DILATATION AND EVACUATION
Objective
To empty the uterine cavity in cases of incomplete, missed or inevitable abortion.
Position
Lithotomy.
Anesthesia
Sedation and paracervical stitch.
Procedure
1. Empty bladder.
2. Expose cervix as for D and C.
3. Dilate cervical canal with Hegar’s dilators if not already dilated.
4. Remove products of conception using ovum forceps or ring forceps.
5. Perform check curettage using indirect complete evacuation.
6. Inject injection ergometrine 0.25 mg I/V.
Instruments
• D and C set.
• Ovum forceps (Fig. 10.37).
Any questions be sent to drmmkapur@gmail.com
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