Menstrual extraction

A. Many women seek abortion services within 1-2 weeks of the missed period. Abortion of these early pregnancies with a small-bore vacuum cannula is called menstrual extraction or minisuction. The only instruments required are a speculum, a tenaculum, a Karman cannula, and a modified 50 mL syringe.

B. The extracted tissue is rinsed and examined in a clear dish of water or saline over a light source to detect chorionic villi and the gestational sac. This examination is performed to rule out ectopic pregnancy and to decrease the risk of incomplete abortion.

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