??# Dilation and Curettage (D&C) OSCE Protocol
Key Instruments to prepare
Arrange the instruments (Metallic catheter- speculum- Tenaculum / Vulsellum- dilators- uterine sound- ovum forceps -curette-)
| Instrument | Visual |
|---|---|
| Metallic Catheter |  |
| Cusco’s Speculum |  |
| Tenaculum / Vulsellum |   |
| Sim’s Uterine Sound |  |
| Ovum Forceps |  |
| Uterine Curette |  |
D&C Procedure Steps
| Phase | Step | Key Actions & Instruments |
|---|---|---|
| Preparation | 1 | - You will be asked to name the instruments and to arrange themZ 1. After scrubbing & anaesthesia. 2. Clean the area. Arrange Instruments & Prepare: Lay out all necessary instruments in order. The procedure follows scrubbing, administering anesthesia, and cleaning the perineal area. (Note: You will be asked to name and arrange these). |
| Procedure | 2 | Empty Bladder: Use a Metallic Catheter to ensure the bladder is empty.  |
| 3 | Visualize Cervix: Insert a Cusco’s or Sim’s Speculum to get a clear view of the cervix.   | |
| 4 | Stabilize Cervix: Grasp the anterior lip of the cervix with a Tenaculum or Vulsellum to hold it steady.   | |
| 5 | Sound the Uterus: Gently insert a Sim’s Uterine Sound to measure the depth and determine the direction of the uterine cavity. | |
| 6 | Dilate Cervix: Gradually widen the cervical canal using Hegar’s Uterine Dilators in sequential sizes.  | |
| 7 | Evacuate Contents: Introduce Ovum Forceps  to remove larger products of conception, then use a Uterine Curette to systematically scrape the uterine lining. | |
| Post-Procedure | 8 | Specimen Collection: Collect all tissue for histopathological examination. |
| 9 | Completion & Debriefing: Remove all instruments, clean the area, and inform the patient that the procedure is finished. | |
| 10 | Documentation: Record all findings and procedural details. | |
| https://www.youtube.com/watch?v=1IwrAyonFA4 |
Post-Procedure Care
- Explain to the mother.
- Debriefing & documentation.
Operations
C-Section
- Green Armitage (control bleeding and aid in suturing).
- Doyen retractor (to protect the bladder & to give space).
