Children's reality television series where six boys and six girls from across the United Kingdom experience living as evacuees in World War II.
Runtime: 25 minutes
Evacuation - Dilation and evacuation - Netflix
In methods of abortion, dilation and evacuation (D&E also sometimes called dilation and extraction) is the dilation of the cervix and surgical evacuation of the contents of the uterus. It is a method of abortion as well as a therapeutic procedure used after miscarriage to prevent infection by ensuring that the uterus is fully evacuated. In various health care centers it may be called by different names: D&E (Dilation and evacuation) ERPOC (Evacuation of Retained Products of Conception) TOP or STOP ((Surgical) Termination Of Pregnancy) D&E normally refers to a specific second trimester procedure. However, some sources use the term D&E to refer more generally to any procedure that involves the processes of dilation and evacuation, which includes the first trimester procedures of manual and electric vacuum aspiration.
Evacuation - Description - Netflix
D&E is performed under anesthesia, most commonly sedation with light general anesthesia, although local paracervical block or regional anesthesia may be used. It may be performed with or without ultrasound guidance. Performance under ultrasound guidance has greatly improved our understanding about what actually occurs during a D&E. Prior to the procedure, the cervix is usually softened and passively dilated using osmotic dilators and/or misoprostol. This facilitates cervical dilation during the procedure without injury to the cervix. The first step in the procedure itself is dilation of the cervix. The second step is insertion of a vacuum curette through the cervix. Under ultrasound, the tip of that curette is placed up against the fetal chest or abdomen. The suction is turned on. Amniotic fluid is removed and the fetus dies instantly due to removal of the fetal heart, lungs, and abdominal contents. In the absence of ultrasound guidance, the surgeon will carefully observe the tissue extracted by the vacuum curette to insure the fetal liver, which has a characteristic black appearance, has been removed as confirmation that the fetus has died. This leaves the fetal cranium and skeleton with soft tissue to be removed. The thorax, pelvis, cranium, and each arm and leg are removed separately using surgical instruments. The fetal cranium will usually have to be crushed in order to be extracted. Use of ultrasound greatly facilitates this part of the procedure although it may be done safely without ultrasound guidance. In the absence of ultrasound, the tissue will be carefully inspected to insure all fetal tissue is removed. It is important to recognize that this is the removal of dead tissue to protect the patient from bleeding and infection well after the fetus died instantly. Under no circumstances is the fetus being dismembered alive. In some countries where ultrasound guidance is not used, the prior step of removal of internal organs is not performed and the dismemberment occurs while the fetus is alive. After removal of all fetal tissue, the uterine cavity is thoroughly curetted to insure that all placental tissue, blood, and membranes are removed. The uterus will then be massaged to insure it is firmly contracted to minimize post operative bleeding. The entire procedure usually takes less than 30 minutes and is well tolerated.
Evacuation - References - Netflix