Pessary: ??to whom, why, when?
This is the name of the special device, which is also called the uterine ring and is set for women to maintain pregnancy. It represents several rings of different diameters, combined with each other. Obstetric pessary is manufactured from environmental materials that are safe for future mother's health. This is mainly plastic and silicone. The edges of such a medical device are smoothed out. Its surface is specially treated to eliminate the risk of injury to internal tissues.
The doctor establishes the obstetric pessary on the cervix in the early stages of pregnancy in order to redistribute the pressure, which it has a fetus. This is done in order to avoid premature birth. Additional rings of such a device allow to remove natural secretions from the vagina and at the same time to keep the mucous plug.
There are certain indications for wearing a pessary: ??
- Isthmiko-cervical insufficiency in a woman. This is the main indication for installing the device. With this diagnosis, the neck of the main reproductive organ softens, becomes thinner, which does not allow to keep the growing fetus. Sometimes it can partially open. And this represents the risk of premature birth.
- Miscarriages and preterm birth in the anamnesis. In such cases, the doctor also recommends that a pregnant woman install an obstetric device.
- The presence of dysfunction of the ovaries or infantilism of the internal genital organs.
As an additional insurance, the uterine ring is established for future mothers in such cases:
- With multiple pregnancies.
- With a repeat pregnancy after cesarean section.
- When exposed to high physical stress.
- If a woman is in a serious psychoemotional state.
- When the pregnancy came after prolonged infertility therapy.
The uterine ring in all the above situations can not be a panacea. This is not a guarantee, that the fetus can really endure. Therefore, sometimes doctors resort to another, more complex manipulation - suturing the cervix. This procedure is carried out when a woman has contraindications for wearing a pessary. These include his individual intolerance and long-term discomfort; narrowness of the vaginal entrance; fetal pathology, when there is a need for abortion; colpitis, causing displacement of the uterine ring; prolapse of the amniotic bladder; the appearance of bloody discharge.
Can birth begin with a pessary?
Yes, it happens. And every competent doctor is obliged to warn his patient about it. She should know that the timely installation of the pessary is an auxiliary measure, and not a complete guarantee that a woman is pregnant for up to 40 weeks.and with the established royal ring. In this case, the expectant mother should trust her doctor. Only by faithfully following his instructions, you can safely give birth to a healthy child in later terms.
If the pregnancy is full, and this is considered as early as 38-39 weeks, then with the outflow of water and the beginning of labor, a pessary is removed for the woman. This procedure is painless. And then everything goes as it happens in ordinary childbirth. Do not be afraid that the pessary will restrain childbirth. If it's time to start, then it will happen. By the way, the uterine ring for women, as a rule, is removed at a period of 38-39 weeks. The field of this before the onset of labor may take several days, a week. And sometimes births happen and prompt. Even an experienced gynecologist can not foresee this.
Premature birth of the pessary
Unfortunately, with pessaries, women do not always manage to deliver the child until the time when it will be viable. Childbirth can begin prematurely. If this occurs in the third trimester of gestation, then the chances of keeping the baby there. Modern medicine in our time can at the proper level support kids and low-weight. But all individually. Do not be afraid if the birth of a pregnant woman with such a device occurs on a later date.
Women should not be afraid of installing the uterine ring. Childbirth in the presence of such an adaptation will occur in the same way as usual, since the pessary simply disappears.