In the article, we will consider how the birth goes after the removal of the pessary.
It's nice when the pregnancy period proceeds without any complications, and the expectant mother is immersed only in beautiful dreams about her long-awaited little one. But in life, unfortunately, everything does not always happen as we would like, and sometimes there is a threat of interruption along with premature birth. How can you keep the pregnancy going, how does the birth go after the pessary is removed?
What is a pessary?
This is a special device, which is made in the form of several rings of different diameters combined into a single whole. The device is made of biologically safe plastic and silicone materials. The edges of this device are smoothed, and the surface is processed in order to exclude the possibility of damage to the internalfabrics.
Such a device is installed on the cervix in early pregnancy to redistribute the pressure exerted by the fetus in order to avoid the onset of preterm labor. Additional rings make it possible to divert natural secretions, but the mucous plug is preserved.
We will talk about childbirth after removing the pessary below.
Using a pessary
The main indication for the use of the uterine ring is cervical insufficiency in women (hereinafter we will call it CI). In this case, the cervix can become thinner and soften, which does not give it the ability to hold the fetus. Sometimes it can partially open and cause the risk of preterm labor.
In the event that the previous gestation ended in premature birth and miscarriage, the doctor may also recommend the installation of such a ring. An indication for its use is the presence of ovarian dysfunction along with infantilism of the genital internal organs. As part of additional insurance, the ring can be assigned to women in a number of such cases:
- Re-pregnancy after caesarean section.
- Exposure to severe physical exertion.
- Having a multiple pregnancy.
- Difficult psycho-emotional state.
- Women who become pregnant following long-term fertility treatment.
Contraindications
Unfortunately, sometimes to savePregnancy doctors are forced to turn to a more complex procedure, namely the suturing of the uterine cervix. It may be prescribed when there are contraindications for the insertion of a pessary:
- Intolerance to obstetric devices, prolonged discomfort during its use.
- Presence of fetal pathology when there is a need for termination of pregnancy.
- The vaginal entrance is already fifty millimeters.
- Colpitis causing device displacement.
- The occurrence of spotting.
Many wonder, after removing the pessary, how long does labor begin?
Features of the device establishment procedure
The use of the uterine ring reduces the risk of miscarriage and premature birth by approximately eighty-five percent. Immediately before the procedure for installing the device, women need to cure existing infections. Ideally, this should be done at the planning stage of the child.
The process of installing this device, it can cause minor discomfort, but they quickly pass. To reduce the intensity of discomfort, the pessary is lubricated with a special cream or gel. This device is made in various sizes so that the doctor can choose the pessary individually for the patient in accordance with the physiology. The correct size determines how accurately the ring will fit and how soon the patient will adapt to it.
In the future, unpleasant feelings will not arise, although during the first few days afterOnce the device is installed, you get used to it and it can slightly put pressure on the bladder. When, due to physiological prescriptions, the doctor is forced to set the pessary low, then during the entire time of its use (throughout the entire pregnancy), the lady will be able to feel the urge to urinate more often than usual.
Withdrawal
Removing the pessary usually does not cause any discomfort. It is usually easier than installation. A doctor who monitors the course of pregnancy in a woman should remove such a device. Following the removal of the device, the birth canal should be sanitized for a week to prepare the woman for the birth of the child.
Premature labor after removal of the obstetric pessary does not begin, and many ladies are afraid of this. Only if the pessary is removed due to the appearance of symptoms of labor, labor begins immediately after its removal.
Patient behavior during pessary application
In most situations, for women who have a doctor installed a uterine ring, the same rules of conduct and daily routine are relevant as for other women in labor. However, there are some recommendations for such ladies.
In the event that a patient is diagnosed with ICI, not only sexual intercourse is contraindicated for her, but also any overexcitation that can lead to an increase in uterine tone. In this case, it is forbidden to engage in any kind of sex, watchexciting movies, read novels and so on.
The pessary does not need hygienic care at all. The only thing is that once every few weeks the patient should take a smear to determine the purity of the vagina. Depending on its result, the doctor may prescribe suppositories or additional irrigation. It is usually recommended to be examined at least once every three weeks, but depending on the indication, this may be prescribed more often.
Periodically, the doctor should control the position of the pessary, it is necessary to monitor the condition of the uterus and cervix. The pessary is worn throughout pregnancy and removed a few weeks before the planned birth. Usually, the gynecologist makes a decision about removing the device around the thirty-sixth week.
Early removal of the obstetric device in question is prescribed if inflammatory processes occur in the vagina, or if there is a need for early permission of the woman due to medical reasons.
Unfortunately, even the timely establishment of a pessary does not guarantee that it will be possible to keep the pregnancy up to the required date. Childbirth can also begin against the background of an established uterine ring. In any case, a woman should not be afraid of complications after removing this device. Only the exact implementation of the existing recommendations from the attending doctor will make it possible to simplify the course of pregnancy as much as possible, and at the same time bring the baby to the required date. How long after the removal of the pessarybegin, it is better to find out in advance.
Recommendations from gynecologists
The installation of such a device requires a number of rules for a pregnant woman:
- If there is a diagnosis of isthmic-cervical insufficiency, sexual intercourse is prohibited.
- A woman should avoid unnecessary worries.
- Do not exercise.
- Vaginal swab should be taken once a week to check for infection.
- The doctor may prescribe the use of irrigating suppositories.
- During the gynecological examination, the doctor controls the correct position of the pessary.
- Device removed at week 36.
- Early removal of the device is fraught with the development of inflammatory processes and premature birth.
- Sometimes patients require bed rest.
Timing: How soon will labor begin after the pessary is removed?
The obstetric pessary is usually removed at the thirty-sixth week, at the latest - at the thirty-eighth. To clarify the exact withdrawal period, the doctor may prescribe an ultrasound examination. The expectant mother should be aware that when the device is removed, the cervix begins to relax. Since the fetus presses on the uterus, it softens. The organ can shorten, starting to gradually open up, and prepare for the birth process.
When to wait for childbirth after removing the pessary, will telldoctor.
Already within seven to ten days after the removal of the pessary, it is possible that labor will begin, although some women are relieved from the burden later than the expected day after the removal of the pessary. In the event that the device is removed prematurely, then an outflow of amniotic fluid may occur along with the rapid birth of a child and infection of the amniotic membranes. When the pessary is removed at the thirty-seventh week, there is no need to worry at all, this means that the gynecologist believes that the patient is ready for childbirth, and she can only wait. When a woman gives birth, her birth will be normal.
When does labor begin after removing the pessary according to statistics? More on that later.
Statistics
Childbirth after removal of this device is carried out, as a rule, in a natural way, auxiliary influences from the work of medical personnel are usually not required. According to the statistics of childbirth after the removal of the pessary, the use of this device does not contribute to complications.
The birth process
Can labor start if a woman has a pessary? Due to the opening of the uterus, and, in addition, constant contractions, the ring slides off on its own and does not harm the baby. During childbirth with the presence of an obstetric pessary, the gynecologist manages to remove the device, rapid labor is rare. But when the uterus was sutured and the stitches were removed late, this leads to large tears.
Can water break with a pessary in place? This is possible becauseamniotic fluid can come out in the presence of a ring. When the waters have receded (and this is the signal for the beginning of the resolution), the device will be removed.
We looked at when labor begins after the removal of the obstetric pessary.
