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. 2013 May 31;2013(5):CD007873. doi: 10.1002/14651858.CD007873.pub3

Nicolaides 2008.

Trial name or title Randomised study of pessary vs standard management in women with increased chance of premature birth.
Methods Multicentre, randomised, open‐label trial.
Participants Women with singleton pregnancies and with a cervical length of 25 mm or less.
 Women with twin pregnancies.
Interventions Vaginal pessary (CE0482, MED/CERT ISO 9003 / EN 46003) versus standard management.
Outcomes Primary outcome
  • Spontaneous delivery from randomisation to 33 weeks and 6 days (237 days) of gestation.


Seconday outcomes
  • Low birthweight.

  • Fetal or neonatal death.

  • Major adverse outcomes (IVH, RDS, retinopathy of prematurity or necrotising enterocolitis).

  • Need for neonatal special care (ventilation, phototherapy, treatment for sepsis, blood transfusion).

Starting date .
Contact information Prof, Kypros Nicolaides
 Tel: +442032999000 ext.: 8256
 kypros@fetalmedicine.com
Notes ISRCTN01096902.