FLUSHING CURETTE

USES:

 It is a blunt curette used in the operation of D+E.

 Previously, it was used to flush the uterine cavity with the luke warm
antiseptic solution-passing through the communicating channel.
 DOYEN’S RETRACTOR

USES:

 It is used to retract the abdominal wall as well as the bladder for proper
exposure of lower uterine segment during LSCS.
 It is to be introduced after opening the abdomen to be temporarily taken
off while the baby is delivered, to be reintroduced after delivery of the
baby and finally to be removed after toileting the peritoneal cavity.
 SPONGE HOLDING FORCEPS:

USES:

 Toileting the vulva, vagina and perineum prior to and following delivery.
 Antiseptic painting of the abdominal wall prior to caesarean section.
 To catch hold the membranes if it threatens to tear during delivery of the
placenta.
 To catch hold the cervix for inspection in suspected cervical tear
 To catch hold the cervix during encirclage operation.
 OVUM FORCEPS

USES:

 It has got no catch and the blades are slightly bend and fenestrated.
 Absence of catch minimises uterine injury if accidently caught.
 It prevents crushing of the conceptus.
 It is to be introduced with the blades closed, to open up inside the uterine
cavity, to grasp the products and to take out the instrument with a slight
rotatory movement
 The rotatory movements not only facilitate detachment of the products
from the uterine wall but also minimise the injury of the uterine wall if
accidently grasped.
 UTERINE CURETTE

USES:

 It may be sharp at both ends or sharp at one end and blunt at the other.
 Its common use in obstetrics is in the operation of D+C for incomplete
abortion.
 In D+E operation, the curettage is done by blunt curette as the uterine
wall is very soft.
 It can also be used in D+C operation one week following evacuation of
hydatidiform mole.
 UTERINE DRESSING FORCEPS

USES:

 The instrument is most often confused with laminaria tent introduced

forceps.
 The blades are transversely serrated while in the latter, there is a groove
on either blade.
 It is used to swab the uterine cavity following D+E with small gauze
piece, to dilate the cervix in lochiometra or pyometra.
LAMINARIA TENTAND THE TENT INTORDUCING FORCEP WITH
LAMINARIA TENT

USES:

 The instrument is almost similar to uterine dressing forceps.

 There is a groove on either blades to catch the laminaria tent
 It is dehydrate, compressed, Chinese see-weed.
 It is sterilized by keeping it in absolute alcohol at least for 24 hours.
 Usually more than one tent is to be introduced to prevent dumbling of
the ends.
 It produces slow dilatation of the cervical canal, as it swells due to
hygroscopic action
 MANNUAL VACCUM ASPIRATION SYRINGE

USES:

 This is used for evacuation of the uterus by creating a vacuum.

 It is used up to 12 weeks of pregnancy.

Advantages:

 It is simple
 It is safe
 Can be done as an outpatient basis
 It is done using local anaesthesia
 Its less traumatic
 It is 98% effective
 It takes less time (10- 15 mins)
 PLASTIC SUCTION CANNULA

(KARMAN’S TYPE)

 It is of different sizes and the approximate size required for a particular

case equals to the weeks of pregnancy to be terminated.
 The plastic cannula as got advantages over the metallic one- as it cases
less damage to the uterine wall the products sucked out is visible.
  The vacuum has been broken before its withdrawal (it is of different sizes
4, 6, 8, 10 and 12 mm and its used for S+E and MVA)

LONG CURVED OBSTETRICS FORCEPS

USES:

 It is commonly used in low forceps operation

PARTS OF THE FORCEPS:

 Cephalic curve
 Pelvic curve
 Shaft
 Lock
 Handle
 SHORT CURVED OBSTETRIC FORCEPS

(WRIGLEY’S FORCEPS)

 It can only be used as outlet forceps for extraction of head.

 KILLEND’S FORCEPS

It is usually used as rotating forceps in deep transverse arrest of occipito-

posterior position of the head or in unrotated vertex or face presentation.
 FORCEPS AXIS TRACTION DEVICE

 It includes axis traction rods (right and left) and handle.

 Thee rods are assemble in the blades of long- curved obstetric forceps
prior to introduction and lastly the handle is attached to the rods.
 The devices are required where much forces are necessary for traction as
in mid forceps operation
 There are less commonly used now.
 EPISIOTOMY SCISSORS

 It is bent on edge
 The blade with blunt tip goes into the vagina.
 VENTOUSE CUO WITH TRACTION DEVICE

USES:

 It is used in the operation of vacuum extraction of head.

 The cup is to be fitted on the scalp of the fore coming head by producing
“chignon” with the help of vacuum.
 GREEN- ARMYTAGE HENOSTATIC FORCEPS

 The forceps is used in lower segment caesarean section.

 Total four forceps are ordinarily required- one for each angle and one for
each flap.
 Its functions are haemostasis and to catch hold the margins so they are
not missed during suture.
 It cannot be used in classical caesarean section. Alternatively allies tissue
forceps may be used.
 MUCUS SUCKER

TYPES:

 Disposable
 Metal

USES:

 It is used to suck out the mucus from the naso-oropharynx following

delivery of the head of the baby.
 CORD CLAMP (DISPOSABLE)

 It is made of plastic and is supplied in sterile pack.

 The serrated surface and the lock make its grip firm.it occludes the
umbilical vessels effectively.
 The cord clamp is to be kept in place until it falls off together with the
detached stump of umbilical cord.
 PINNARD’S STETHOSCPOE

USES:

 It should be held firmly at right angle to the mid-point of the abdominal

wall. The ear must be firmly closed to the aural end.
 It should not be touched by hand while listening.
 OLDHAM’S PERFORATOR

 This instrument is required in craniotomy to perforate the skull bone for

decompression of the foetal head.
 GIANT VULSELLUM

 It is used in destructive operations especially in evisceration to have a

good grip of the foetal parts for giving traction.