9. PRELIMINARIES
• ANESTHESIA—either general or local is used. In
some cases, the operation may be performed with
intravenous diazepam sedation.
• LITHOTOMY position.
• Full SURGICAL ASEPSIS is to be taken:
– Surgical team is to wear sterile cap, mask, thorough
hand wash and to wear gown and gloves
– Vulva and vagina are to be swabbed with antiseptic
solution
– Cervix is cleaned with povidone-iodine solution
– Leggings.
• To empty the EMPTY THE BLADDER before she is
placed on the table or catheterization
• Vaginal examination is done
10. Cont.
• Pudendal block or perineal infiltration with 1%
lignocaine is sufficient.
• It may be applied even without anesthesia,
especially in parous women.
• The instrument should be assembled
• The vacuum is tested prior to its application
11.
12. POST ABORTION CARE
• Emergency treatment of abortion
complication
• Family planning counselling and referral
services
• Involve male partners also
23. PROCEDURES
Preliminaries:
• As mentioned before
• GA is usually not needed
• If patient is apprehensive,
• IV Diazepam 5-10 mg (conscious sedation)
• Supplemented by paracervical block isquite
effective
• Patient is put on the table after bladder is
emptied
34. PROCEDURE
• Operation is done as an out patient
• Aseptic precautions
• Sedation or paracervical block anesthesia may be employed
• Introduction of posterior vaginal speculum & Allis forceps
• Gentle dilatation of cervix using 4-5mm size dilators
• Insertion of 5-6mm suction cannula (Karman’s) & attached to
50mL syringe
• Cannula is rotated, pushed in & out with gentle strokes
35. Cont.
• Operator should examine the aspirated tissues
by floating it in a clear plastic dish over a light
source
• Placenta tissue appears fluffy and feathery
when floats in normal saline
• Help to detect failed abortion, molar
pregnancy or ectopic pregnancy
36.
37.
38.
39.
40. REFERENCES
• Mudaliar and Menon’s Clinical Obstetrics, 11th
edition, Sarala Gopalan and Vanita Jain,
Ventouse
• DC Dutta’s Textbook of Obstetrics, 9th edition,
Hiralal Konar, Ventouse
• Essential Of Obstrectric, Lakshmi Seshadri,
Gita Arjun, Ventouse