Features of childbirth after removal of the pessary. Onset of labor after removal of the obstetric pessary

Modern doctors do everything possible to help women maintain their pregnancies. Therefore, if there is a threat of miscarriage, the woman should have her cervix sutured or a support ring placed. Some women refuse to install this unit because they are so scared of childbirth after removal obstetric pessary. But there is absolutely nothing to be afraid of here.

Oh, I remember when I bought this ring and looked at it, I was in a complete stupor. Such a huge thing, kind of horned, with strange holes. The device seemed huge to me. How do you fit such a thing inside that barely fits in the palm of your hand??

I was already 22 weeks pregnant, and it seemed that such a thing inside would unrealistically interfere. I delayed the installation time as much as I could. I put off visiting the gynecologist, then “forgot” the ring at home. Until I ended up in the maternity hospital for conservation and talked to the girls who had already had a pessary installed. The stories were the most contradictory. Some said that it was painful to put on and remove the pessary, while others reported that they literally felt nothing. Not all women start childbirth after removal of an obstetric pessary. All the girls agreed on one opinion: if you want to carry the baby to term, you need to put in an obstetric ring.

What is the installation procedure like?

After I was discharged, I went to the gynecologist to have a ring installed. The period was 26 weeks. The installation is performed in a gynecology department. That is, I came to the reception and brought a ring. You lie down on a chair as if for an examination. The doctor unpacks the pessary and treats it with a special liquid. Then he asks you to relax as much as possible. It's quite difficult to do this, after all. nervous tension affects. I suggest several ways:

  • Place your hands on your chest.
  • Inhale deeply a couple of times.
  • Imagine that you are at home, on your bed.
  • And the hands that are picking at you “there” are not a doctor, but a husband.

Experienced gynecologists place the ring quickly, literally in one motion. Chick – and it’s worth it. I was lucky, my doctor installed the pessary quickly and almost painlessly. But this does not always happen, in exceptional cases A situation arises when the doctor places the ring crookedly, takes it out and puts it back on. Problems occur if a woman’s muscles are too tense and it becomes difficult to push the ring in. Try to relax!

And let's figure out what the functions of the ring are.

  • It supports the baby's head and prevents him from sliding down.
  • The pessary relieves the load on the cervix, it does not open.
  • With a pessary, a woman can do household chores more calmly, without worrying that premature labor will begin.

Don't worry, you won't feel the ring inside at all! Although this thing looks huge, it turns out that inside the pessary takes up little space. Or it's very convenient. Doesn't sting, doesn't burn, doesn't rub. The only thing is that you cannot have sex with a pessary. Although, if there is a threat of miscarriage, this is a natural warning.

Will I go into labor as soon as the pessary is removed?

This question often worries expectant mothers. Yes, some women give birth immediately after their support ring is removed. This happened to my sister, she managed to note New Year and went to the gynecologist a week later. During the examination, the doctor said that the ring would have to be removed in a hospital setting. In the maternity hospital, after all the procedures, the sister was seated on a chair and a pessary was taken out. Fifteen minutes later, contractions began and her cervix began to dilate.

So you can imagine how scared I was when they told me that the ring would be removed right at the gynecologist. At 37 weeks! What if I start giving birth?? But I can’t give birth in our city, I need to go to the regional city!!

To play it safe, I packed the bags for the maternity hospital, and my husband and I went to the gynecologist. We agreed in advance with friends to look after the eldest child if we had to travel to the regional maternity hospital that day.

I remember walking into the office and trembling like aspen leaf. I was shaking so much in the chair that even my legs were trembling noticeably. Relax? Why, I was pounding like crazy. Fortunately, an experienced woman, the head of gynecology, removed the ring. She stroked my hand and said: “Why are you shaking so much? It doesn’t hurt, you won’t start giving birth now, your cervix is ​​closed.” And hop, hand movement, a “pop” sound, as if champagne had opened, and she tells me to get up.

No unpleasant sensations, no pain, no pulling. I gave birth at exactly 40 weeks, on the day before that the deadline that the gynecologist set for me. Childbirth after removal of the obstetric pessary was no different from those without it. The same contractions, the same pushing. Same speed. Literally 6 hours from the start of contractions to the baby’s cry, both with his son and daughter.

Don’t be afraid to install or remove this support device! An obstetric ring will help you carry your baby and will not cause harm.

The content of the article:

If labor needs to be delayed, an obstetric pessary is placed on the pregnant woman. She begins to be interested in the following questions: “after removing the pessary, how long does it take for labor to begin?”, “how quickly does labor begin after removing the pessary?”, “can labor begin with a pessary?”, “what kind of labor after the pessary: ​​rapid or normal?”, "What to do if labor begins with a pessary?" or “the water broke with the pessary - what should I do then?” Let's answer these questions in detail.

Any expectant mother is pleased when pregnancy develops without any complications. However, often during this period there is a threat of miscarriage or other complications arise. The installation of a pessary is prescribed to prevent premature birth. Nowadays, premature birth of a baby before 37 weeks of pregnancy threatens his life. Various medical methods aimed at reducing risk premature birth and carrying the fetus to its due date.

What is an obstetric pessary and when is it indicated?

An obstetric pessary is a ring-shaped device that prevents the uterus from opening earlier than expected. Pessaries come in various forms:

Oval;
in the form of a round ring;
stripes;
cup;
cubic.

These gynecological devices are also divided by type. Type I ring is installed in nulliparous women with a uterine diameter of 25-30 mm. Type II device is intended for women with an upper vaginal size of 66-75 mm. Type III pessary is placed on women who have already given birth three times and whose cervical diameter is 30-37 mm. The ring is always selected individually by a gynecologist. It is made of hypoallergenic material - soft plastic or silicone. The pessary quickly adapts to anatomical features women.

Why else is a pessary installed? Main indications for device implementation:

Isthmic-circvical insufficiency;
short or soft uterus;
threat of premature birth and miscarriage;
prevention of isthmic-circvical insufficiency;
bad suture after surgical treatment.

The main function of an obstetric pessary is to keep the cervix closed. It also prevents its softening and relieves tension. Thanks to the pessary, fetal pressure is redistributed and the load on the cervix is ​​significantly reduced. After installing the device, the guarantee of bearing a child is very high. It can be installed after the twentieth week of pregnancy. This method of preserving pregnancy is more gentle than suturing the uterus. Suturing an organ requires the use of various medicines, administration of anesthesia, treatment with antibiotics. You should not be afraid of having a pessary prescribed - the procedure is not very painful and is performed without local anesthesia.

Contraindications for installing a pessary

There are also contraindications to installing a silicone ring:

Frozen pregnancy;
finding the amniotic sac at the bottom of the vagina;
inflammatory process of the genital organs;
secretion of ichor and blood;
emergence allergic reaction;
copious discharge from the vagina;
the diameter of the vaginal opening is less than 50 mm.

It is not recommended to install the ring after caesarean section, with regular physical activity, with multiple pregnancy. However, each pregnancy proceeds exclusively individually, so you need to listen to the instructions and prescriptions of the doctor.

Before installation, all diseases and infections of the genital organs must be cured. The design of the device is selected individually by the gynecologist. Getting used to the ring takes about three days. A pregnant woman quickly adapts to a foreign device. May feel more frequent urge to visiting the toilet and urinating.

Installation of the uterine ring requires compliance with certain rules by a pregnant woman:

When diagnosed with isthmic-circvical insufficiency, sexual intercourse is prohibited;
the mother must eliminate unnecessary emotional disturbances;
physical activity is excluded;
once a week it is necessary to take a vaginal smear test to exclude infection;
the doctor may prescribe the use of irrigation suppositories;
During gynecological examinations, the gynecologist controls correct location pessary;
the device is removed at 36-38 weeks, no later;
early removal of the ring is fraught with the development of an inflammatory process and premature birth;
sometimes bed rest is required.

Removing the pessary

How soon will labor begin after removing the pessary?

The obstetric pessary is removed at 38 weeks of pregnancy. To clarify the exact timing of ring removal, the doctor may prescribe an ultrasound. The expectant mother needs to know that after the device is removed, the cervix begins to relax. Since the fetus puts pressure on the uterus, it softens. The organ shortens and begins to gradually open, preparing for the birth process. Labor may begin within 7-10 days after removing the pessary, although some pregnant women give birth later than the expected day of birth after removing the pessary. If the device is removed ahead of schedule, amniotic fluid may leak out, the baby will be born quickly, or the membranes may become infected.

If you had your pessary removed at 37 weeks, then there is no need to worry, it means that the gynecologist believes that you are ready for childbirth and all you have to do is wait. When you give birth, the birth will proceed as normal.

How to remove an obstetric pessary

Removing the pessary is easier than inserting it. After removing the device, perform the necessary irrigation birth canal in a week. These measures are aimed at preparing women for the process of childbearing. Removing the device at the exact time cannot provoke premature birth, so the expectant mother should not worry about this. The uterus softens and prepares for childbirth in normal mode, gradually. If the obstetric device is removed when there are signs of labor activity, then immediately after the removal, labor begins.

Childbirth after removal of the pessary occurs in exactly the same order as normal. The birth process does not require application special means, and complications during the delivery process occur extremely rarely.

Childbirth with a pessary

If you go into labor and are wearing a pessary, there is no need to worry, since during contractions and dilatation of the cervix, the pessary will slip off on its own and will not cause any harm to you and your baby. Usually, with the onset of labor or after the water breaks, the obstetrician manages to remove the pessary, rapid labor after a pessary they occur very rarely.
But sutures placed on the cervix that are not removed in time can lead to serious ruptures.

It is important to know that in rare cases, inserting a ring does not always guarantee continued pregnancy. IN difficult situations labor can begin even with a uterine device in place. But after removing the device, you should not fear complications or show any concern. It is important for any expectant mother to control her emotions and mood and try not to worry. Following all medical recommendations is the best guarantee of maintaining pregnancy and avoiding complications. The pessary will make the entire period of bearing a child easier. The device will help bring the fetus to the desired date. It is better to prevent a miscarriage and plan a successful pregnancy down to the last detail, so you should not be afraid of installing a pessary, although this is a very unpleasant and painful procedure.

If there is a water leak, the doctor may leave the device in place after examining it with an ultrasound. This measure is used if the uterus does not begin to contract, that is, until contractions begin. The birth process itself, after the ring is removed, follows the usual standard scenario. The doctor must monitor the woman in labor, and the expectant mother herself must be in the maternity hospital.

How does childbirth occur with a pessary?

The main precursor to childbirth is abdominal prolapse. You may experience lower back pain, which gets worse over time. This is due to the pressure of the fetus on the pelvic ligaments. Main sign childbirth - the release of a mucus plug that protected the fetus from infection. The mucus plug is usually pinkish in color or completely transparent. The discharge of mucus indicates the imminent onset of labor - within 1-2 days.

There may be some slight weight loss before the birth itself. A woman will definitely notice this if she weighs herself every day. Before birth, the baby's movements become less active. His body is preparing for the birth process.

A woman in labor with a pessary applied can be admitted to the maternity hospital in advance. The beginning of delivery is the departure of amniotic fluid. They can move away in a large stream or in parts. This means that it is time to urgently go to the maternity hospital. You need to take all the necessary things with you to the maternity hospital for mother and baby. Sometimes a woman may not notice the first contractions. However, gradually they will begin to intensify and become regular. Undoubtedly, painful sensations will increase. The interval between contractions is usually 15-20 minutes.

If you have already started labor, then the pessary must be removed, regardless of the stage of pregnancy. During natural childbirth, the gynecologist constantly checks the dilation of the cervix. The degree of its opening is determined in centimeters. Full dilatation of the organ neck occurs at 11-12 centimeters. Can be assigned special diagnostics labor activity. IN special cases Doctors perform labor induction or caesarean section.

The incisions made by the doctor will make the birth of the baby easier. After the birth of the child, pushing continues for some time, with which the placenta comes out. If necessary, the doctor applies stitches. Ice is placed on the stomach. The woman in labor must rest, lie down and gain strength. Preliminary installation of a pessary during pregnancy, as a rule, does not in any way affect the course of the standard birth process.

Threat of interruption long-awaited pregnancy is always the biggest fear for every woman. If earlier the presence of isthmic-cervical insufficiency and other pathologies was a reason to send a pregnant woman for preservation until birth, today you can do without such drastic measures. An obstetric pessary will help carry the baby to term. But it is important to know the specifics of installing the device and to figure out whether labor begins after removing the pessary.

What is an obstetric pessary?

An obstetric pessary (uterine ring) is a device made of silicone (less commonly, plastic) with smoothed edges. Appearance The pessary may vary depending on the manufacturer's brand and material. Highlight the following types pessaries:

  • mushroom;
  • round;
  • oval shape;
  • in the form of a strip;
  • cup (the most convenient and in demand).

The uterine ring is one of the auxiliary methods of maintaining pregnancy along with suturing the cervix. Placing a pessary has many more advantages over suturing, which is a number of surgical procedures. Before undergoing it, you need to lie in the hospital for some time, the procedure itself is performed under anesthesia, and antibiotic therapy may be used in the future.

The procedure for installing a pessary does not involve the use of painkillers or anesthesia. Therefore, it is worth concluding that painful sensations it does not cause any harm during implantation. There is also no discomfort during further wearing. Sometimes, if there is exceptional sensitivity, women may be advised to take a pain reliever 30 minutes before inserting the ring.

When is it installed?

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An obstetric pessary is most often installed on early periods gestation. It is not uncommon for women to undergo the procedure in the second or early third trimester.

There may be direct and additional indications for the installation of a uterine ring. Direct indications for wearing a pessary include diagnosed isthmic-cervical insufficiency. At the next scheduled or unscheduled ultrasound, it may be discovered that the length of the cervix does not correspond to the required norm - 4 cm. A length of less than 2.5 cm is considered pathological.

In addition to this, it may be discovered that the external or internal os in the uterus is open. The combination of these factors is a direct indication for the installation of a pessary, since the weight of the growing fetus and its pressure on the thinned cervix can provoke premature birth.

TO additional indications installations of the uterine ring include:

  • a history of miscarriages and premature births;
  • multiple pregnancy;
  • the presence of sexual infantilism;
  • ovarian dysfunction;
  • if pregnancy occurs after long treatment infertility or as a result of insemination or IVF;
  • repeat pregnancy after surgical delivery by caesarean section;
  • in the presence of great physical and emotional stress in a pregnant woman.

However, the procedure for installing a pessary is not carried out if there is a need to terminate the pregnancy due to the presence of a number of pathologies in the mother or fetus. Also contraindications for installation include:

  • individual intolerance to materials;
  • narrowness of the vagina;
  • bloody discharge in the second or third trimester;
  • Availability inflammatory diseases requiring immediate treatment;
  • prolapse of the membranes;
  • pronounced degree of ICI, in which only suturing is indicated (more details in the article:).

Precautions after inserting a pessary

To avoid the development of a number of pathologies after the introduction of the uterine ring, gynecologists carefully monitor the woman’s condition and well-being. To do this, she is prescribed:

  • visit antenatal clinic once a week;
  • taking smears and cultures from the vagina every two weeks;
  • vaginal ultrasound (ultrasonography) to check the length and condition of the cervix once a month.

In addition, the pregnant woman herself should: for the entire period of wearing the pessary:

  • refuse vaginal intercourse;
  • devote Special attention genital hygiene;
  • remind the doctor when next visit antenatal consultation about the need to check the position of the ring;
  • reduce physical activity to a minimum.

It is strictly forbidden to try to remove or adjust the position of the ring yourself if any discomfort or unusual discharge occurs. The ring must not be reinstalled. It is worth mentioning that the nature of the discharge may indicate the presence or absence of any pathologies. When wearing a pessary, discharge may be:

  • Brown (bloody). If traces bloody discharge were discovered a couple of days after the ring was installed, they can be associated with mechanical damage tissues during the procedure. If later, you need to tell your doctor about it.
  • Yellow or green. Yellow or green mucus and foam indicate the presence of STDs, which pose a serious threat to normal development child.
  • Transparent and abundant. A large number of Colorless and odorless liquid is a signal that amniotic fluid is leaking. In this case, you need to carry out an express test yourself or call ambulance.

Can my water break and labor begin with an obstetric pessary?

The presence of a pessary on the cervix does not in any way affect the onset of labor; it does not prevent the waters from receding. Often pregnant women with ICI who were treated helper methods preservation, are placed in the maternity hospital long before the expected date of birth. However, sometimes things don’t go according to plan and your water breaks before the scheduled date. In this case, you need to call an ambulance and go to the maternity hospital with all things prepared in advance.

IN medical institution upon confirmation of the onset of labor, a pessary in mandatory will be removed. The fact that it was installed does not in any way affect the frequency and pain of contractions, or the birth process itself as a whole.

Removing the obstetric pessary

The pessary is routinely removed at the end of the third trimester – at 38–39 weeks. If there is no swelling, the procedure will not cause any pain. Like installation, removal of the device is carried out exclusively in a gynecological office. After removal, mandatory rehabilitation of the birth canal is carried out.

The pessary is removed ahead of schedule in the following cases:

  • if they give birth prematurely;
  • chorioamnionitis;
  • performing a caesarean section;
  • infectious diseases of the genital organs.

Contractions and childbirth after removal

The activation of delivery after removal of the pessary is explained by the fact that the cervix, which it holds, without additional stimulation, begins to soften and open too quickly, which provokes the onset of contractions.

In order not to miss the moment of the onset of labor, after the procedure for removing the device, the woman is asked to stay in a medical facility for some time. The doctor decides how long you need to spend in the hospital. Usually, after an hour and a half, an additional examination is carried out to assess signs of cervical dilatation and removal of the mucus plug. If none of this is available, the woman is sent home, since she will not be able to give birth in the coming days.

What do you need to know?

The main thing that women need to remember about having a pessary installed is that it does not provide an exclusive guarantee of maintaining the pregnancy until the required term. In addition to it, there must be hormonal and drug therapy combined with adherence to a gentle daily routine.

Unfortunately, not every obstetrician-gynecologist knows how to correctly install the uterine ring. However, if there are indications for wearing it, it is better to play it safe and look for a specialist who knows how to install a pessary.

In this article we will look at how childbirth occurs after the pessary is removed.

It’s nice when the pregnancy period proceeds without any complications, and the expectant mother is immersed only in wonderful dreams about her long-awaited little one. But in life, unfortunately, things don’t always happen the way we would like, and sometimes there is a threat of miscarriage along with premature birth. How can you maintain a pregnancy, how does childbirth go after removing the pessary?

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 treated to eliminate the possibility of damage to the internal tissue.

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 premature labor. Additional rings make it possible to divert natural secretions, but the mucus plug remains.

We will talk about childbirth after removing the pessary below.

Use of a pessary

The main indication for the use of a uterine ring is cervical insufficiency in women (in the future we will call it ICN). In this case, the cervix may become thinner and soften, which does not allow it to hold the fetus. Sometimes it can partially open and cause the risk of premature birth.

If the previous pregnancy resulted in premature birth and miscarriages, the doctor may also recommend the installation of such a ring. The indication for its use is the presence of ovarian dysfunction along with genital infantilism internal organs. As part of additional insurance, the ring may be prescribed for installation in women in a number of cases:


Contraindications

Unfortunately, sometimes in order to maintain a pregnancy, doctors are forced to resort to a more complex procedure, namely suturing uterine cervix. This may be prescribed when there are contraindications for installing a pessary:

  • Intolerance to obstetric devices, prolonged discomfort when using them.
  • The presence of fetal pathology when there is a need to terminate the pregnancy.
  • The vaginal opening is already fifty millimeters.
  • Colpitis causing displacement of the device.
  • The occurrence of bleeding.

Many people are wondering, after removing the pessary, how long does it take for labor to begin?

Features of the device installation procedure

The use of a uterine ring reduces the risk of pregnancy failure and premature birth by approximately eighty-five percent. Immediately before the device installation procedure, women need to cure existing infections. Ideally, this should be done at the planning stage of the child.

The installation process of this device may cause minor discomfort, but they pass quickly. To reduce the intensity of discomfort, the pessary is lubricated special cream or gel. This device is made in various sizes so that the doctor can select a pessary individually for the patient in accordance with her physiology. The correctly chosen size determines how accurately the ring is installed and how quickly the patient adapts to it.

Further unpleasant feelings will not arise, although during the first few days after installing the device, one gets used to it and it can put slight pressure on bladder. When, due to physiological reasons, the doctor is forced to set the pessary low, then during the entire period of its use (throughout the entire pregnancy), the woman will be able to feel the urge to urinate more often than usual.

Removal

Removing the pessary, as a rule, does not cause any discomfort. It is usually easier than installation. Such a device must be removed by a doctor who monitors the woman’s pregnancy. Following the removal of the device, sanitation of the birth canal should be performed over the course of a week to prepare the woman for the birth of the child.

Premature labor does not begin after removing the obstetric pessary, and many women fear 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 use

In most situations, for women for whom a doctor has 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 specifically for such ladies.

If a patient is diagnosed with ICN, she is contraindicated not only for sexual intercourse, but also for any overstimulation that can lead to an increase in uterine tone. In this case, it is forbidden to engage in any kind of sex, watch stimulating films, read novels, and so on.

There is no need for a pessary at all. hygiene care. The only thing is that once every few weeks the patient must undergo a smear to determine the cleanliness of the vagina. Depending on the result, the doctor may prescribe suppositories or additional irrigation. It is usually recommended to undergo examination at least once every three weeks, but depending on the indication, it may be prescribed more often.

The position of the pessary should be periodically monitored by a doctor and the condition of the uterus and cervix should be monitored. The pessary is worn throughout pregnancy and removed several weeks before the planned birth. Typically, the gynecologist makes a decision regarding removal of the device around the thirty-sixth week.

Early removal of the obstetric device in question is prescribed when inflammatory processes in the vagina, or if there is a need for early permission of the woman for medical reasons.

Unfortunately, even the timely installation of a pessary does not guarantee that it will be possible to maintain the pregnancy until the required period. Labor can also begin against the background of an installed 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 term. It is better to find out in advance how long it takes for labor to begin after removing the pessary.

Installation of such a device requires compliance with a number of rules by a pregnant woman:

  • If there is a diagnosis of isthmic-cervical insufficiency, sexual intercourse is prohibited.
  • A woman needs to avoid unnecessary worries.
  • Can't study physical activity.
  • Once a week you need to take a vaginal smear test to check for infection.
  • The doctor may prescribe the use of irrigating suppositories.
  • On the background gynecological examination The doctor monitors the correct position of the pessary.
  • The device is removed at the thirty-sixth week.
  • 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, and at the latest at the thirty-eighth week. To clarify the exact withdrawal period, the doctor may prescribe ultrasonography. The expectant mother should be aware that when the device is removed, the cervix begins to relax. Since the fetus puts pressure on the uterus, it softens. The organ can shorten, gradually beginning to open, and prepare for the birth process.

Your doctor will tell you when to expect labor after removing the pessary.

Within seven to ten days after the pessary is removed, it is possible that labor will begin, although some women are delivered later than the expected day after the pessary is removed. If the device is removed ahead of schedule, rupture of amniotic fluid may occur along with the rapid birth of the 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 childbearing, and she can only wait. When a woman gives birth, her labor will proceed as normal.

When does labor begin after removing the pessary according to statistics? More on this later.

Statistics

Childbirth after removing this device is usually carried out naturally, auxiliary influences from work medical personnel usually not required. According to birth statistics, after removing the pessary, the use of this device does not contribute to complications.

Birth process

Can labor begin if a woman has a pessary? Due to the dilation 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 has time to remove the device; rapid labor is rare. But when the uterus was sutured and the sutures were removed late, this leads to large tears.

Can my water break with a pessary in place? This is possible, since amniotic fluid can come out in the presence of a ring. When the waters recede (and this is a signal for the beginning of resolution), the device will be removed.

We looked at when labor begins after removal of the obstetric pessary.

When planning a pregnancy, women dream of how they will enjoy the role of a future mother, visiting the doctor only for scheduled inspections. This state of affairs is considered ideal. Unfortunately, there are many factors that can lead to involuntary termination of pregnancy. Doctors can take appropriate measures to prevent premature birth. One of the ways to maintain pregnancy is to install a uterine ring. Childbirth after pessary removal are no different from ordinary ones, despite the fact that the risk of losing the fetus during gestation is reduced many times.

There are a number of reasons why a doctor leading a pregnancy may decide to install it. It can be various diseases reproductive system, as well as external factors affecting a pregnant woman. Even if there are indications for the use of this device, the doctor does not always allow its use. There are a few physiological factors, which prevent the use of this method of fetal preservation. In addition, there are rules for the behavior of a pregnant woman who has a uterine ring installed. You can learn more about the indications and contraindications for the pessary, as well as the rules of behavior with it, by reading the article further.

Often during pregnancy there are difficulties with bearing. When there is a risk that a woman's uterus will not be able to withstand the load, the doctor may prescribe additional ways conservation. There are two main methods: inserting a pessary and suturing the uterus. The latter involves surgical intervention. Surgery, anesthesia and the use of drugs can create an additional threat to the mother and fetus. Therefore, the first method is considered priority.

A pessary is several interconnected rings of different diameters. These rings are interlocked in a special way. The doctor places this device on the cervix, thereby preventing its premature dilatation. The device has a special structure, allowing exit natural secretions and preventing the plug from being removed. Throughout the entire gestation period, there is a risk of involuntary miscarriage. It may be insignificant, or it may carry real threat. Typically, the physician decides whether to use this device for early stages. In the first trimester, the probability of miscarriage is high, but later it decreases.

There are a number of reasons why using a pessary would be advisable:

  • diseases of the reproductive system;
  • pregnancy, where there are more than two fetuses;
  • the expectant mother is exposed to physical activity;
  • previous births ended in caesarean section;
  • state of stress and emotional tension;
  • multiple miscarriages;
  • pregnancy was preceded by infertility.

Diseases that require the installation of a device during pregnancy include ICN and genial infantilism. The latter represents a delay in the development of the woman's internal genital organs. At puberty her reproductive system may look and function like reproductive system child or teenager.

The product is also installed for ovarian dysfunction. This disease involves a malfunction of the ovaries, due to which hormones are formed. Most often, a pessary is prescribed to women in the presence of isthmic-cervical insufficiency. With this disease, the cervix is ​​too thin to withstand the load. In addition, throughout the entire gestation period there will be a risk of premature dilation.

Note! When registering at the antenatal clinic, the doctor who will manage the pregnancy collects an anamnesis. Based on it, taking into account the research carried out, the obstetrician decides on the need for a pessary. Therefore, it is fundamentally important to provide truthful and comprehensive information.

Having learned about pregnancy, a woman is obliged to register so as not to endanger herself and her baby. Before you go to your appointment, it is worth considering the information that the doctor may need. This approach will help to promptly identify the need to install a pessary and reduce the risk of miscarriage.

Installation and removal of the pessary

Many women are scared when they learn about the need to have a uterine ring installed during pregnancy. There is a misconception that after its removal, labor begins immediately. Doctors cannot definitely answer the question of when labor begins after removing the obstetric pessary. Once the device has been removed, it will take some time before contractions begin. This period can reach several weeks. Despite the fact that the installation of the product does not protect against premature birth 100%, its effectiveness is quite high. A method such as suturing the cervix is ​​also used by doctors at present. This is due to the fact that installing a ring is not always possible.

There are several contraindications to its use, including:

  • inflammation of the vaginal mucosa;
  • bloody discharge from the genitals;
  • individual intolerance to the ring;
  • pathologies of child development, when there is no point in continuing the pregnancy;
  • the cervix has dilated by 5 cm or more.

A contraindication is also the presence of infections in a woman’s body. Before installing a pessary, it is necessary to undergo a course of treatment. In other cases, the use of the device is acceptable.

In any case, it is unacceptable to make a decision about installing a ring on your own; only a doctor can do this. Installing the device does not bring any unpleasant sensations. In addition, a correctly selected pessary will not cause discomfort throughout pregnancy.

It is important! There are pessaries different sizes. In addition, it can be made from different materials. The doctor leading the pregnancy must choose the appropriate option, taking into account all the characteristics of the woman’s body. The convenience of its use depends on how correctly the device is selected.

If the ring fits a woman, she will not feel it after installation. This is very important, given that you will need to wear it throughout your pregnancy. Unpleasant sensations may occur in the first days after installation, but they should pass quickly. In order to reduce the risk of cervical irritation and discomfort, the doctor may use a special gel.

The decision to remove the ring is made by the obstetrician. He also performs all the manipulations. The process itself does not bring pain or discomfort. After the pessary is removed, it will be necessary to sanitize the birth canal. This event will help a woman prepare for childbirth. During normal pregnancy, the product is removed at 36-38 weeks. At this time, a woman may already have precursors signaling the approach of childbirth. There is a possibility that a woman will begin to give birth immediately after the device is removed, but this is only possible if labor has already begun before the ring is removed. Removing the pessary does not provoke termination of pregnancy.

Pregnancy using a pessary

Once the pessary is installed, there should not be any significant changes in the woman's daily routine and behavior.

During pregnancy, the expectant mother should adhere to the following principles:

  • a strict daily routine that determines periods of sleep and wakefulness;
  • proper balanced nutrition;
  • abstinence from physical and psycho-emotional stress;
  • periodic visits to the doctor.

All these rules must also be followed in the presence of a uterine ring. The installation itself suggests problems with pregnancy, which is why it is so important to provide the woman with peace during pregnancy. Failure to comply with medical instructions will lead to complications of pregnancy, including its interruption. During a routine consultation appointment, the doctor should always examine the cervix expectant mother. It determines how correctly the pessary is positioned and whether there is any irritation on the organs. Besides standard tests urine and blood, the doctor takes a smear to determine the degree of purity. If research shows low level cleanliness, the obstetrician prescribes medicinal suppositories.

It is important! Sex life at normal course pregnancy is not prohibited. If it is necessary to install a pessary, there is a risk of premature birth. In this case, it is better to abstain from sexual intercourse.

As for ICN, sex is completely contraindicated with this diagnosis. Not only sexual intercourse is prohibited, but also any actions that may lead to sexual arousal. In the presence of such a disease, the cervix is ​​very weak, even with a ring installed on it, it is very difficult for it to cope with the load. If tone appears, she will no longer be able to hold the fetus inside, this will lead to the onset of labor. In this regard, a pregnant woman should protect herself from watching erotic films, magazines and books during pregnancy. A pessary is a useful medical device for maintaining pregnancy. It will not be able to completely eliminate the possibility of interruption, but it will significantly reduce it. Its installation does not bring any discomfort or pain to the woman. The use of a uterine ring does not lead to negative consequences. Unlike cervical suturing, its installation does not require surgical intervention. All these arguments speak in favor of using a pessary.