Medicine an Surgery notes

Apr 24th, 2015
Studypool Tutor
Price: $5 USD

Tutor description

Word Count: 577
Showing Page: 1/5
METHOD FOR INDUCED ABORTIONFirst trimester abortionVacuum curettageMedical abortion in the first trimesterSecond trimester abortionDilation and evacuationLabor induction methodsFetal death in uteroSelective fetal reductionMethods for abortion in the first trimesterVacuum curettageEpidemiology The most common method of abortion in the United StatesBefore 13 weeks: Suction or vacuum curettageAfter 13 weeks: Dilation and evacuation (D&E)Procedure Antibiotics Marked reduction in postabortal infectionTetracycline, doxycycline, minocycline Broad spectrum of antimicrobial effect Oral absorptionPain reliefParacervical block 10-20mL of 1% lidocaineDeep injection into the cervical stroma at multiple siteAddition of 2-4 units of vasopressin to the anesthetic solution Reduces blood lossPrevent postabortal uterine atonyNonsteroidal anti-inflammatory drugs: Preoperative administration -> modest reduction in painConscious sedation: Intravenous midazolam 1-3mg and fentanyl 50-100ugThe necessary dilatation of the cervixMechanical cervical dilation with tapered cervical dilatorsHygroscopic dilators - laminaria: Reduces risk for perforation or cervical lacerationProstaglandins - misoprostol: 400ug vaginal dose, 3-4 hours before procedure, Minimal side effects, little expenseFor complete abortion and early diagnosis of ectopic pregnancyPreoperative ultrasonographyCareful inspection of the aborted tissueFollow up with serial hCG titerManua

Review from student

Studypool Student
" Excellent work as usual "
Ask your homework questions. Receive quality answers!

Type your question here (or upload an image)

1819 tutors are online

Brown University





1271 Tutors

California Institute of Technology




2131 Tutors

Carnegie Mellon University




982 Tutors

Columbia University





1256 Tutors

Dartmouth University





2113 Tutors

Emory University





2279 Tutors

Harvard University





599 Tutors

Massachusetts Institute of Technology



2319 Tutors

New York University





1645 Tutors

Notre Dam University





1911 Tutors

Oklahoma University





2122 Tutors

Pennsylvania State University





932 Tutors

Princeton University





1211 Tutors

Stanford University





983 Tutors

University of California





1282 Tutors

Oxford University





123 Tutors

Yale University





2325 Tutors