Clinical Management of Abortion Complications: A practical Guide (WHO - OMS, 1994, 86 p.): ANNEX 6 - INSTRUMENTS AND EQUIPMENT FOR FIRST TRIMESTER UTERINE EVACUATION

Clinical Management of Abortion Complications: A practical Guide (WHO - OMS, 1994, 86 p.)

		(introduction...)
		ABSTRACT
		ACKNOWLEDGEMENTS
		PREFACE
		INTRODUCTION
		CHAPTER 1 - INITIAL ASSESSMENT: DETERMINING THE WOMAN'S NEEDS FOR IMMEDIATE TREATMENT
		CHAPTER 2 - MANAGEMENT OF SHOCK
		CHAPTER 3 - MANAGEMENT OF MODERATE TO LIGHT VAGINAL BLEEDING
		CHAPTER 4 - MANAGEMENT OF SEVERE VAGINAL BLEEDING
		CHAPTER 5 - MANAGEMENT OF INTRA-ABDOMINAL INJURY
		CHAPTER 6 - MANAGEMENT OF SEPSIS
		CHAPTER 7 - GENERAL PRINCIPLES OF EMERGENCY ABORTION CARE
		ANNEX 1 - EQUIPMENT AND FACILITIES FOR ABORTION CARE
		ANNEX 2 - EXAMPLE OF A REFERRAL FORM FOR COMPLICATIONS OF ABORTION CASES
		ANNEX 3 - EMERGENCY RESUSCITATION MATERIALS
		ANNEX 4 - ESSENTIAL DRUGS FOR EMERGENCY ABORTION CARE
		ANNEX 5 - SUPPLIES FOR SURGICAL UTERINE EVACUATION PROCEDURES
		ANNEX 6 - INSTRUMENTS AND EQUIPMENT FOR FIRST TRIMESTER UTERINE EVACUATION
		ANNEX 7 - INSTRUMENTS AND EQUIPMENT FOR SECOND TRIMESTER UTERINE EVACUATION
		ANNEX 8 - INSTRUMENTS AND SUPPLIES FOR LAPAROTOMY
		ANNEX 9 - LABORATORY AND BLOOD MATERIALS
		ANNEX 10 - MANUFACTURERS, SUPPLIERS AND SOURCES OF PROCUREMENT OF EMERGENCY GYNAECOLOGIC EQUIPMENT
		ANNEX 11 - MANUAL VACUUM ASPIRATION (MVA)
		ANNEX 12 - DILATION AND CURETTAGE (D&C)
		SAFE MOTHERHOOD RESOURCE LIST
		BACK COVER

ANNEX 6 - INSTRUMENTS AND EQUIPMENT FOR FIRST TRIMESTER UTERINE EVACUATION

A. Basic Uterine Evacuation

Tenaculum
Sponge (ring) forceps or uterine packing forceps
Malleable metal sound
Pratt or Denniston dilators: sizes 13 to 27 French
Sharp curette: size 0 or 00
Medium speculum, self retaining
50 ml container for local anaesthetic
500 ml container for antiseptic solution
Plastic strainer
Clear glass dish for tissue inspection
Long dressing forceps
Container for cleansing solution
Single tooth tenaculum forceps

B. Vacuum Aspiration with Electric Pump

Basic uterine evacuation instruments plus:
Vacuum pump with extra glass bottles
Connecting tubing
Cannulae (any of the following):

flexible: 5, 6, 7, 8, 9, 10, 12 mm
curved rigid: 7, 8, 9, 10, 11, 12, 14 mm
straight rigid: 7, 8, 9, 10, 11, 12 mm

C. Manual Vacuum Aspiration

Basic uterine evacuation instruments plus:
Vacuum syringes (single or double valve)
Adapters
Flexible cannulae, size 4 to 12 mm

D. “Ten Week Plus”

Basic uterine evacuation instruments plus:
Pratt of Denniston dilators: sizes 29 to 43
Curette: size 1 or 2

E. Additional - Should be available wherever uterine evacuation is performed but not necessarily present on every tray

Special specula:

Small Pederson type
Large Graves type
Sims

Uterine sound
Large (sharp) curette
Extra dilator packs
Extra cotton balls and/or 2” gauze sponges
Needle holder
Tissue forceps

Adapted from WHO, Induced Abortion: Guidelines for the Provision of Care and Services, 1979