A Reading on

Cystocele

In Partial Fulfillment of the

Requirements in NCM 209 – RLE 

Delivery Room Rotation

Submitted to:

Rodilie B. Gulle, RN

Clinical Instructor 

Submitted by: 

Oliveros, Leoneil B.

BSN – 2I Group 2

April 27, 2021

Israel’s PregnanTech creates silicone ring to help halt premature births

Bibliography:

 Solomon, S., Gross, J. A., staff, T. O. I., Kampeas, R., Magid, J., Wootliff, R., …
staff, A. F. P. and T. O. I. (2020, September 22). Israel's PregnanTech creates
silicone ring to help halt premature births. The Times of Israel.
https://www.timesofisrael.com/israels-pregnantech-creates-silicone-ring-to-help-
halt-premature-births/.

Summary:

PregnanTech revealed that they developed a silicone ring that can possibly help in
preventing preterm births, this new discovery, when placed in the vagina and secured
high around the uterine cervix, can help prevent preterm births.

The silicone ring is called the Lioness, the silicone ring looks like a bottle cap with a hole
in the middle, clasps onto the cervix it has the same effectiveness as the surgical
solutions to the problem. It can maintain its position there in spite of pressure and
contractions, keeping the cervix elongated and closed, thus helping halt cervical dilation
and preventing premature birth. The nonsurgical procedure to insert the ring takes just
minutes in a physician’s office or clinic.

Premature birth is the most common and costly problem in obstetrics, and it is still
prevalent even after decades has. Every year, about 15 million preterm infants are born
worldwide, which represents about 5% to 12% of all births in developed countries, and
up to 18% of births in other countries. About 1 million of these newborns do not survive.
Those that do survive has a big chance of having disabilities that have a significant
effect not only on their quality of life but on their families.
A cervical stitch is a treatment commonly used to deal with cervical weakness. When
the cervix starts to shorten and open too early during a pregnancy which will lead to
either a late miscarriage or preterm birth. In the procedure, a strong suture is sewn into
and around the cervix, usually between weeks 12 to 14 of the pregnancy, and then it is
removed towards the end of the term. The procedure is done with local anaesthesia,
usually with spinal block. It is generally done as an outpatient procedure, by an
obstetrician or gynecologist.

Reaction:

I agree with this article since doing a surgical procedure to fix premature cervical dilation
is an invasive procedure and also it will cost a lot of money. My realization is that there
are a lot of new medical advances that are being developed everyday and these cost
effective non surgical solutions can help people a lot especially those do not have a lot
to spend for a surgical procedure. The positive impact of this article is that it can help a
lot of people especially those who suffer with weak cervix. Now pregnant mothers
especially with weak cervix do not need to undergo with the surgical procedure over and
over again when going through pregnancy, now they just need to go to their obstetrician
for the application of the silicone ring. It can help the families save money and also time
when dealing with this problem. The negative effect of this article is that it is not yet out
there in every hospitals and also it is not practiced fully yet. Also we still do not know if
there are complications to using this or if there are any tendency of this ring to fail or
collapse. The nursing implication of this article is that it will be very helpful to us student
nurses when we go to the clinical areas in the future. With this article we learned about
the new discovery that is very helpful in our DR rotation and might be used in our local
hospitals in the near future. We also learned the surgical way of dealing with this
problem as well as some information about the Premature Cervical Dilation. This is
important as we will know what is normal and what is not, this can help with our patient
teaching as well as observation of the patient when we go to the clinical areas in the
future.
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