• Provide recommendations on the resumption of sexual activity, indicating the convenience of waiting until the vaginal bleeding completely stops to restart them. • Report on the possibility of getting pregnant again a few days after treatment and providing information on contraception (see “post-interruption of pregnancy interruption”, page 58). After having performed the counseling in contraception, guarantee the delivery of the method in case you have selected one.
• As far as possible, give information written and with graphic support. The process of attention to a person does not culminate with the ILE procedure; In many cases, it may require psychological or social accompaniment, information about its future fertility, its health status or other interventions. Follow-up interviews are an opportunity for the health team to address these issues and / or make the relevant derivations.
• Report on signs and symptoms that may present and require immediate attention: excessive bleeding (more abundant than that of normal menstruation) or persistent (more than two weeks); persistent colic and / or increasing intensity, which do not give with common analgesics; pain before pressure on abdomen or abdominal distension; dizziness or fainting; nausea or vomiting; fever and / or chills; flow of bad smell or purulent; Other situations that generate concern. Explain what to do and where to seek urgent medical attention in these cases. • Offer the woman the opportunity to ask questions and get more support if she needs it. Make the derivations that are considered appropriate (Social Service, Mental Health, Attention to Women Victims of Violence).
Protocol for integral attention from people entitled to legal interruption of pregnancy 48
Preparation and operation of the Manual Endouterian vacuum cleaner The AME device consists of a manual vacuum cleaner and aspiration cannula. The manual vacuum cleaner has a valve with a pair of buttons that open it and close it, which allows control of the vacuum; a lid and a removable coating; a plunger with handle and a ring-o; A cylinder of 60 cc where the content of the endouterin evacuation is deposited, with a clip that holds the safety ring (Figures 8 and 9).
The cannulas are 4, 5, 6, 7, 8, 9, 10 and 12 mm in diameter. The smallest (from 4 to 8 mm) have two openings in opposite situation and the largest (from 9, 10 and 12 mm) have a single largest opening. The printed points in each cannula are used to indicate the position of the main opening. The first point is 6 cm from the tip of the cannula and those that follow are spaced at 1 cm (Figure 9) intervals.