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 to each other. Pessaries are made of biologically pure elastic material. The edges of the product are smoothed, so it does not injure internal tissues.
Purpose
Golgi rings (the second name for pessaries) are gently inserted into the vagina and hold the cervix, preventing it from opening. Their main function is to redistribute the load. This significantly reduces the pressure of the fetus on the neck.
Description
Obstetrical pessaries come in a variety of sizes. The doctor is able to choose the right product in accordance with the anatomical features of the woman only after a detailed examination of the patient. The optimal time for the introduction of rings is the 13th-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 shape of a trapezoidwith large and small bases. It is made of biologically inert polyethylene. The corners of the trapezium are rounded, and there are bridges between the holes that increase the rigidity of the structure. 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 the gynecologist, the woman should not experience any pain. It should be noted that the procedure for the introduction of Golgi rings should be prepared. It is necessary to pass the appropriate tests, cure infections. For German pessaries, the main contraindication is the presence of damage to the pelvic floor. It must be remembered that the ring should be inserted only when the bladder is empty.
Indications
Most often, obstetric pessaries are used to treat isthmic-cervical insufficiency. This condition is caused by the weakness of the cervix, which leads to its premature opening, and then to early labor. They are also prescribed to patients for the prevention of suture failure after surgical correction of ICI. Golgi rings are also shown to ladies with a history of premature birth, late miscarriages, ovarian dysfunction, progressive changes in the cervix, including cicatricial deformity. The indication is also multiple pregnancy. If a woman is engaged in hard work, she alsoinstall gynecological rings. German pessaries are most often used to eliminate age-related problems associated with the prolapse of certain organs of the reproductive system or incontinence. Cups and retrals are usually used to support the urethra.
Contraindications
It is strictly forbidden to install obstetric pessaries if the lady had spotting in the 2nd and 3rd trimester of pregnancy. It is possible to remove the product ahead of schedule if it is necessary to quickly deliver, if water is poured out, as well as if chorioamnionitis develops.
