Cervical failure and its shortening in pregnancy can cause premature labor. To prevent this from happening, your doctor may suggest that you put on a special ring called a pessary that replaces the cervical suture almost completely. The disc stops the cervix from shortening. Don't underestimate cervical problems in pregnancy.
Premature shortening of the cervixis a sign that you are at risk ofpreterm labor . Cervical failure can be a shortening of the cervix, its excessive fluffiness or softening. These abnormalities, if they appear, usually only after the 14th week of pregnancy. Each of them is at risk of miscarriage or premature birth. The cause of the problem is the weakening of the cervix, which may result from damage to it during previous procedures (curettage, artificial miscarriage) or childbirth, congenital cervical defects, incorrect production of collagen or elastin and hormonal disorders, and even the intense lifestyle of the future mother.
Pessary for shortening of the cervix
Pessar(actually a collar pessary) is a round, flexible disc made of silicone. It is put on the cervix to stop it shortening and prevent premature birth. If the gynecologist responsible for the pregnancy decides that it is necessary to have a pessary, you have nothing to fear - it is a simple procedure performed in a doctor's office. The disc insertion is almost painless and does not require the administration of anesthetics, even those acting locally. Sometimes a pregnant woman may feel slight discomfort, but she gets married quickly. And precisely because the pessary is a less invasive method of treating cervical insufficiency, it has almost completely replaced the cervical suture that was placed under general anesthesia.
Before your gynecologist decides to insert a pessary, he will measure the length of the cervix with an ultrasound (vaginal probe) and perform tests to exclude inflammation of the vagina and cervix - as they are a contraindication to this procedure. The disc is usually inserted between the 20th and 28th week of pregnancy, although it sometimes happens that the gynecologist decides to perform this procedure earlier. There are three models of discs, the size is selected by the doctor, taking into account the size of the vagina, and alsowhether it is the first or the next pregnancy. Pessary No. 2 is usually installed. The presence of the disc is practically undetectable. It is usually removed in the 38th week of pregnancy.
Pessar unfortunately promotes vaginal infections
Vaginal infection is a common condition that occurs after the disc is worn. The pessary is a foreign body, so its presence increases the amount of secretion (this is normal), while making it difficult to drain out. To prevent infection, your doctor usually recommends antibacterial and antifungal medications as a preventive measure. The pessary is a method of treating cervical insufficiency and preventing premature birth, therefore, after its insertion, the expectant mother must limit physical activity. She should also rest a lot, avoid stress and pay special attention to intimate hygiene. He can't have sex. A woman with a pessary is usually on sick leave. It is often advisable to take diastolic medications.
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