Cervical Pessary Versus Vaginal Progesterone in Women With a Singleton Pregnancy, a Short Cervix, and No History of Spontaneous Preterm Birth at Less Than 34 Weeks’ Gestation: Open Label, Multicentre, Randomized, Controlled Trial

(Abstracted from BMJ 2024;384:e07703) Preterm birth is as a major problem in obstetric care, causing neonatal morality, morbidity, and neurodevelopment issues in later life. Although progesterone is recognized to reduce preterm birth in pregnant individuals who have short cervical length, cervical pessary also has been reported to be effective in singleton pregnancies of individuals with a cervical length <25 mm.