OBG - Instruments. !

Prepared based on real instruments

1. Instruments

2. Green Armatage

3. Non-traumatic Catches angle of uterus, arteries Used in C-section

4. Ring/ Sponge holding forceps

5. To hold obstetrical cervix Toileting the vulva with betadine To catch hold of membranes, if they threaten to rupture

6. Teel’s valsalam

7. Hold non-pregnant cervix For S&E, D&E

8. Hegar’s dilator

9. Following D&C Rapid dilation of cervix Incomplete abortions MTPs Need to pass 6-8 size Hegar’s dilator beyond internal os without any resistance, then withdraw and an opening snap sound is heard

10. Endometrial curette

11. Blunt end (Obstetrical purposes) – D&C for incomplete abortion Sharp end (Gynaecological purposes) – D&C for endometrial thickening

12. Uterine sound

13. To find uterocervical length First do PV to assess whether uterus is anteverted or retroverted Supravaginal elongation of cervix – UV prolapse Infravaginal elongation – congenital, if primi – do Shirodkar

14. Kocher’s Artery Forceps

15. Straight artery forceps Haemostatic forceps

16. Allis forceps

17. Holds rectus sheath, vaginal mucosa

18. Doyen’s retractor

19. Retract abdominal wall and bladder during LSCS

20. Landon’s retractor

21. Sim’s speculum

22. 2 blades Small – primi Large – multi To inspect cervix and vagina for VVF, Cystocele, anterior colporraphy

23. Right angle forceps

24. Cusco self-retaining bivalved speculum

25. Can’t use for operations Used for cervical cytology, insert or remove IUCDs, punch biopsy Stainless Steel Sterilized by boiling or autoclaving Self retaining – no need of assistant – Hands free To visualize cervix only, lateral Vaginal walls visualised Two blades connected by a hinge Nut & screw for adjustment to suit vagina of different sizes

26. Babcock’s forceps

27. Sterilization/ family planning procedures - sterilization

28. Leech Wilkinson Cannula

29. HSG Chromopertubation C/I in PID

30. Rubin’s insufflator

31. Nulliparous, narrow cervix HSG Sien test

32. Episiotomy Scissors

33. Blunt end – inside – protect fetal head Sharp end - outside

34. Vacuum cup

35. Ant. Vaginal wall retractor

36. Ovum forceps No lock/ catch Used in removing POC in MTP

37. Ring Pessary

38. Foley’s catheter

39. For urinary retention in retroverted gravid uterus Drain bladder before surgery/ labour PPH – used with condom and RL Foley’s induction of labour – Transcervical balloon catheter For gynaec cases – use metal catheter Assess patency of fallopian tubes by injecting dye into catheter into cervical canal

40. Menstrual Regulator (MR) Syringe

41. Evacuation of uterus by creating a vacuum MTP Done in 1 st trimester

42. Ayre’s spatula

43. Female Metal Catheter

44. Boney’s Myoma Screw

45. Piper’s forceps

46. Wrigley’s forceps

47. Vacuum Pump

48. Female Rubber Catheter