessar","volume":"78","author":"U Schneider","year":"2018","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"102670","DOI":"10.1016\/j.midw.2020.102670","article-title":"Maternal factors associated with prematurity in public maternity hospitals at the Brazilian Western Amazon","volume":"85","author":"C L Santos","year":"2020","journal-title":"Midwifery"}],"container-title":["Zeitschrift f\u00fcr Geburtshilfe und Neonatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1153-9355.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,18]],"date-time":"2021-02-18T23:38:45Z","timestamp":1613691525000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1153-9355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,11]]},"references-count":10,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2021,2,18]]},"published-print":{"date-parts":[[2021,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1153-9355","relation":{},"ISSN":["0948-2393","1439-1651"],"issn-type":[{"value":"0948-2393","type":"print"},{"value":"1439-1651","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,11]]}}}