check the notes on intruments and procedures in obsgyn thats found in the obs pages as well
Go trhough that first and study through that first.
this is the suction device thtas found in the ot as well...used to suck contents inclding blood. can be used on the uters.
carmans canula can be attached to the machine as well
even with handheld its called suction and evacation
The cervical block should be under the mucosa and should avoid the vessel so avoid the three o'clock and nine o'clock position
The six by 10 refers to each side 6 on one side and tenon the other side
Before introducing instruments inside the ueterus must do an examination to find out the size of uetrus and the direction of the uterus
the allis forceps and tenaculum is used to hold the cervix
Mustn't put out or in, just put in and arotate and do the entire process and then pull out
Curettage is a separate process altogether and you don't need to combine the two
stable = scopy
unstable = laporatomy
and then must contine the procedure done by seniours uner altrasound guidance
in second trimester medical method is preferred over surgical because surgical can lead to amplied complications and also formed uterus so difficuul and messy to take out.
The above methods are old methods fr 2ns trimester abortions and not used anymore
Medical methods for induced abortions
theres no going back once taken, that is the medicine. thye are teratogenic.
mife pristone has anti progesterone actvity so blocks progesterone activity on the uterine walls so will case necrosis and interruption to the pregnancy.
Then miso prostol does the rest.
These drugs are highy teratogenic.
misoprosltol all 800 (4 two hundred tablets) can also be taken all at once.
Misoprolstol its better to give in hospital under observation because of the side effects and to treat the side effects.
otherwise follow up on day 15
residual bleeding can upto 2-3 weeks?
so day 1 and day 3 and then if any issues then day 15 follow up and then cehcking. if incomplete abortion or anything anywehre then must resort to surgical method. also surgical if 2nd trimester.
max dosages was made 5 earlier but now under doctors discretion.
then if failed resort to surgical
misprostol full dosages summarised!