The process of painless abortion

First, the preoperative preparation

Before the operation, the regular hospital will carry out preoperative examination of pregnant women, such as including routine blood, urine test, B ultrasound, electrocardiogram, leukorrhea routine, etc. Through these examinations, we can know whether there is a systemic disease or not. Through these tests, it is possible to know whether there is a systemic disease, whether it is an ectopic pregnancy, whether there is a gynecological inflammation, and can accurately determine the size and location of the pregnancy bag, etc., to increase the safety of the operation.

The whole process of painless abortion

1, the operator should wear clean work clothes, wear a hat, mask, wash hands and wear sterile gloves.

2, the patient to take the scraping position (bladder lithotomy position).

3. The vulva is covered with a sterile perforated towel.

4. Detailed review of uterine position, size and adnexa.

5. Probe the depth of the uterine cavity with a probe in the direction of the uterus.

6. Gently dilate the uterine opening with a cervical dilator in a pen-like fashion, number by number (half to one size larger than the suction tube used).

7. Suction of the uterine cavity

(1) Connect the suction tube to the negative pressure device prepared before the operation.

(2) According to the direction of the uterus, the suction tube is slowly sent into the uterine cavity, reaching the bottom of the uterus, and then withdrawn a little, looking for the embryo bed.

(3) Loosen the clamp on the negative pressure bottle device, feel the negative pressure, the suction tube clockwise or anti-clockwise rotation, up and down activities, to feel the flow to the suction tube, at the same time there are uterine contractions and uterine wall roughness, can be folded pinch the skin tube, take out the suction tube (pay attention to do not take the negative pressure in and out of the cervical tube), and then reduce the negative pressure to 100-200 mm Hg, continue to suction tube according to the method described above in the uterine cavity suction 1-2 weeks. After 1-2 weeks of intrauterine suction, remove the suction tube and measure the depth of the uterine cavity.

(4) When the suction tube is withdrawn, if the embryonic tissue is stuck in the head of the suction tube or the lumen of the tube, it is necessary to turn on the machine and suction the tissue into the bottle before turning off the machine. If the tissue is stuck in the mouth of the uterus, the tissue can be removed with oval forceps.

8. Ensure that the gestational sac and surrounding tissues are attracted cleanly.

9. Wipe the surgical site with gauze, remove the cervical forceps, remove the speculum, and the procedure is complete.

10. Strain the aspirate and check for complete embryo and chorionic villi. Measure the volume of blood and tissue matter respectively, if abnormalities are found (no chorionic villi, etc.), they should be sent for pathologic examination.

11. The doctor fills in the surgical record.

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