Obstetric pessaries: description and indications for prescribing

In medicine, obstetric pessaries are used to maintain the uterus and bladder in a normal state during pregnancy. These products in their appearance resemble ordinary rings, connected together. Pessaries are made of a biologically pure elastic material. The edges of the product are smoothened, so it does not injure internal tissues.

Purpose

The rings of the Golgi (the second name of the pessaries) are carefully inserted into the vagina and hold the cervix, preventing it from opening. Their main function is to redistribute the load. Thanks to this, the pressure of the fetus on the neck is significantly reduced.

Description

Obstetric pessaries can be of a variety of sizes. It is only the doctor who can properly select the product according to the anatomical features of the woman after a detailed examination of the patient. The optimal timing for the introduction of rings is considered to be the 13-25th week of pregnancy. In medical practice, the obstetric pessary "Juno" is most often used. The country of origin is Belarus. The product has the form of a trapezoid with large and small bases. It is made of biologically inert polyethylene. The corners of the trapezium are rounded, and between the holes there are bridges that increase the rigidity of the structure. The obstetric pasarium "Arabin" (Germany) is made of high-quality medical silicone. The products of this company are distinguished by a large assortment of models and sizes.

Product introduction

After the pessary is installed by a gynecologist, a woman should not have any painful sensations. It should be noted that the procedure for introducing the Golgi rings should be prepared. It is necessary to pass the appropriate tests, to cure the infection. For German pessaries, the main contraindication is the presence of pelvic floor damage. It should be remembered that the ring should be inserted only with a bladder emptied.

Indications

Most often, obstetric pessaries are used to treat ischemic-cervical insufficiency. This condition is caused by weakness of the cervix, which leads to its premature opening, and then to early childbirth. They are also prescribed to patients for the prevention of bank failure after surgical correction of the ICI. Golgi rings are also shown to women who have a history of premature births, miscarriages at later periods, dysfunction of the ovaries, progressive changes in the cervix, including cicatricial deformity. Indication is also a multiple pregnancy. If a woman is engaged in hard work, she is also prescribed gynecological rings. German pessaries are most often used to eliminate age-related problems associated with the omission of certain organs of the reproductive system or incontinence. Cup and retral, as a rule, are used to support the urethra.

Contraindications

It is strictly forbidden to install obstetric pessaries, if in the 2nd and 3rd trimester of pregnancy the lady had bloody discharge. Early removal of the product can be done if necessary for rapid delivery, with water overflow, and also with the development of chorioamnionitis.