{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T08:42:34Z","timestamp":1783759354229,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T00:00:00Z","timestamp":1635292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 37\u2010year\u2010old multiparous woman complained of uterine prolapse at 14\u2009weeks of gestation. A silicone ring\u2010shaped middle\u2010size vaginal pessary (# 62\u2009mm) was placed into the vagina to reduce prolapsed uterus. Because the cervical length became shortened at 25\u2009weeks of gestation, we decided to start intramuscular administration of progesterone (250\u2009mg) weekly. At 33\u2009weeks of gestation, she complained of the vaginal pessary spontaneous falling out, so we inserted a vaginal pessary of the same size again. The uterocervical angle became acute, going from 100\u00b0 to 60\u00b0 after placing the vaginal pessary into the vagina. We took the vaginal pessary out at 37\u2009weeks of gestation. The patient gave birth at 39\u2009weeks by spontaneous vaginal delivery to a healthy baby. A vaginal pessary may help continue a pregnancy via the same mechanism as a cervical pessary, which sharpens the uterocervical angle.<\/jats:p>","DOI":"10.1111\/jog.15079","type":"journal-article","created":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T08:17:28Z","timestamp":1635322648000},"page":"271-274","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Vaginal pessary sharpens uterocervical angle in uterine prolapse during pregnancy. A case report"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2890-2802","authenticated-orcid":false,"given":"Yoshio","family":"Matsuda","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecolgy Toho Women's Clinic  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miki","family":"Tagawa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecolgy Toho Women's Clinic  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohei","family":"Shirai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecolgy Toho Women's Clinic  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minako","family":"Hattori","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecolgy Toho Women's Clinic  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miki","family":"Matsumine","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecolgy Toho Women's Clinic  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisami","family":"Matsumine","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecolgy Toho Women's Clinic  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1573-2"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.5152\/jtgga.2010.010"},{"issue":"2","key":"e_1_2_6_4_1","first-page":"1","article-title":"Uterine prolapse in pregnancy: two cases report and literature review","volume":"2018","author":"Zeng C","year":"2018","journal-title":"Case RepObstetr Gynecol"},{"issue":"5","key":"e_1_2_6_5_1","first-page":"346","article-title":"Cervical prolapse complicating pregnancy","volume":"89","author":"Brown HL","year":"1997","journal-title":"J Natl Med Assoc"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2013.807235"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-007-0354-0"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa067815"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199905001-00028"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.03.033"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.12507"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-019-2513-2"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.15079","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jog.15079","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.15079","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T11:26:29Z","timestamp":1693221989000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.15079"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,27]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1111\/jog.15079"],"URL":"https:\/\/doi.org\/10.1111\/jog.15079","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,27]]},"assertion":[{"value":"2021-05-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}