APPENDIX 6 - CHECKLIST ASPIRATION

To ensure a smooth clinic routine and to avoid complications a rigid procedure in termination of pregnancy is recommended by observing the following checklist. Items in brackets only apply in certain cases or situations.

The page numbers refer to: DCR description of procedure

DIF possible difficulties in that stage

CMP complications in that stage

STAGE

DCR DIF CMP page page page

REMARKS

CHECKLIST

VAGINAL TOILET and LOCAL ANAESTHESIA	25 30 18 18	< 13 weeks > 13weeks	Introduce speculum Dry swab vagina Swab with cetrimide [local anaesthetic plain local anaest.c.adrenaline Remove spec. and swab again with cetrimide
PREPARATION	25		Arrange instruments Put on gloves
GENERAL ANAEST.	19 19 19		Inject anaesthetic.
DILATATION	25 30 26 26 26 26 30 33 26 30 33	< 13 weeks > 13 weeks	single blade speculum fix cervix in tenaculum [probe cervix canal] [probe uterus] dilate till minimal 6 dilate till maximal 16
Aspiration or Aspirotomy	27 31 34 27 32 35 28	> 13 weeks	Introduce canula Remove soft tissue remove fetal parts Aspirate rests [check with curette]
CHECK TISSUE CHECK UTERUS	28 29		Search for all tissues repeat ultrasound scan
FINISH PROCEDURE	29		Clean patient Apply hygienic pad Apply disposable slip Bed rest

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