Clinical Management of Abortion Complications: A practical Guide (WHO - OMS, 1994, 86 p.): ANNEX 7 - INSTRUMENTS AND EQUIPMENT FOR SECOND 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 7 - INSTRUMENTS AND EQUIPMENT FOR SECOND TRIMESTER UTERINE EVACUATION

A. Instruments for each second trimester abortion tray:

Open-sided vaginal speculum
Atraumatic tenaculum forceps, 9½” angled
Sponge forceps
Sopher forceps, large, 14 mm jaws
Long dressing forceps
Container for cleansing solution
Single tooth tenaculum forceps
1 large and 1 smaller curette, preferably blunt
Instrument tray for instrument storage and tissue collection
Container (500 ml) for propping solution
Gauze sponges 4 × 4”
Cotton balls

B. Equipment for intravenous infusion of oxytocic drugs

Sets for intravenous infusion, including needles IV fluids

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

Vaginal retractors, 1 pair (Medium)
Sponge forceps, 9 1/2” curved
Pratt dilators, sizes 37/39, 41/43, 45/47
Pratt dilators, full set of largest sizes (to 75)
Needle holder, long
Tissue forceps 10”
Scissors, large, curved
Container (50 ml) for local anaesthetic
Chloroprocaine or Lidocaine 1% - 15 ml
Syringe, 10 ml with control grip for paracervical block
Needle, 1-1/2” 25 gauge or 22 gauge spinal

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