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Surgical management of miscarriage under local anesthesia using manual vacuum aspiration (MVA) Women's Health appreciate this is a difficult time and that you will have many questions. We hope that
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01
Gather all necessary medical supplies and equipment for the procedure, such as sterile gloves, speculum, tenaculum, suction curette, and local anesthetic.
02
Ensure the patient's comfort and privacy during the procedure.
03
Explain the procedure and obtain informed consent from the patient.
04
Administer local anesthesia to the cervix to minimize discomfort.
05
Insert the speculum into the vagina to visualize the cervix.
06
Use the tenaculum to stabilize the cervix for better access.
07
Dilate the cervix gently using a series of dilators or laminaria tents.
08
Once the cervix is adequately dilated, insert the suction curette into the uterus.
09
Use gentle suction to remove the products of conception from the uterus.
10
Check the uterine cavity with a curette to ensure all contents have been removed.
11
Monitor the patient for any complications or signs of excessive bleeding.
12
Provide post-procedure instructions and follow-up care to the patient.

Who needs surgical management of miscarriage?

01
Surgical management of miscarriage is typically recommended for individuals who have experienced a pregnancy loss but have not completely passed all fetal tissue or products of conception naturally.
02
This procedure may be necessary for those who have persistent heavy bleeding, severe pain, or signs of infection after a miscarriage.
03
Additionally, individuals who prefer a surgical intervention or have certain medical conditions that contraindicate medication-based management may opt for surgical management of miscarriage.
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Surgical management of miscarriage involves the removal of remaining pregnancy tissue from the uterus.
Any healthcare provider performing the procedure is required to file surgical management of miscarriage.
The form should be completed with the patient's demographic information, details of the procedure, and any complications.
The purpose of surgical management is to safely remove remaining tissue from the uterus after a miscarriage.
Information such as patient's name, date of procedure, type of procedure, and any complications must be reported.
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