Among the possible causes of a premature birth is the so-called cervical insufficiency: The cervix is shortened and opens prematurely. Most often this occurs between the 4th and 6th month of pregnancy and can have various causes. Sometimes it is a consequence of a previous difficult birth or an abortion. Similarly, infections or uterine surgery can cause cervical insufficiency. Another possible reason is multiple birth pregnancies, which often cause a stretching of the cervix, too.
For the relief and sacral orientation of the cervix of pregnant women (e.g. prophylaxis for preterm birth or multiple births). Indication by vaginal sonography through the cervix. It must be made sure that there is no infection before application! Drainage for secretion through perforation.
The surgical cerclage is the classic way to prevent cervical incompetence, and thus a late abortion or premature birth. In many cases a comparable effect can be achieved without surgery: using medesign cerclage pessaries. The therapy with pessaries today is safe in every respect, and after more than 10 years of experience worldwide widely considered as an alternative to surgery. For both methods, the success rate is 80-90%.
Cerclage pessaries sit firmly once inserted, thanks to bowl shape and height dimensions of 17, 21 and 25 mm. Cerclage pessaries are inserted according to the clinical findings, such as from the 16th week. Depending on the bacteriological fluoride finding a replacement or cleaning is needed.
|Product||Size (mm)||Content||Product Number||PZN Germany||EAN-Code|
|Cerclage Pessary||32/65/17||1 pcs||MED1000084||7439087||4250201201058|
|Cerclage Pessary||32/65/21||1 pcs||MED1000050||7439101||4250201201065|
|Cerclage Pessary||32/65/25||1 pcs||MED1000086||7439124||4250201201072|
|Cerclage Pessary||32/70/17||1 pcs||MED1000087||7439153||4250201201089|
|Cerclage Pessary||32/70/21||1 pcs||MED1000088||7439176||4250201201096|
|Cerclage Pessary||32/70/25||1 pcs||MED1000989||7439236||4250201201102|
|Cerclage Pessary||35/65/17||1 pcs||MED1000090||7439182||4250201201119|
|Cerclage Pessary||35/65/21||1 pcs||MED1000091||7439199||4250201201126|
|Cerclage Pessary||35/65/25||1 pcs||MED1000092||7439213||4250201201133|
|Cerclage Pessary||35/65/30||1 pcs||MED1000093||7439147||4250201201140|
|Cerclage Pessary||35/70/17||1 pcs||MED1000094||7439093||4250201201157|
|Cerclage Pessary||35/70/21||1 pcs||MED1000095||7439118||4250201201164|
|Cerclage Pessary||35/70/25||1 pcs||MED1000096||7439130||4250201201171|
|Material||Medical Silicone - Silcopure blue|
|Classification||Medical Product IIb|
Your doctor will begin with an ultrasonic vaginal examination (supine or standing) whether the cervical os is opened or shortened overall. He will also check if there is an infection.
The pessary with the correct size is inserted with the curve upward. Thus, the larger diameter can support the cervix by resting on the sacrum and / or the pelvic floor muscles. The pessary is placed so that the cervix is located in the top ring diameter. A slight swelling (edema) of the cervix may be a desired effect. Possible descensus complaints are resolved immediately after the insertion. If the pessary is inserted with the rim down, it can not provide its supporting effect in an optimal way.
Dimensions given in the table refer to inner diameter, outer diameter and height of the Pessary.
Contents of delivery:
- 1 Pessary with manual
- 1 Ladysoft Lubricant 30ml with manual