title: Prophylactic use of the Arabin cervical pessary in fetuses with severe congenital diaphragmatic hernia treated by fetoscopic endoluminal tracheal occlusion (FETO): preliminary experience.
abstract: OBJECTIVE
  The aim of this study was to describe whether the prophylactic use of a cervical pessary decreases the rate of premature birth in congenital diaphragmatic hernia (CDH) fetuses treated with fetoscopic tracheal occlusion (FETO).
  
  
  METHODS
  The study concerns a consecutive series of cases with CDH and FETO and a group of CDH without FETO. In a subgroup of the FETO group, a prophylactic cervical pessary was inserted the day following the procedure. Gestational age (GA) at birth was the primary outcome.
  
  
  RESULTS
  Fifty-nine fetuses with FETO and 47 expectantly managed were included. The last 15 FETO had a cervical pessary inserted. The median GA at delivery in the FETO group with pessary was 35.1 weeks and was not different from that in the FETO group without a pessary (34.3 weeks; p = 0.28) but was below that in the expectantly managed group (38.3 weeks; p < 0.001).
  
  
  CONCLUSIONS
  Early results suggest that prophylactic use of an Arabin cervical pessary does not prolong gestation of CDH fetuses treated with FETO. © 2015 John Wiley & Sons, Ltd.
authors.affiliation: Department of Obstetrics and Gynaecology, University Hospital Brugmann, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: Oana
authors.initials: O
authors.lastname: Dobrescu
authors.affiliation: Department of Radiology, University Hospital Brugmann, Université Libre de Bruxelles, Brussels, Belgium.|Department of Radiology, UZ Brussel, Vrije Universiteit Brussel, Brussel, Belgium.
authors.forename: Mieke M
authors.initials: MM
authors.lastname: Cannie
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Medicine and Centre Maladies Rares: Hernie de Coupole Diaphragmatique, Hôpital Antoine Béclère, APHP, Université Paris Sud, Paris, France.
authors.forename: Anne-Gael
authors.initials: AG
authors.lastname: Cordier
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Medicine, Hospital Universitari Vall d'Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain.
authors.forename: Carlota
authors.initials: C
authors.lastname: Rodó
authors.affiliation: Department of Obstetrics and Gynecology 'L. Mangiagalli', Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
authors.forename: Isabella
authors.initials: I
authors.lastname: Fabietti
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Medicine and Centre Maladies Rares: Hernie de Coupole Diaphragmatique, Hôpital Antoine Béclère, APHP, Université Paris Sud, Paris, France.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Benachi
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Medicine, Hospital Universitari Vall d'Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain.
authors.forename: Elena
authors.initials: E
authors.lastname: Carreras
authors.affiliation: Department of Obstetrics and Gynecology 'L. Mangiagalli', Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Persico
authors.affiliation: Department of Obstetrics and Gynaecology, University Hospital Brugmann, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: Ivan
authors.initials: I
authors.lastname: Hurtado
authors.affiliation: Department of Obstetrics and Gynaecology, University Hospital Brugmann, Université Libre de Bruxelles, Brussels, Belgium.|Department of Obstetrics, UZ Brussel, Vrije Universiteit Brussel, Brussel, Belgium.
authors.forename: Léonardo
authors.initials: L
authors.lastname: Gucciardo
authors.affiliation: Department of Obstetrics and Gynaecology, University Hospital Brugmann, Université Libre de Bruxelles, Brussels, Belgium.
authors.forename: Jacques C
authors.initials: JC
authors.lastname: Jani
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005332:Fetoscopy / Q000009:adverse effects* / Q000379:methods; D005500:Follow-Up Studies; D065630:Hernias, Diaphragmatic, Congenital / Q000628:therapy*; D006801:Humans; D010570:Pessaries; D011247:Pregnancy; D047928:Premature Birth / Q000209:etiology / Q000517:prevention & control*; D011446:Prospective Studies; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014132:Trachea; D016896:Treatment Outcome; D055815:Young Adult