Open AccessPessaries in clinical practice
Author(s) -
Olesya N. Bespalova,
Gabriel S. Sargsyan
Publication year - 2015
Publication title -
žurnalʺ akušerstva i ženskihʺ boleznej
Language(s) - English
Resource type - Journals
eISSN - 1684-0461
pISSN - 1683-9366
DOI - 10.17816/jowd64297-107
Subject(s) - pessary , medicine , obstetrics , pregnancy , gold standard (test) , clinical practice , transvaginal ultrasound , cervix , gynecology , ultrasound , physical therapy , biology , genetics , radiology , cancer
Pessaries were used in medicine since ancient times, history of their use goes back thousands of years. Throughout its history, pessaries have not changed significantly, so modern products do not differ from the ancients. In modern obstetrics pessaries are used for treatment of cervical incompetence and prevention of premature birth. Transvaginal ultrasound is the gold standard for the evaluation of the cervix during pregnancy and allows a selection of patients with cervical length ≤25 mm for pessary installation. To date, the installation of pessary may be the main strategy for the treatment and prevention of threatened pregnancy termination in the II and III trimester of pregnancy.