Indications for use, types of obstetric pessaries.
Information about the pessaries is known even before our era. Then, such devices were used for miscarriage, as well as to improve the position of the pelvic organs with their prolapse and prolapse. Now, such devices have improved significantly, and differ from those that were previously.
Gynecological pessary: what is it - indications for use, types
It is worth noting that before the pessaries were made of wool, leather, even bronze. Now they are mainly made of plastic, a soft hypoallergenic silicone on which no bacteria can multiply. It does not react with the human body, does not cause rejection, as well as any unpleasant sensations.
There are several options for pessaries and their use. It all depends on the initial diagnosis, as well as the need for intervention. Most often, the pessary is used just in obstetrics and gynecology.
Indications for use:
- It is used when isthmic-cervical insufficiency is observed.
- Shortening of the cervix,
- An increase in the size of the pharynx in early and late pregnancy
- In order to relieve the cervix, reduce pressure on it, as well as reduce the risk of premature birth
It resembles a plastic or silicone ring inserted into the vagina. This ring compresses the cervix, and also covers it, resting against the walls of the vagina. With proper installation, there are no unpleasant sensations, as well as difficulties with moving, walking or even playing sports. Although in such a situation, usually expectant mothers are forbidden from heavy physical activity, as well as playing sports.Varieties
The pessary is often made not only in the form of a ring, but also in the form of a bowl, as well as a prism, with smooth corners of the trapezoid. Thus, thanks to a special shape, the cervix is enveloped, the pessary ring prevents its opening. And the corners rest against the vagina. Quite often, similar pessaries are also used in pathologies of the pelvic organs.
For example, with urinary and fecal incontinence. For this, a different kind of pessary is used, which basically does not rest against the cervix, but rather puts pressure on the urethra in order to close it. Prevents premature urination and urinary incontinence.
- Domed Obstetric Pessary
- Ring obstetric pessary
- Discharge obstetric pessary
When you need an obstetric pessary, how to put on and take off?
When and how is it necessary to install a pessary? The fact is that such a device is usually installed in a hospital by an experienced obstetrician-gynecologist. It is necessary to correctly install this device in order to prevent the development of complications, as well as a variety of pathologies.
In this case, pessaries are introduced using your fingers using gynecological spoons. It is necessary to install it so that the ring tightly covers the cervix, and also rests on the walls of the vagina and does not fall out.Pessary
A gynecologist also removes such a device after a certain kind of results are achieved and the risk of premature birth is reduced. Please note that a pessary is established after an ultrasound scan, examination and confirmation of ischemic-cervical insufficiency, during the screening. At 14-16 or 20 weeks, the height of the cervix, as well as the diameter of the pharynx, is measured. If the enlarged pharynx, the cervix is shortened, then the installation of a pessary is recommended.
Sometimes such devices lead to a truly ongoing and developing pregnancy, and allow you to give birth to an absolutely healthy baby on time. If you refuse the doctor’s recommendation to install such a device, this can cause premature birth, due to the fact that the cervix opens ahead of time, and simply will not be able to hold the fetus under strong pressure of the head on the pelvic organs.Pregnant
Pessary during pregnancy: reviews
Reviews on the use of pessary during pregnancy are below.
Oksana, 34 years old. This pregnancy was a real test for me. The first time a pregnant baby went, everything was much simpler and easier. I was not bothered by toxicosis, everything was fine. During pregnancy, the second child's condition worsened significantly and brought a lot of inconvenience. Bearing was very difficult. At a period of 19 weeks, ultrasound revealed an isthmic-cervical insufficiency. Therefore, the doctor advised to put a pessary. My gynecologist gave a referral and I went to the hospital. They put me in a hospital and installed a pessary the next day. After that, I lay in the hospital for about a week. The condition has improved significantly. I endured the baby, gave birth to him at 39 weeks. I think that the pessary really helped me.
Christina, 23 years old. This is my first pregnancy. I was shocked when at 14 weeks I was diagnosed with a uterus in a tonus, as well as ischemic-cervical insufficiency, there was a risk of miscarriage. I was admitted to the hospital and after about a week the doctor advised me to put a pessary. One could choose: one was cheaper, made of plastic. The second is about 2 times more expensive. I chose a cheaper option, because it was already quite expensive. This device resembles a white plastic frame, inside with a round hole. Smooth corners on the sides. I was somewhat surprised at the large size of this thing and had no idea how it all fits inside. Indeed, during the reference she felt a sharp pain, but literally a minute later she passed. I gave birth to a child at 36 weeks, did not reach a bit. The pessary was filmed already in the process of labor. I believe that thanks to him, I was able to give birth to a healthy child, although she did not inform me at least a little.
Alexandra, 37 years old. This is my first long-awaited pregnancy. Almost from the first weeks lay on conservation. It was possible to bear a healthy child thanks to the pessary. I gave birth at 38 weeks.
The pessary is an excellent device that allows you to extend the bearing of the baby and deliver on time.