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- A speculum is used to open the vagina.
- The entrance to the uterus (the cervix) is grasped and pulled forward for access.
- The cervix is then dilated by inserting metal rods (dilators) of increasing size.
- A plastic tube with a rounded tip called a Karmens catheter, is inserted into the uterus through the cervix.
- Using a vacuum pump attached to the tubing, suction removes the foetus along with the placenta and the uterine lining.
- Usually the walls of the uterus are then scraped with a curette (a small sharp instrument with a spoon-shaped end) to check that the uterus is empty.
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