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September 20-22, 2017 | Toronto, Canada

10

TH

AMERICAN PEDIATRICS HEALTHCARE &

PEDIATRIC INFECTIOUS DISEASES CONGRESS

Pediatric Healthcare & Pediatric Infections 2017

T

he study of a variety of pessaries is available in themarket,

but they reveal a number of faults in their construction

and possible complications from their use. Cervical

insufficiency is one of the most common causes of preterm

labor. The new exclusive innovation model of obstetrical

pessary designed by the authors is made of high quality

silicone of determined flexibility and density, providing the

optimal application of the pessary. The outstanding feature

of the ring is, availability of four symmetrical semi-circular

slots on the external surface of the ring, four bulges on

the internal surface of the ring and exclusive four vertical

silicon “lobes” at the lower surface of pessaries, not allowing

shifting or turning to a wrong position. Absolutely new and

significant advantage of the new model is its antimicrobial

coating (miramistin, chlorhexidine, silver) preventing

development of bacterial vaginosis which may impede the

use of the pessary. Application of this pessary is simple

and painless. Research of the new model of obstetrical

pessary was conducted on a group of pregnant women (420

patients) with cervical insufficiency or history of habitual

abortion and with pregnancy of 14 to 37 weeks of gestation.

All pregnancies were saved. The advantages of the new

model of the obstetrical pessary are as follows: 1. Adjunctive

fixation of the pessary in the vagina due to the external

slots (so the pessary would not move or drop out). 2. High

comfort and ease of usage of the pessary during its insertion

into the vagina. 3. Reduced risk of lacerations and ulcers of

the vaginal mucosa due to minimal pessary contact with the

vaginal wall. 4. Increase in outflow of the vaginal discharge.

5. Prevention of infections like vaginitis due to antimicrobial

coating of the pessary. 6. Allergy–free. 7. Easy and painless

removal of the pessary. 8. Presence of four bulges on the

internal surface of the ring preventing cervical dilatation in

case of cervical insufficiency during pregnancy. 9. Elimination

of symptoms of stress urinary incontinence. 10. Presence of

four vertical silicon “lobes” at the lower surface of pessaries,

which are not allowing it to shift or turn to a wrong position.

Application of the new exclusive innovation model of

obstetrical pessary by Doctor Schneiderman considerably

increases the chances of successful development of

pregnancy in women with cervical insufficiency and habitual

abortion. The optimal timing for use of obstetrical pessary

is from the 17th week of pregnancy to the 37th week of

pregnancy with the subsequent removal of the pessary.

Speaker Biography

Schneiderman M is working as a Professor of Medicine. He received his Bachelor’s

degree from the Medical University of Orenburg in 1965. After obtaining PhD degree

from the Medical University of Moscow in 1967, he worked as an Assistant Professor

in Medical University of Moscow, and from 1972 he worked as Gynecological Surgeon

at Moscow Gynecological Hospital No.5. In 1979 he became the Director of the

Gynecological Clinic at Old Arbat Street in Moscow. Between 1997-1982, he also

consulted as an Assistant Professor in the clinic of Dr. Rokhlin in San Francisco (USA).

In 2013, he joined Academician V I Kulakov Research Center of Obstetrics, Gynecology

and Perinatology Ministry of Healthcare of Russia (Moscow) as a Professor. He has

received various awards in the field of infertility treatment, new methods of surgical

treatment of gynecological diseases, in obstetrics.

e:

innamike@lmi.net

A new exclusive innovation model of obstetrical pessary by Doctor Schneiderman for prevention and

treatment of cervical insufficiency and habitual abortion

Mikhail Schneiderman, Yavelsky V

and

Sukhikh G

Ministry of Health of Russia, Russia