An obstetric pessary during pregnancy - that this is: Principle of action Pessary, readings for use

What is an obstetric pessary, in what cases is appointed how effective and does contraindications do? Answers to these questions in our article.

The content of the article

Normal pregnancy is the main factors of the birth of a healthy child and preserve the health of a woman. Premature labor represents a greater danger to the future mother and baby, since the process of fetal development and the course of pregnancy envisaged by nature.

Indications for the use of obstetric pessary

Modern medicine sends all efforts to preserve pregnancy to a full time and uses various ways to prevent early generic activities.

The use of the uterine pessary, also called the discharge ring, makes it possible to exclude the early opening of the neck and prevent the threat of non-obscuration.

Such a means is a mechanical way to prevent the threat of interrupt, and is established strictly by appointing a gynecologist with possible pathological deviations:

When diagnosing or preventing the development of erection-cervical insufficiency
To reduce load and maintain the uterus in the required position
When damaged or discrete seams in the region of the uterine cervix

Pessary is shown to use, starting from the second half of pregnancy and is removed 7-10 days before the estimated point in the occurrence of childbirth, in the absence of complications.

The need to use pessary is determined by a gynecologist observing pregnancy

Eastic-cervical insufficiency

ICN is a frequent pathology at which the initial disclosure of the cervical canal comes.

This complication is dangerous in that leads to a weakening of the support of the fruit bubble.
A gradual increase in the weight of the fetus enhances the intrauterine pressure, which leads to the squeezing of the fetal shells into the channel, the disclosure of the cervix and the beginning of the birth before the deadline.
With the disclosed channel, the risk of external infections is increasing, which can provoke the beginning of inflammatory processes and threats of miscarriage.

The causes of the development of ICNs can be various factors:

The physiological structure of the cervix.
Availability on the neck of damage after preceding childbirth, abortion or surgical interventions.

Determination of the position of the fetus and the state of the uterus is determined by ultrasound

Obstetric Pessary - What is it?

The early disclosure of the cervix in the past meant interruption of pregnancy and could entail the fetal death. For a long time to preserve the fetus, the method of embedding the cervix was used, but the risk of infection in operational intervention and the use of general anesthesia were the disadvantages of such a method.

The obstetric pessary in gynecological practice began to be applied relatively recently, but this method has already been successfully proven and is actively used to preserve and normal pregnancy. The efficiency of the method is up to 80-85%.

Pessary is designed in accordance with the anatomical features of the body of a woman. Pessary is a silicone or plastic elastic ring made of hypoallergenic material. Preferably the use of silicone products. They have a softer structure, so they are not felt when wearing. The edges and surfaces of the product are absolutely smooth, so the internal fabrics do not damage. In addition, there are other forms that can be recommended for various pathologies of pregnancy.
Matchy pessary is a disposable product in sterile packaging, which has a certain period of use. Before buying in a pharmacy, you should get a detailed advice of the doctor, pay attention to the shelf life and integrity of the packaging.
The form and material from which the ring is made can be different depending on the manufacturer. Products differ in size. The price of the product from Russian manufacturers is from 500 to 1000 rubles. Analogues from foreign manufacturers will cost more.

From the correctly selected form and size will depend on the convenience and efficiency of this product.

Obstetric Pessary

Principle of action Pessary

The need to use pessary is due to its action:

Speakers in the opened canal, the fetal shells cease to affect the cervix.
The neck of the neck closes, since the structure of the ring helps compressing and retention of its walls.
A mucosa is formed, creating a barrier for the penetration of infection.

The uterine pessary is successfully used to treat pathologies and in order to prevent the failure of the fetus in the following cases:

Women who have suffered a miscarriage.
Futive mothers with a lot of fetal weight or with multiple pregnancy.
Pregnant women, whose nature of classes implies intensive physical exertion.
Pessary is not only mechanical support for the uterus, but also the psychological defense of the future mother, which for any reason doubts the prosperous tooling and the delivery.

The pessary installation is carried out by a observing doctor

How is the pessary installed?

Pessary can only be installed by a observing doctor in stationary conditions or in women's consultation.
The installation procedure is painless, produced in a gynecological chair, without the use of any kind of anesthesia. Some women celebrate short-term discomfort.
One of the conditions for a successful installation is a healthy vaginal microflora, so before the procedure it is recommended to hand over the appropriate analyzes, and if necessary, undergo treatment.
Before the introduction of the ring, complete emptying of the bladder is necessary.
In order to avoid contraction of the muscles of the uterus and the appearance of pain, the spasmolytic agent is recommended, for example, but SPAP, in the prescribed dosage doctor 30 minutes before the procedure start.
For better passage, the product is immediately processed by gel or vaseline, and then entered through the vagina and fixes on the cervix.
Subject to the optimally selected size and proper placement, the ring is not felt when wearing before delivery.

Supporting Ring Recommended with multiple pregnancy

Recommendations after installing Pessary

Additional drug preventive facilities can be assigned to eliminate complications:

Antifungal Candles for Nagalizing Sanation
Hormonal agents

If no deviations are observed during the use of the supporting ring, the following recommendations are required:

It is necessary to be under constant supervision of a doctor to control the state of the cervix and the ring position.
Since the ring is a foreign body, it will be necessary to regularly pass tests to prevent the development of infectious diseases. Usually, inspection and analysis on the microflora are carried out every 2-week, ultrasound - every 4 weeks.
During the wearing, Pessary is prescribed full of sexual peace, so it is necessary to refuse sexual contacts to successfully preserve the fetus.
Physical exertion and long-lasting trips should also be reduced to a minimum or exclude, try to avoid stressful situations, hypothermia.
The extraction of pessary is carried out outpatient or in the hospital for a period of 37-39 weeks, when the fruit is considered to be renewed, and the risk of early childbirth is excluded.
Natural childbirth in the presence of pessary is impossible, so at the beginning of the generic activity, it is necessary to urgently remove it.

After installing the ring, you must follow the recommendations.

Contraindications to further use Pessary

Despite the efficiency and safety of this fund, there are a number of indications in which the ring must be unrestructed:

The appearance of bloody or mucous discharge.
The presence of serious fetal pathologies or the danger to mother health, in which the abortion is needed.
The yield of the fetal shells.
Feeding of spindle water.
Acute infectious inflammatory diseases of the organs of the sexual system.
Pain sensations or development of mechanical collision - such symptoms speak of an incorrect installation or displacement of the ring.
Suspected of frozen pregnancy.

The extraction of pessary cannot be performed independently. In case of any inconvenience, pain or other complications should immediately consult a doctor.

In the event of pain, discharge and suspicion of the beginning of the birth should be immediately consulting a doctor

Women's reviews

Oksana, 24 years
I was put on the pessary company "Juno" on week 26. The threat due to low preview, the uterus was in constant tone, opening - 10 mm. It hurts at all - almost as a simple inspection of the gynecologist. The main thing, relax and not be afraid - everything took a couple of minutes. After installation, it became somehow calmer. Deleted at 37 weeks too painlessly. 12 hours after removal, contractions began.

Daria, 28 years old
I was put on week 23, the neck of 29 mm and said that the child is very low. At first it was scary, as it was read that it was painful and many then tormented with the thrush. My procedure passed quickly, I would not say that it hurts, rather unpleasant. The main thing is that the doctor has been experienced and came up. The whole pregnancy was a threat, in the end gave birth to 36 weeks. Removed the ring already in the hospital when they brought the fights.

Karina, 31 years old
I put a pessary for 30 weeks, the German company Dr-Arabin, the neck was 21 mm, but Zev is closed. The procedure is unpleasant, but fast. Then it does not feel at all, he is there or not. Appointed 3 days Ginipral rolling, up to 32 weeks urozestan 1 tablet per day. The doctor advised full peace.