Selection and application of the obstetric pessary (without the cost of the pessary)
Selection And Application Of The Obstetric Pessary (Without The Cost Of The Pessary)
We remind you that independent interpretation of the results is unacceptable, the information provided below is for reference purposes only.
An obstetric pessary is a medical device used during pregnancy to support the cervix and prevent preterm labor or premature delivery. It is a silicone or plastic ring-shaped device that is inserted into the vagina to help keep the cervix closed and prevent it from opening prematurely.
Types of Obstetric Pessaries
There are several types of obstetric pessaries, including:
| Type | Description |
|---|---|
| Ring Pessary | A circular ring-shaped device that supports the cervix from below. |
| Arabin Pessary | A silicone ring with a knob that applies pressure to the cervix to keep it closed. |
| Hodge Pessary | A curved ring-shaped device that supports the cervix from the side. |
The selection and application of an obstetric pessary are typically performed by a healthcare provider, such as an obstetrician or midwife, based on the patient's specific condition and needs.
Application of Obstetric Pessaries
The application of an obstetric pessary involves the following steps:
- The healthcare provider performs a pelvic examination to assess the size and position of the cervix.
- The appropriate type and size of pessary are selected based on the patient's anatomy and condition.
- The pessary is inserted into the vagina and positioned to support the cervix.
- The pessary is checked for proper placement and comfort.
- The patient is advised on pessary care and follow-up visits.
Obstetric pessaries are typically removed after the risk of preterm labor has passed or before the onset of labor. Regular follow-up visits are necessary to monitor the effectiveness and potential complications of the pessary.
Role of Obstetric Pessary
The obstetric pessary is a medical device used in pregnancy to manage certain conditions and complications. It plays a crucial role in supporting the uterus and preventing preterm labor or miscarriage in cases such as cervical incompetence or placenta previa. The pessary helps to distribute the weight of the uterus and relieve pressure on the cervix, reducing the risk of premature cervical dilation or bleeding.
Indications for Obstetric Pessary Use
The use of an obstetric pessary may be recommended in the following situations:
- Cervical incompetence: When the cervix begins to dilate prematurely, a pessary can help keep it closed and prevent preterm labor or miscarriage.
- Placenta previa: In cases where the placenta partially or completely covers the cervical opening, a pessary can help elevate the uterus and reduce the risk of bleeding or preterm delivery.
- Cervical shortening: If the cervix appears to be shortening during pregnancy, a pessary can help maintain its length and prevent premature cervical changes.
- Pelvic discomfort: In some cases, a pessary can provide relief from pelvic pain or discomfort during pregnancy by supporting the uterus.
Preparation for the Procedure
Proper preparation is essential for an accurate and reliable selection and application of the obstetric pessary. Here are some important steps to consider:
- Consult with a healthcare professional: It is crucial to consult with a qualified healthcare provider, such as an obstetrician or gynecologist, to determine if a pessary is suitable for your specific condition and to receive proper guidance on its selection and application.
- Understand the purpose: The healthcare provider will explain the purpose of using a pessary, whether it's for pelvic organ prolapse, urinary incontinence, or other obstetric or gynecological conditions.
- Medical history and examination: The healthcare provider will review your medical history, perform a physical examination, and may order additional tests to assess the severity and type of your condition, which will aid in selecting the appropriate pessary.
- Medication and allergy considerations: Inform your healthcare provider about any medications you are taking or any known allergies, as these factors may influence the choice of pessary material.
- Personal hygiene: Proper personal hygiene is essential before the pessary insertion procedure to minimize the risk of infection.
Procedure
The actual procedure for inserting the pessary will be performed by a trained healthcare professional, such as a nurse or a physician, following proper sterilization and hygiene protocols. The specifics of the procedure may vary depending on the type of pessary and the patient's condition, but generally, it involves the following steps:
- Positioning: You will be asked to assume a comfortable position, typically lying on an examination table with your knees bent and legs spread apart.
- Insertion: The healthcare provider will carefully insert the pessary into the vaginal canal, ensuring proper placement and fit.
- Adjustment and assessment: After insertion, the healthcare provider will assess the position and comfort level of the pessary, making any necessary adjustments.
- Instructions: You will receive instructions on the care and maintenance of the pessary, as well as information on when and how to remove it for cleaning or replacement.
Preparation and Analysis
The selection and application of the obstetric pessary is a procedure performed by healthcare professionals to support the pelvic organs in cases of pelvic organ prolapse. This analysis does not involve the cost of the pessary itself. The pessary is designed to be inserted into the vagina to help reposition and support the prolapsed organs, such as the uterus, bladder, or rectum, and alleviate associated symptoms.
Sources:
https://my.clevelandclinic.org/health/treatments/16036-pessaries
https://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.13837
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8571964/
https://www.dartmouth-hitchcock.org/obgyn/pessary
https://www.nature.com/articles/srep42560
IMPORTANT!
It is crucial to remember that the information provided here is not intended for self-diagnosis or self-treatment. If you experience any pain or exacerbation of a condition, it is essential to consult a healthcare professional for proper diagnostic testing and treatment. Only a qualified specialist can make an accurate diagnosis and determine the appropriate treatment. To ensure the most accurate and consistent evaluation of test results, it is recommended to have them performed at the same laboratory. This is because different laboratories may use varying methods and units of measurement for similar tests.
