5. UTERINE ASPIRATION PROCEDURE

 

This section contains information on first trimester uterine aspiration with manual and electric vacuum, used for both abortion and early pregnancy loss (EPL) management. You will have the opportunity to train in the use of vacuum equipment, steps in the uterine aspiration procedure, and tissue evaluation. Although most early uterine aspiration procedures are technically straightforward, some present challenges. Management of complex cases and complications will also be discussed.

 

CHAPTER LEARNING OBJECTIVES

 

Following chapter completion and hands-on experience, you should be able to:

  • List the steps of the uterine aspiration procedure and tips for cervical dilation
  • Correctly use equipment for manual and electric uterine aspiration
  • Consistently use the ‘no touch technique’ while providing uterine aspiration, and describe its importance
  • Evaluate products of conception for presence of appropriate gestational tissue
  • Assess and manage challenges and complications related to uterine aspiration

 

READINGS / RESOURCES

 

  • Paul et al (eds). Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care (Wiley-Blackwell, 2009)
    • Chapter 10: First Trimester Aspiration Abortion
    • Chapter 13: The Challenging Abortion
    • Chapter 15: Surgical Complications: Prevention and Management
  • Procedure simulation resources: Papaya Workshops
  • Managing complications