Manual vacuum aspiration reproductive health services at. Review for indications inevitable abortion before 16 weeks, incomplete abortion, molar pregnancy or delayed pph due to retained placental fragments. Manual vacuum aspiration, hemlin j acta obstet gynecol scand 01jun2001. If youve forgotten your username or password use our password reminder tool. Palpate the uterine fundus to ensure that the uterus remains contracted. Pain control during the procedure should be discussed the woman may be advised to take an analgesic 1 hour prior to her appointment at the clinicunit. Manual vacuum aspiration patient information leaflet. Mva manual vacuum aspiration for missed ab medical.
Evacuate the contents of the uterus by gently and slowly rotating the cannula 180 in each direction, using an inandout motion. Hemlin j and moller b 2001 manual vacuum aspiration, a safe and effective alternative in early pregnancy termination. There are two types of aspiration abortion in the clinics. Manual vacuum aspiration mva hesperian health guides. However, over the last few decades, manual vacuum aspiration mva has emerged as an effective and safe alternative for surgical management of miscarriage. Curettage can then be performed using either manual or electric vacuum aspiration or sharp curettage. The risk profile of medication abortion is even lower than mva abortion. The suction power is sufficient to pick up most things but i found that it works better with larger debris. Midwives may perform manual vacuum aspiration mva abortion as part of an expanded scope of practice in accordance with state regulations and 1,2credentialing. Manual vacuum aspiration mva is a fast and safe way to empty the womb using a large. To view all forums, post or create a new thread, you must be an aapc member. Not only is this method of abortion immoral, it is extremely unsafe for women. Mva can be carried out in the outpatient setting under local anaesthesia as an alternative method for surgical management of miscarriage.
An alternative to and backup for medical abortion, laura macisaac md, philip darney md, msc, american journal of obstetrics and gynecology volume 183, number 2, august 2000. Termination of pregnancy manual vacuum aspiration mva we use cookies on this website to make your visit an easier and faster experience. Manual vacuum aspiration mva for uterine aspiration fiapac. Manual vacuum aspiration under local anaesthesia mvala in an outpatient setting is an alternative to the standard surgical aspiration under general anaesthesia for miscarriage. On the day of the operation, i had some blood tests and the nursing staff explained that the procedure would take around 10 minutes. Manual vacuum aspiration description manual vacuum aspiration mva can be used to manage a number of maternal health conditions such as incomplete and spontaneous abortion or unsuccessful medical abortionand can be used to perform first trimester induced abortions and endometrial biopsies. Manual vacuum aspiration health library for disasters. Comparison of effectiveness of pain management during. I like the design of the vacuum in that it turns off when the handle is upright.
Monitor the vital signs pulse, blood pressure, respiration every 30 minutes for the next 6 hours or until stable. Manual vacuum aspiration mva useful information for womens. Patient name is now status post a manual vacuum aspiration and iud insertion, has been observed for 30 minutes and is stable to leave the office. Manual vacuum aspiration obstetrics and gynecology.
Manual vacuum aspiration abortion has low risk of postprocedure complications, such as infection or hemorrhage. Mva reduces patient waiting time for surgery, cost of hospital stay and avoids general anaesthesia. Immediately after the procedure reassure the woman that the procedure is finished. Introduction of a manual vacuum aspiration service. Pdf manual vacuum aspiration for firsttrimester abortion. Manual vacuum aspiration usually takes between five and ten minutes. Manual vacuum aspiration is an effective tool in the management of early pregnancy complications.
Steps for performing manual vacuum aspiration mva using. Steps for performing manual vacuum aspiration mva using the. Svss10 sterile pack of 10 for uterine evacuation and. If you are a member and have already registered for member area and forum access, you can log in by clicking here. Manual vacuum aspiration, a safe and effective alternative in. In this writeup, we will discuss manual vacuum aspiration abortion procedures. It may be used as a method of induced abortion, a therapeutic procedure used after miscarriage, or a procedure to obtain a sample for endometrial biopsy.
The post procedure vital signs were as noted by nursing. Minor differences with electric and manual aspiration of molar pregnancy. It is important that women become more informed of their choices. In order to compare conventional va and mva in a swedish setting, a randomized study was undertaken. Manual vacuum aspiration mva is a safe and effective alternative method for surgical management of miscarriage. Manual vacuum aspiration mva can be used to manage. Acasa manual vacuum aspiration mva manual vacuum aspiration mva according to the world health organization who, abortion is a safe medical procedure, when it is carried out by qualified medical personnel, with the appropriate equipment, the correct method and with respect of sanitary standards who, 2003. Coding for manual vacuum aspiration abortion reproductive. This publication was developed and intended to be used in settings where regulations allow reuse of cannulae after sterilization or highlevel disinfection for international distribution outside the united states. Manual vacuum aspiration, february 2017 many thanks for registering for the manual vacuum aspiration course on friday 10th february 2017. Provide emotional support and encouragement and give paracetamol 30 minutes before the procedure.
Since the inception of our hospital in 2011, manual vacuum aspiration has been in use for the treatment first trimester miscarriages. It is a safe, easily performed and possibly costeffective procedure, with advantages for both the patient and the health care system. After adjustment, manual vacuum aspiration was associated with a lower risk of blood transfusion adjusted odds ratio or 0. Follow precautions common to all intrauterine procedures section 9. Abortion procedures american pregnancy association. The physicians at our clinic are specially trained in early abortion care and perform the procedure in a time span of 25 minutes. Manual vacuum aspiration mva useful information for. Comparison of effectiveness of pain management during manual. You may want to consider an alternative location or special preparations if. It can be done using local anesthetic and a nonsteroidal antiinflammatory drug nsaid, such as ibuprofen.
International statistical classification of diseases and health related problems, 10th revision icd10, vol. This is a great vacuum if you need a vacuum to pick up larger debris. You turn to on by moving the handle down and you just start vacuuming. The manual vacuum aspirator is a hand operated syringe in which vacuum is produced retra cting a plunger. The evolution of a onestop outpatient manual vacuum. The rate of infection is lower than any other surgical abortion procedure at 0. Steps for performing manual vacuum aspiration mva using the ipas mva plus and ipas easygrip cannulae. Mcpc manual vacuum aspiration health education to villages. Endouterine manual aspiration in spanish request pdf. The electric procedure was also associated with a significantly higher risk of intrauterine adhesions after the procedure, compared with the manual vacuum aspiration 5. Abortion clinic manual vacuum aspiration abortion method. The gestational age is over 10 weeks the patient has a bleeding disorder or is taking anticoagulant medication.
Manual vacuum aspiration for firsttrimester abortion article pdf available in archives of family medicine 76. The procedure itself typically takes less than 15 minutes. This type of procedure is best for women who are between five and twelve weeks pregnant. You will receive your certificate of attendance on completion of the online feedback form. In electric vacuum aspiration, a rigid suction curette is inserted into the uterine cavity before suction is applied using an aspiration. Such procedure usually takes very little time to complete the abortion. Provide information leaflet on manual vacuum aspiration abortion 2.
Manual vacuum aspiration mva the miscarriage association. Mva can be performed in the outpatient setting under local anaesthesia. It involves the use of a specially designed syringe to apply suction. The rare complications of a manual aspiration procedure are minor and easily treated with antibiotics or a repeat procedure. Manual compared with electric vacuum aspiration for. Manual vacuum aspiration definition of manual vacuum. Manual vacuum aspiration under local anaesthetic for early. It can also be referred to as ru486, the abortion pill, and mifeprex. Vacuum aspiration for abortion metro health hospital. Mva manual vacuum aspiration is an alternative that is well suited for use as a clinical procedure, which could have advantages both for the patient and the health care system.
Red or pink foam without tissue is seen passing through the cannula. Manual removal of placenta health library for disasters. Considered less invasive with only local anesthesia being used on. In 2015 over 185 000 women in england and wales underwent a termination of pregnancy top1 and 80% of these were performed at 39 weeks of pregnancy. The concept of manual vacuum aspiration mva has evolved from that of. There are two methods of vacuum aspiration also called suction aspiration. What to expect next immediately after the procedure, you will experience a periodlike crampy pain. It was then that i found out about a procedure called manual vacuum aspiration mva, which is carried out under a local anaesthetic. Manual vacuum aspiration mva protocol scheduling patients requesting appointments for abortion should be scheduled as soon as possible in settings where this information is not possible to obtain during the appointment request, consider getting a patient callback number so a qualified staff member can contact the patient to clarify details ahead of the appointment. However, the main disadvantage of mva is the pain caused by manipulation of the cervix and uterine suction.
The physicians at our clinic are specially trained in early abortion care. Today, the international abortion movement seeks to expand the number of abortions performed worldwide under the guise mva care for miscarriage. The manual aspiration procedure is the safest way to end early pregnancy. The manual vacuum aspiration procedure early abortion. Jun 25, 2002 one of the most common methods of abortion in the developing world is manual vacuum aspiration mva.
Termination of pregnancy manual vacuum aspiration mva. A manual aspiration abortion is a safe, gentle and effective surgical procedure that is often considered to be the optimal way to end and early pregnancy of 3 7 weeks. The aim of this study is to evaluate the determinants and outcome of manual vacuum aspiration mva use in our hospital. Forty percent of procedures were completed on the day of first attendance for assessment, with an average attendance time of 2. Our findings add to a body of evidence showing that manual vacuum aspiration has no advantages over electric vacuum aspiration for firsttrimester abortion. Manual vacuum aspiration mva with extraamniotic and paracervical local anaesthesia resulted in a low pain score in 79% of women choosing fully conscious firsttrimester surgical abortion. To understand the indications, procedure and advantages of mva. Manual vacuum aspiration, a safe and effective alternative. Manual vacuum aspiration abortion has low risk of post procedure complications, such as infection or hemorrhage. Std testing nyc and manual vacuum aspiration procedure. Postprocedure care observe the woman closely until the effect of iv sedation has worn off. This is manual vacuum aspiration a practical guide by glowm on vimeo, the home for high quality videos and the people who love them. Routine abortions of any kind do not cause problems with future pregnancies.
The procedure, risks and alternatives should be explained to the client and all questions answered 3. This publication was developed and intended to be used in settings where regulations allow reuse of cannulae after sterilization or highlevel disinfection for. The procedure in many cases, women will be coming in first for options counseling and they will be making a decision during this visit about whether they elect to undergo a medication abortion or a suction procedure. Five hundred pregnant women presenting for surgical abortion with mean gestational sac diameter of less than 12 mm or no visible sac on ultrasonography were randomized to manual or electric. This protocol is designed for procedures performed in these environments. Vacuum or suction aspiration uses aspiration to remove uterine contents through the cervix.
Abortion of all types is very safe if completed in reputable settings. To evaluate whether manual or electric vacuum aspiration results in greater immediate confirmation of completed abortion at less than 6 weeks of gestation. Since the late 1990s, the senegalese ministry of health moh has championed manual vacuum aspiration mva as the technology of choice for the treatment of abortion complications or postabortion care pac in state hospitals. Vacuum aspiration is an outpatient procedure that generally involves a clinic visit of several hours. This procedure can be used around 5 to 12 weeks after the last menstrual period early first trimester. A 5year retrospective study on the use of manual vacuum. A gritty sensation is felt as the cannula passes over the surface of the evacuated uterus. Some abortion clinics report that they provide the manual aspirationprocedure, but complete the procedure like a surgical abortion with scraping and under sedation. I have given her the post mva handout detailing what to expect post procedures. You can go home unaccompanied and drive if you want to. Immediately process or discard all instruments, according to local protocols. If you continue to use our site, well assume that you are happy to receive cookies from our site. This policy and procedure statement applies to the. Manual vacuum aspiration a practical guide on vimeo.
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