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Cervical pessary in pregnancy
cervical pessary · pessary for short cervix · Arabin pessary · ring around the cervix
The doctor places a soft silicone ring in the vagina. It supports the cervix and helps keep the pregnancy going.
When the cervix gets shorter or opens too early, with a risk of preterm birth.
⏱ Duration: placing it usually takes 5 to 10 minutes; it is usually worn until 36 to 37 weeks
Be sure to tell your doctor
How to prepare
- Tests. A swab is usually taken first to make sure there is no infection.
- Bladder. Use the toilet before it is placed.
- Clothes. Wear comfortable clothes and socks, and bring a pad.
What to bring
- Your pregnancy record
- Your ID
- A pad
- Your cervical ultrasound results
How it goes
- You lie on the exam chair
- The doctor looks at the cervix with a speculum
- The ring is coated with gel
- It is gently put in and placed around the cervix
- The doctor checks how it sits
- Sometimes an ultrasound is done right away
What you'll feel
- While it is placed, you feel pressure and some discomfort
- Afterward, you usually barely feel it
- You may have a little more discharge
Afterwards
- Come to your checkups as scheduled. The doctor will check the ring and the cervix
- Sex is usually not recommended. Ask your doctor
- Sometimes suppositories or swabs are prescribed to prevent infection
- The ring is removed at the clinic, usually close to your due date
Contact a doctor straight away if
- Contractions or pain low in your belly: call your doctor or emergency services
- Leaking fluid: call emergency services
- Bleeding from the vagina
- The ring fell out or bothers you a lot
Common questions
Does placing a pessary hurt?
It usually does not hurt, but it is unpleasant. It takes a few minutes.
Can I walk and work with a pessary?
Usually yes, with limits on physical effort. Your doctor will tell you what is allowed.