In medicine, obstetric pessaries are used to maintain the uterus and bladder during pregnancy. These products in their appearance resemble ordinary rings interconnected. Pessaries are made from bio-elastic material. The edges of the product are smoothed, so it does not injure internal tissues.
Destination
Golgi rings (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. Due to this, the fetal pressure on the neck is significantly reduced.
Description
Obstetric pessaries can be of various sizes. The doctor can only choose the right product in accordance with the anatomical features of a woman after a detailed examination of the patient. The optimal timing for the introduction of rings is considered to be the 13th-25th week of pregnancy. In medical practice, the obstetric pessary "Juno" is most often used. Country of origin - Belarus. The product has the shape of a trapezoid with large and small bases. It is made of biologically inert polyethylene. The corners of the trapezoid are rounded, and between the holes there are jumpers that increase the rigidity of the structure. The obstetric pessary "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 pain. It should be noted that the procedure for introducing Golgi rings should be prepared. It is necessary to pass the appropriate tests, cure the infection. For German pessaries, the main contraindication is the presence of damage to the pelvic floor. It must be remembered that the ring should be administered only with an empty bladder.
Indications
Most often, obstetric pessaries are used to treat isthmic-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 suture failure after surgical correction of the ICI. Golgi rings are also indicated for women with a history of premature birth, miscarriages in the later stages, impaired ovarian function, progressive changes in the cervix, including cicatricial deformity. An indication is also multiple pregnancy. If a woman is engaged in hard work, she also has gynecological rings. German pessaries are most often used to eliminate age-related problems associated with the omission of some organs of the reproductive system or incontinence. Calyx and retral are typically used to support the urethra.
Contraindications
It is strictly forbidden to establish obstetric pessaries if in the 2nd and 3rd trimester of pregnancy the lady had bloody discharge. Early removal of the product can be, if necessary, fast delivery, with the outflow of water, as well as with the development of chorioamnionitis.