(A) Taking consect
(i)Capacity -Does the patient have the capacity to give consent ?
(ii)Age -If less than 18 ? to involve parents /Special consent form/think of parental responsibility
(iii)check identidy-are consenting the right patient?
(iv) check for pregnancy-Last menstrual period/pregnancy test
(v)procedure & possible changes in the procedure -(addition:Possible laparotomy when consenting for laparoscopy)
(deletion:subtotal hysterectomy especially in patient with severe endomeriosis)
(vi)complications-serious/frequent
(vii)alternatives
(viii) what to expect after the operation?
(a)incision
(b)catheter
(c)drain
(d)length of stay
(e)IV fluids
(f) pain
(viii)does the patient has any questions?
(B)dealing with suspected ectopicpregnancy
(i) age
(ii) Gravidity/parity
(iii) Previous pregnancy outcomes-?ectopic pregnancy
(iv) Clinical picture-PV bleeding/pain-shoulder tip pain/faintishness
(v) Examination-Pulse/B.P abdomen-soft cervical excitation/adnexal tenderness
(vi) Risk factors-PID/previous ectopic/sterilisation/IUCD-contraception
(vii) USS findings-adnexal mass/free fluid
(viii) HCG levels
(ix) Hb
(C) Preop checklist
1-check identity
2-surgery-check with patient
2a-are symptoms still present?
3-pregnancy
4-consent
5-What to expect after the operation?
6-investigations
(D)Surgical check list from WHO
(E)WHO surgical checklist for maternity
