Spontaneous and Induced Abortion 2 Flashcards

Describe in layman's terms to a classmate steps involved in performing uterine evacuation during the first trimester.

1
Q

What are the methodologies behind first trimester surgical abortions?

A
  • Dilation and Curettage
    • Electric Vacuum Aspiration (EVA)
    • Manual Vacuum Aspiration (MVA)
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2
Q

What is the first step to surgical evacuation during the first trimester?

A
  • Cervical dilation
    • adequate dilation necessary
      • use rigid dilators
      • can use misoprostol for ripening
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3
Q

Compare an electric to a mechanical vacuum aspirator.

A
  • Electric
    • electric pump or suction machine
    • plastic or metal cannula
    • typically used in centralized settings with high caseloads
    • constant suction
  • Manual
    • portable and reusable
    • efficac is the same as the electric vacuum
    • has semi-flexible plastic cannula
    • suction decreases as the aspirator fills
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