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pubmed:otherAbstract |
PIP: Education in pessary use at the outpatient clinic of Nagasaki University Hospital was reviewed. 27 women, who had recovered from childbirth and postpartum of 2 months or more, were admitted to the program. The program consisted of 1 group session and 4 private instructions. In the group session family planning in general and contraceptive devices in detail were described and discussed. At the end of the general session each patient was asked to select one method of contraception. Private instructions included the lecture on the anatomy of female organs related to pessary use, determining the size of pessary via internal examination, locating portio by tactile sense, actual fitting of pessary by the clinical staff and removal by the patient. After practicing a few times the patient acquired necessary skills. 16 users of pessary were followed up at 2 weeks, 1 month, and 2 months. In 2 weeks the patients used pessary 1-5 times. They experienced no discomfort, hemorrhage, or abnormal discharge. Removing pessary was more difficult than inserting. The patients agreed that having the same midwife throughout the private sessions was helpful. They have continued to use pessary for 10 months-2 years and 4 months.
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