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Surgical Management of Abortion involved the treatment given to the patient before and after undergoing an abortion. Abortion is a common surgical procedures conducted for women in many countries across the world. It involves the termination of pregnancy before the viability of the fetus. Viability here means that the fetus is capable of living independently from the mother and is describes as occurring at 24 weeks of conception. Abortion may be performed either by surgical means or through the intake of certain medications. A woman deciding to terminate her pregnancy has to undergo a Surgical Management of Abortion to ensure there are no complications involved.
The first step in Surgical Management of Abortion involves correct preoperative diagnosis and evaluation. Good surgical techniques ought to be used for any type of surgery including management of abortion. In preoperative diagnosis and evaluation there are several key questions that must be answered. These include whether the patient is actually pregnant, whether the pregnancy is complicated by the existence of multiple gestation, uterine abnormalities and other conditions as well as other questions. The next step involved in proper Surgical Management of Abortion is a high level of operator skill. Operative skills in abortion are achieved through observation by an experienced and competent practitioner.
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There are many techniques used in the Surgical Management of Abortion to ensure the safety of the patient. Sterile technique is often neglected in some aspects of abortion management somewhat due to the risks of poor technique are underrated. Every abortion, in spite of being so carefully performed, often results in a contaminated uterine cavity. In order to keep contamination to a minimum, the operator must use autoclaved instruments, independently sterilized specula, face masks as well as sterile gloves. The no-touch technique is vital along with meticulous attention to intraoperative sterile technique used in abortion surgeries.
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Atraumatic Technique is another method involved in the Surgical Management of Abortion. The use of an atraumatic tenaculum, like the side-curve Kelly instrument along with Laminaria for dilation, will almost do away with cervical lacerations due to tenacula. After all the techniques are applied to the proper execution of an abortion, there is another phase, which includes post operative care. Post operative care is an important part of Surgical Management of Abortion. For post abortion patients, there are some vital signs that must be observed and recorded at regular intervals.
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