Preterm birth as a result of cervical insufficiency is one of the most common causes for perinatal mortality and morbidity. Alongside the traditional approach of interventions like cervical cerclages and pharmacotherapy like progesterone, newer methods like Arabin pessary are burgeoning, thanks to their safer and more effective outcomes. Articles of Arabin pessary elucidating its mechanism of action, its outcomes and its comparison with other methods were collected, and an integrative review has been penned to shine a better understanding on its utilization. © 2024 Elsevier B.V., All rights reserved.