Pessary during pregnancy: types, indications for use. How is the obstetric dessarier installed and removed? Gynecological pessary: \u200b\u200breviews

Indications for use, types of obstetric pessaries.

Content

Information about the pessary is known before our era. Then such devices were used for non -infinition of pregnancy, as well as to improve the position of the pelvic organs when they are omitted and falling out. Now such devices have been significantly improved, and differ from those that were previously.

Gynecological pessary: \u200b\u200bwhat is it - indications for use, types

It is worth noting that earlier pessaries were made of wool, leather, even bronze. Now they are mainly made of plastic, soft hypoallergenic silicone, on which no bacteria is propagated. It does not react with the human body, does not cause rejection, as well as some 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 in the case when there is an hystmic-cervical deficiency
Shortening of the cervix,
Increase in the size of the pharynx in the early and late pregnancy
In order to unload the cervix, reduce pressure on it, and also reduce the risk of premature birth

It resembles a plastic or silicone ring inserted into the vagina. This ring squeezes 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 future mothers are prohibited by heavy physical exertion, as well as playing sports.

Pessary is often made not only in the shape 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 form, the cervix is \u200b\u200benveloped, the pessary ring prevents its disclosure. And the corners rest against the vagina. Quite often, similar pessaries are also used for pathologies of the pelvic organs.

For example, with urinary and feces incontinence. To do this, use another kind of pessary, which mainly rests not on the cervix, but rather puts pressure on the urethra, in order to close it. Prevents premature urination and urinary incontinence.

Kinds:

Domo -shaped obstetric pessary
Ring Obstetroe Pessary
Unloading obstetric pessary

When you need an obstetric pessary, how to put on and shoot?

When and how to install a pessary? The fact is that this kind of device is usually installed in a hospital by an experienced doctor as an 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, pessaria is introduced using fingers using gynecological spoons. It is necessary to install it so that the ring grows the cervix tightly, and also rests against the walls of the vagina and does not fall out.

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 they establish a pessary after an ultrasound, inspection and confirmation of Istmic-cervical failure, during screening. At 14-16 or 20 weeks, the height of the cervix is \u200b\u200bmeasured, as well as the diameter of the pharynx. If the dilated pharynx, the cervix is \u200b\u200bshortened, in which case it is recommended to install a pessary.

Sometimes such devices lead to a really continuing and developing pregnancy, and allow you to give birth to an absolutely healthy child on time. If you refuse the doctor’s recommendation to establish this kind of device, this can cause premature birth, due to the fact that the cervix will open ahead of time, and it will simply not be able to hold the fetus with a strong pressure of the head to the pelvic organs.

Pessary during pregnancy: reviews

Reviews about the use of pessary during pregnancy below.

Reviews:

Oksana, 34 years old. This pregnancy has been a real test for me. The first time I walked pregnant with the baby, everything was much simpler and easier. I was not bothered by toxicosis, everything was fine. During pregnancy, the second child, the condition worsened significantly and brought a lot of inconvenience. The bearing was very difficult. At a period of 19 weeks, during an ultrasound scan, it was discovered by Istmic-cervical deficiency. Therefore, the doctor advised to put a pessary. My gynecologist issued a direction and I went to the hospital. I was put in a hospital and the next day was installed a pessary. After that, I lay in a hospital for about a week. The condition has improved significantly. I took out the child, 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 in shock when at 14 weeks I was diagnosed with the uterus in good shape, as well as hystmic-cervical deficiency, there was a risk of miscarriage. I was put in the hospital and after about a week the doctor advised me to put a pessary. It was possible to 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. On the sides are smoothed corners. I was somewhat surprised by the large size of this thing and did not imagine how it all fit inside. Indeed, during the conduct, she felt acute pain, but literally a minute later she passed. I gave birth to a child at 36 weeks, I did not reach a little. The pessary was shot already in the process of fights. I think that thanks to him, I was able to give birth to a healthy child, at least a little did not bring.

Alexandra, 37 years old. This is my first long -awaited pregnancy. From almost the first weeks lay on preservation. It was possible to take out a healthy child thanks to the pessary. Born at 38 weeks.