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Aspiration: What to Expect the Day of Your Visit

When you schedule an appointment at Parkmed Physicians for an Aspiration Procedure you probably will have questions.

Our friendly and knowledgeable staff will try to answer your questions before you come in but hopefully the following summary will help ease your mind as well.

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When You Arrive:

Our Office, located on the 6th floor of 800 Second Ave, is a very secure building shared by medical offices and diplomatic embassies. When you enter the building you will be asked to produce a Photo ID in order to enter the premises. Any form of official Photo ID is fine: School ID, Work ID, DMV ID, Drivers License, and Pass Port.

When you arrive on the 6th floor come to the lobby area and sign in at the front desk. We will ask you to fill out a set of registration forms including a detailed medical history, a demographics form and a HIPPA Privacy statement. These documents are used to ensure that you receive the highest quality medical treatment and are aware of your rights as a patient.

When you finish your forms you will be signed in by one of our Patient Facilitators. They will create a confidential chart for you in the electronic medical records system. They will review your medical history and information as well as answer questions regarding the consent forms and procedure information. You will be asked to read and sign the consent form at this time. You will also have the opportunity to discuss this form with the Nurse or Doctor before the procedure as well.

Once you are signed in, you will begin the testing phase of your visit. This phase lasted 45 – 60 minutes. We will do a urine pregnancy test to confirm the pregnancy. Then we will draw a small amount of blood to do a CBC and blood typing test before the procedure. These tests are important because they help is make sure that you are in good health and that it is safe to do the procedure. You blood type is important because if you have a negative RH factor you will need an additional medication. You will be informed if this is the case.

Once your test results and sonogram is complete the chart will be cleared for the procedure. If there are any concerns regarding your health that may affect the procedure a Patient Facilitator, Nurse, or Doctor will discuss these factors with you.

Once all your questions are answered your chart will be set up to go in for the procedure.

The Aspiration Procedure:

A nurse or medical assistant will call you and have you change into a sterile hospital gown and place your personal items in a bag that you can keep with you in the room at all times. Then you will be shown to the exam room and asked to have a seat on the exam table.

You will be introduced to your physician, nurses and the anesthesiologist. You will be given the choice to be awake or asleep during the Aspiration Procedure. Most people choose the aspiration procedure because it does not require anesthesia – however at Parkmed Physicians you comfort is very important to us. With this in mind we do provide general anesthesia for the Aspiration Procedure if you desire. Please let us know when you are scheduling your appointment if you would like to be asleep during the procedure because this effects the instructions you will be given to prepare for your visit.

The Doctor will ask you to lie back on the table with your feet in the stirrups just like you are having a regular pap smear performed. Once you are in position the doctor will perform a pelvic exam to check you vagina. They will then insert a speculum – the duck bill shaped device used to hold the vagina open during GYN examinations. The doctor will then swab you cervix with iodine to clean the area and give a series of injections, called a cervical block, to numb your uterus. Although your uterus will be number you will experience some cramping during the procedure.

The doctor will gently dilate your cervix. Once this is done they will insert a tub called a canulette through the cervix into the uterus. Once this is in place they will attach the canulette to a syringe like device which will be used to manually provide gentile suction and remove the pregnancy tissue. You will want to breathe slowly and deeply through your nose and mouth to help you relax during this procedure. The doctor and nurses will talk you through the steps so that you are as comfortable as possible. The Aspiration Procedure will take approximately 2-5 minutes.

Once the procedure is complete the doctor will remove the canulette and then the speculum from your vagina. They will place a sanitary pad on for you so that if you have post-operative bleeding you do not need to worry. Once they are certain you are ok you will be allowed to rest in the exam room or in the recovery area after the procedure for 30 – 45 minutes or longer depending on how you are feeling. The nurses will monitor your bleeding, blood pressure and temperature until they feel you are ok to leave. If you are asleep for the procedure you will need someone to escort you home at the end of your visit.

Post Aspiration Instructions:

The instructions for care after an aspiration procedure are the similar to those for a m procedure. You will be given written and verbal instructions by the nursing staff before you leave our facility.

You will be given a prescription for antibiotics to help protect you from getting an infection while you cervix closes back down. You will also be asked not to insert anything into your vagina for 2 to 3 weeks after the procedure. This will keep extra bacteria from getting into your vagina which could infect your uterus. If you run fevers over 100 degrees during this time you should contact the office so that the doctor can evaluate the situation and possible have you come in for further treatment. You also want to avoid heavy exercise for two to three weeks after having an aspiration. While bleeding is normal after the procedure – and the amount is different for every woman – exercise like heavy lifting, running or working out at the gym can cause increased bleeding. If at any time in the two to three week period after the procedure you begin bleeding enough that you need to change maxi pads more then twice an hour you should contact the office immediately.

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You may have some cramping as your uterus goes back to normal. You can take Ibuprofen, Tylenol or other over the counter pain relievers as long as they do not contain aspirin. Aspirin acts as a blood thinner and will cause extra bleeding. If you are on blood thinning medications please let the doctors know before your procedure so precautions can be taken to protect your health.

You Follow Up Visit:

You should have a check up 3 weeks after your procedure. You can book this appointment when you are signed in for the procedure to ensure that you get a good time and date that will be convenient for you. If you wish to return to your own OBGYN you can do so, but they may request that the tests from the visit are sent over. We will need a signed medical records release to send this information.