Abstract
Objective To investigate women’s experience with the cervical
pessary for prevention of preterm birth.
Design: Retrospective questionnaire study.
Setting: Tertiary care hospital in Italy.
Population: 166 pregnant women treated with Arabin cervical
pessary within one center.
Methods : A questionnaire was administered to all women after
delivery.
Main outcome measures: Data about patient’s experience before the
insertion (adequacy of the information received), during treatment
(follow-up, impact on daily life, perceived discomfort, side effects)
and at the time of removal (pain, patient’s expectation met regarding
the treatment) were analysed.
Results : Information received before the insertion of Arabin
pessary was considered adequate in 163/166 (98.2%). An increase of
vaginal discharge was experienced by 70/166 (42.2%) women. Discomfort
or other side effects were reported in 13.8% and 16.3% of cases,
respectively. Overall, 77% of women reported an improved quality of
life and 94% considered the follow-up during pregnancy adequate.
Removal was moderately painful for 58/166 (35%) of women. Patient’s
expectations regarding the treatment were exceeded in the majority of
cases (75.3%). In a final step, we compared our results to previous
studies suggesting that clinical experience of the health care
specialists in charge may explain why the discrepancy of results.
Conclusion : Although some trials report high rates of
non-compliant patients, this could not be confirmed by our study. In
contrast, most women reported a positive experience and were motivated
to continue the treatment when they were continuously followed by
experienced clinicians.
Keywords : Arabin pessary, preterm birth, patient’s experience,
obstetrics, vaginal discharge.