07/12/2025
What is a Cerclage Pessary?
A Cerclage Pessary is a medical device used to support the cervix during pregnancy. It is a silicone cup-shaped device that is inserted into the va**na and positioned around the cervix. The pessary acts like a brace, providing support and helping to prevent the cervix from shortening or opening too early, which can lead to preterm birth.
When is a Cerclage Pessary Used?
A Cerclage Pessary may be recommended for women who have:
A history of cervical insufficiency, which is a condition in which the cervix weakens and opens too early during pregnancy.
A short cervix, which is a cervix that is shorter than normal in the second trimester of pregnancy.
Multiple miscarriages in the second trimester.
Certain medical conditions, such as connective tissue disorders, that can increase the risk of cervical insufficiency.
Benefits of Using a Cerclage Pessary
There are several benefits to using a Cerclage Pessary:
It is a non-invasive procedure, which means there is no need for surgery.
It is relatively painless and can be inserted and removed in a doctor's office.
It is safe for both the mother and the baby.
It is effective in reducing the risk of preterm birth.
Types of Cerclage Pessaries
There are two main types of Cerclage Pessaries:
The Arabin pessary is a bowl-shaped pessary that fits snugly around the cervix. It is the most commonly used type of pessary.
The Silastic pessary is a ring-shaped pessary that is placed around the base of the cervix.
How is a Cerclage Pessary Inserted?
The pessary is typically inserted during the second trimester of pregnancy, between 12 and 24 weeks. The doctor will insert the pessary into the va**na and position it around the cervix. The procedure usually takes only a few minutes.
How Long Does a Cerclage Pessary Stay in Place?
The pessary will typically stay in place until the baby is born. It will be removed by the doctor at a routine prenatal appointment.
Risks and Side Effects of Cerclage Pessaries
Cerclage Pessaries are generally safe, but there are a few risks and side effects to be aware of, such as:
Vaginal discharge
Infection
Discomfort
Bleeding
If you experience any of these side effects, it is important to contact your doctor right away.
Overall, Cerclage Pessaries are a safe and effective way to reduce the risk of preterm birth in women who are at risk for cervical insufficiency. If you are pregnant and have any concerns about your cervix, talk to your doctor about whether a Cerclage Pessary is right for you.
I hope this information is helpful. Please let me know if you have any other questions.
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