1.Gynecology operation table

2. Essential equipment/instruments for performing abdominal/gynecological surgery should be available (Ovum forceps, Foley’s catheter No.12,14, 16, instruments for laprotomy, gynecological and abdominal surgery).

3. Anesthetic equipments should be available (Boyle’s Apparatus, endotracheal tubes etc.)

4.Resuscitation equipments

5. Sterilization equipments

6. Drugs required for MTP

7. IV fluids

8. Back up facilities for treatment of shock should be available if needed

9. Facility for transportation available if needed to transfer the pt. to higher center

1. Copy of the qualification certificate of the doctor performing MTP should be available & to be exhibited at prominent place

2. The doctor/s performing MTP should meets qualification requirement as per MTP Act

3. Certificates of their qualification should be available

4. Valid registration certificate of Maharashtra Medical Council for the doctor/s should be available

5. If this Center also provide USG services

6. If yes, is the center registered under PCNDT Act to be intimated to PCMC-Medical Dept. by a separate letter.

1. Details of RMP/General Medical Practitioners prescribing drugs like mifepristone (RU486) and misoprostol at their clinic and referring such cases for MTP or complications to this MTP center.

2. If RMP/General medical practitioners who are prescribing the medical abortion drugs and referring such cases for medical abortion in this center then the list of names to be displayed at the center.

3. Also mention such RMP/General medical practitioners are qualified as per Rule 5 of MTP Rules 2003

The List of Essential Equipments/ Instruments for performing MVA, EVA or Both procedures:

1.1 Sim’s and/ or Cusco’s speculum

2. Anterior vaginal wall retractor

3. Allis forceps or vlsellum (small toothed)

4. Sponge holding forceps

5. Blunt and sharp curette

6. Cheatle’s forceps

7. Bowel for antiseptic solution

8. Proper light source/Torch

9. MVA aspirator and /or Electric Suction machine

10. Cannulae of required sizes

11. Kidney tray

12. Strainer for tissues

13. Plastic bucket for chlorine solution for keeping soiled instruments

1. Antibiotics: Ampicilline, Amoxicilline, Cephalexin or a suitable alternative

2. Analgesic: Paracetamol, Pentazocin, Dicyclomine or a suitable alternative

3. Injection Atropine sulphate

4. Local Anaesthetic: Inj. Lignocaine 1-2%

5. Injection Diazepam

6. Uterotenics: Inj. Oxytocine, methylergometrine, Inj. Prostaglandins and/or tablet mesoprostol

7. Dextrose 5% and Ringer lactate, IV set, Canulae or scalp vein sets

1. Injection Adrenaline

2. Injection Aminophyline

3. Injection Sodiumbicarbonate 7.5%

4. Injection Calcium Gluconate 10%

5. Inj. Metchlopramide (suitable antiemetic).

6. Inj. Promethasine (suitable antihistaminic) Inj. Hydrocortisone (steroid)

1. Antiseptic solution: Providon iodine solution

2. Sterile cotton swabs

3. Sterile gloves

4. Clean perineal sheet (desirable)

5. Sterile Syringe and needle for administering paracervical block and other drugs

6. Sterile saline or water for washing before instruments that are chemically sterilized or high level disinfected before use. Chlorine solution/ bleaching powder Infrastructure required for Second Trimester Terminations: In addition to all requirements enlisted above for VA procedures, following are needed for the second trimester procedure.

1. Essential Equipments/Instruments: Ovum Forceps, Foleys catheters No. 12,14,16. Instruments for laprotomy, gynaecological and abdominal surgery.

2. Equipments for resuccitation/anaesthesia: Boyle’s apparatus and Endotracheal tubes.

3. Equipments for sterilization: Same as for VA procedure.

4. Essential Supplies: Sutures of different sizes

5. Essential Drugs for medical induction: Ethacridine lactate, Laminarai tents, mesoprostal

6. Drugs for Treatment of Emergencies: Same as for VA procedures.

Source: Comprehensive Abortion Care, Training and Service Delivery Guidelines. Ministry of Health and Family Welfare, Government of India.