Preoperative preparation for curettage of artificial abortion

The following points should be done before curettage.

1. All patients should be hospitalized for surgery if conditions permit, especially those who are 13-14 weeks pregnant, or have other systemic diseases, or are physically weak. For those who are 11-12 weeks pregnant, outpatient surgery must be performed by experienced and skilled doctors.

2. Those with bleeding diathesis, anemia or physical weakness should undergo blood routine examination, blood type, bleeding, coagulation time and platelet tests.

3. The uterine dilator needs to be prepared around the 15th.

4. Preoperative cervical preparation:

(1) Dilatation of the cervix with a special rubber catheter: First, disinfect the cervix and cervical canal as usual, then insert a sterilized No. 16 or No. 18 rubber catheter into more than 1/2 of the uterine cavity. Wrap the catheter section remaining in the vagina with sterilized gauze and place it in the posterior fornix or upper vagina. After 24 hours, remove the rubber catheter before surgery.

(2) Use prostaglandins to dilate the cervix.