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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