SECOND TRIMESTER PROCEDURE

Eve Women’s Medical, has established University Standards for all of its medical procedures. Therefore all physicians are Board Certified in their specialized fields of practice, and the centers Medical Director is a Diplomat of the American College of Obstetrics and is also certified in laparoscopy, hysteroscopy, and advanced colposcopy; a We hold the first State of Florida Abortion Clinic License Number 001.

Since 1979, we have earned excellent reviews from nationally recognized regulatory and accreditation agencies like COLA, premier clinical laboratory education, consultation and accreditation organization, and the Florida Agency for Health Care, the chief policy and planning entity for the State of Florida. During our last two inspections we received a perfect 100 score for patient care and quality assurance, and OSHA Standards and protocols are strictly enforced. In addition the entire staff is certified in Advanced Cardiac Life Support. We are proud of what we do, how we do it, and of our record of excellence. Our reputation is earned one patient at a time. Every patient is important to us, the moment you enter our facility you will know that we are professionals, people you can trust caring for the people that you love.

We are experienced in handling all facets of your healthcare and we are comfortable in discussing it with you. No question is too small, too intimate. We will give you straight answers and the kind of care you deserve and have grown to expect from us. We never forget why we are here; we are here to serve you. Naturally, all discussions and treatments are confidential bound under the sacred doctor-patient relationship, "You can talk to us."

Our offices are designed to please your feminine side and the other side of you that demands the latest techniques and best cutting edge technology. Conveniently located offices and staff always warm, considerate, and caring For over 30 years Eve Women’s Medical Centers have been committed to providing women of all ages safe, state-of-the-art, innovative surgeries and healthily lifestyle choices. In a serene and supportive atmosphere staff and physicians strive to promote a partnership between patients and their own healthcare, making every effort to bridge the sterile science of diseases with patients emotional, physical, and spiritual needs. Our commitment extends to our patients, their families, and their love ones, all those that trust us with the privilege of their healthcare. Our staff and the physicians are proud of our women’s healthcare program and we would like to thank the residents of Dade and Broward County, for allowing us the pleasure of providing them with over three decades of service.

D&E (DILATION AND EVACUATION) SECOND TRIMESTER PROCEDURE

Vacuum Aspirations preformed over 13 weeks-24 weeks must be preformed in facilities Licensed and approved by Florida Agency Department of Health.

An Early 2nd Trimester D&E 13-16 weeks is very similar to the First Trimester Vacumm Procedure. However, because the pregnancy is more advanced, the doctor needs to dilate the cervix more to make it possible to remove the tissue. The majority of this tissue must be removed manually, although vacuum aspiration or suction may also be used. Since the walls of the uterus are softer at this stage of pregnancy, this must be done very slowly and carefully to prevent perforation of the uterus.

The latter second trimester of pregnancy (17-24 weeks) requires that the women be in the clinic several hours on two consecutive days. On the first day, after the examination and ultrasound, the physician inserts a few sterile fibers (Laminaria/Dilapan) into the cervix which absorbs moisture from the woman’s body. Over night they expand and enlarge the opening in the cervix to facilitate dilation. On the second day, the woman returns to the clinic and the procedure is completed under anesthesia and ultrasound guidance, using small forceps and gentle suction that empties the uterus.

LAMINARIA INSTRUCTION, in order for the laminarias to stay in place you should refrain from physical activity, relax at home and do nothing; walk as little as possible, do not jump, run, or lift heavy objects, these actions may expel the sterile fibers. The vaginal packing of compresses is meant to keep the laminarias in place. Even if you bleed a little, do not remove the vaginal packing.

After the procedure is completed, you are brought into the recovery room and you will awaken shortly thereafter. A nurse will be with you all the time and will periodically check your blood pressure and pulse, and bleeding. You may feel disoriented, have trouble focusing your eyes, and feel some nausea when you first wake up, but most symptoms will disappear before you leave the facility. You will be given some nourishment when you are more alert. You must have someone to drive you home after the procedure as you may be groggy from the anesthesia. Your medications and aftercare instructions and directions including the date and time for your follow-up will also be given to you at discharge from recovery room.

You must not put anything in your vagina, no intercourse, no bath, no vaginal douching. You may or may not have some cramping, if this happens, take the medicine given to you at the clinic. Do not take aspirin. Before leaving the facility you will be given a full list of instructions and medications. A nurse is on call to answer your questions 24 hour Hotline: Doral (305) 591-2288 or Kendall (305) 670-9797