{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T16:17:31Z","timestamp":1783613851168,"version":"3.55.0"},"reference-count":32,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:00:00Z","timestamp":1734307200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpm-2024-0444_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>As previous studies on the use of a cervical pessary to prevent preterm birth (PTB) have produced conflicting results, we aimed to investigate the feasibility, acceptability and safety of a new technique for inserting a cervical pessary and compare it with the traditional technique in patients at high risk of PTB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2024-0444_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Women at high risk of PTB treated with a cervical pessary between January 2018 and January 2021 were retrospectively evaluated. After applying exclusion criteria, a total of 68 eligible patients were identified and retrospectively analyzed. The primary outcome was spontaneous PTB before 34\u00a0weeks\u2019 gestation (WG).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2024-0444_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 68 participants, 39 were treated with the traditional method (group 1) and 29 with the new insertion technique (group 2). The rate of spontaneous PTB before 34 WG was significantly lower in group 2 (p=0.020). Birthweight, APGAR scores and satisfaction with the method were significantly higher, while PTB before 37 WG was significantly lower in group 2 (p=0.043, 0.010, 0.009, 0.042 and 0.014, respectively). There were no significant differences in the rates of perinatal death (12.8 vs. 3.4\u202f% in groups 1 and 2, respectively; p=0.229). The concomitant use of vaginal progesterone was required more frequently in group 1. According to the binary regression analysis, the new insertion technique resulted in a 5.42 and 3.97-fold protection against PTB before 34 and 37 WG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2024-0444_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our preliminary results show that our new technique of pessary insertion is more effective than the traditional method in preventing PTB due to cervical shortening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpm-2024-0444","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T09:26:07Z","timestamp":1734081967000},"page":"358-366","source":"Crossref","is-referenced-by-count":2,"title":["Atraumatic forceps-guided insertion of the cervical pessary: a new technique to prevent preterm birth in women with asymptomatic cervical shortening"],"prefix":"10.1515","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9602-9099","authenticated-orcid":false,"given":"Murat Levent","family":"Dereli","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Perinatology , Ministry of Health Denizli State Hospital , Denizli , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6925-4784","authenticated-orcid":false,"given":"Mehmet","family":"Obut","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Perinatology , Diyarbak\u0131r Gazi Ya\u015fargil Training and Research Hospital , Diyarbak\u0131r , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2432-1434","authenticated-orcid":false,"given":"Sadullah","family":"\u00d6zkan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Perinatology , Ministry of Health Ankara Etlik City Hospital , Ankara , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3758-0136","authenticated-orcid":false,"given":"Sadun","family":"Sucu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Perinatology , Ministry of Health Ankara Etlik City Hospital , Ankara , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4499-3492","authenticated-orcid":false,"given":"Fahri Bur\u00e7in","family":"F\u0131ratl\u0131gil","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Perinatology , Ministry of Health Ankara Etlik City Hospital , Ankara , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1492-0305","authenticated-orcid":false,"given":"Dilara","family":"Kurt","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Ministry of Health Ankara Etlik City Hospital , Ankara , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8402-5675","authenticated-orcid":false,"given":"Ahmet","family":"Kurt","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Ministry of Health Ankara Etlik City Hospital , Ankara , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0028-3576","authenticated-orcid":false,"given":"Kemal","family":"Sarsmaz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Perinatology , Manisa Celal Bayar University Hospital , Manisa , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8922-4400","authenticated-orcid":false,"given":"Harun Egemen","family":"Tolunay","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Perinatology , Etlik Z\u00fcbeyde Han\u0131m Maternity and Women\u2019s Health Teaching and Research Hospital , Ankara , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7022-3029","authenticated-orcid":false,"given":"Ali Turhan","family":"\u00c7a\u011flar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Perinatology , Ministry of Health Ankara Etlik City Hospital , Ankara , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1011-3848","authenticated-orcid":false,"given":"Yaprak Engin","family":"\u00dcst\u00fcn","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Etlik Z\u00fcbeyde Han\u0131m Maternity and Women\u2019s Health Teaching and Research Hospital , Ankara , T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2024,12,16]]},"reference":[{"key":"2026070916012916385_j_jpm-2024-0444_ref_001","doi-asserted-by":"crossref","unstructured":"Blencowe, H, Cousens, S, Oestergaard, MZ, Chou, D, Moller, AB, Narwal, R, et al.. 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