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)
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
- adequate dilation necessary
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