Mcpc manual vacuum aspiration health education to villages. Has anyone had a manual vacuum aspiration mva for missed. Mva can be carried out in the outpatient setting under local anaesthesia as an alternative method for surgical management of miscarriage. Jun 25, 2002 one of the most common methods of abortion in the developing world is manual vacuum aspiration mva. I went in for my procedure on monday, i was advised to take ibruprofen and paracetamol before my appointment at 10 am. Manual vacuum aspiration mva is an alternative to electric suction or dilatation and curettage for evacuation of the uterine contents. However, over the last few decades, manual vacuum aspiration mva has emerged as an effective and safe alternative for surgical management of miscarriage. Womancentered, comprehensive abortion care trainers manual. It involves the use of a specially designed syringe to apply suction. Sep 07, 2014 manual vacuum aspiration mva a safe, effective and lowcost method of uterine evacuation a handheld vacuum syringe is used to empty the uterus syringes come as novalve, singlevalve, doublevalve and mva plus. The electric procedure was also associated with a significantly higher risk of intrauterine adhesions after the procedure, compared with the manual vacuum aspiration 5. Curettage can then be performed using either manual or electric vacuum aspiration or sharp curettage.
Vacuum aspiration is the most frequently used method to perform first trimester abortions in the united states. The manual vacuum aspirator is a hand operated syringe in which vacuum is produced retra cting a plunger. Manual vacuum aspiration reproductive health services at. The doctor will insert a speculum into the vagina and. 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. It is commonly done up to 12 weeks after the last menstrual period figure 14. Manual vacuum aspiration synonyms, manual vacuum aspiration. The manual aspiration procedure only takes a few minutes, has. Article introduction of a manual vacuum aspiration service. Previous studies showed variability regarding its use so my study will stress its use in future which would be very helpful for patients. Vacuum aspiration is an outpatient procedure that generally involves a clinic visit of several hours. Manual vacuum aspiration definition of manual vacuum. Manual vacuum aspiration usually takes between five and ten minutes.
Manual vacuum aspiration under local anaesthesia mvala in an outpatient setting is an alternative to the standard surgical aspiration under general anaesthesia for miscarriage. If you continue to use our site, well assume that you are happy to receive cookies from our site. Surgical abortion by vacuum aspiration is a minor procedure taking a few minutes, it can be performed from five to six weeks after the last normal mentrual period. Vacuum aspiration definition of vacuum aspiration by. Abortion clinic manual vacuum aspiration abortion method. The manual aspiration procedure is the safest way to end early pregnancy.
With the high safety profile of this procedure and the increasing potential for the. I decided to opt for a manual vacuum aspiration mva, as this was to be done under local anaesthetic. Manual vacuum aspiration mva is a safe and effective alternative method for surgical management of miscarriage. Manual vacuum aspiration and elecrical vacuum aspirationa. But it was the only way i could get the foetus genetically tested. As it turns out the procedure went as well as can be expected and were looking to try again next cycle. Acknowledgements dr julia shefras contributed to writing the. Patient name signed the consent for a manual vacuum aspiration. The american college of obstetricians and gynecologists. Process instruments immediately process or discard all instruments, according to local protocols. This treatment can be carried out for pregnancies up to 10 weeks. Routine abortions of any kind do not cause problems with future pregnancies. It is best in these contraindication for manual vacuum aspiration. The manual vacuum aspiration is an available abortion option to end an early pregnancy.
May be carried out in opd setting freeing theatres for other cases. Minor differences with electric and manual aspiration of molar pregnancy. Manual vacuum aspiration mva useful information for womens. The manual vacuum aspiration procedure early abortion. Manual vacuum aspiration patient information leaflet november 2017.
Such procedure usually takes very little time to complete the abortion. Synonyms for manual vacuum aspiration in free thesaurus. Abortion of all types is very safe if completed in reputable settings. 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. Treatment of miscarriage with manual vacuum aspiration mva prior to procedure in clinic. Immediately after the procedure reassure the woman that the procedure is finished. You may want to consider an alternative location or special preparations if. Mva uses gentle suction to remove pregnancy tissue from inside your womb. Obviously this was a massive shock and the most upsetting day of my life this was my first pregnancy. This tube is connected to a suction device attached to a collection bottle figure 14. Also, mva is a simple, safe, effective procedure, portable and low cost technique. Not only is this method of abortion immoral, it is extremely unsafe for women. Manual vacuum aspiration mva for uterine evacuation under local anaesthesia mva for surgical management of miscarriage, fetal demise and t. It can also be referred to as ru486, the abortion pill, and mifeprex.
For one, patients benefit from a brief procedure using local. 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. The procedure, risks and alternatives should be explained to the client and all questions answered 3. 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. Tameside and glossop integrated care nhs foundation trust page 2 of 4. 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. Monitor vital signs and blood loss for at least 2 hours. The rare complications of a manual aspiration procedure are minor and easily treated with antibiotics or a repeat procedure. Afterwards, you need to rest in the recovery area for about 3060 minutes. Helen kamel, 1 sebanti goswami, 1, 2 and rekha dutta 1. Immediately after the procedure, you will experience a periodlike crampy pain. Vacuum aspiration an overview sciencedirect topics. In electric vacuum aspiration, a rigid suction curette is inserted into the uterine cavity before suction is applied using an aspiration.
Manual versus electric vacuum aspiration for firsttrimester abortion. Provide emotional support and encouragement and give paracetamol 30 minutes before the procedure. It was then that i found out about a procedure called manual vacuum aspiration mva, which is carried out under a local anaesthetic. After the procedure, mild bleeding continues without clots. Information for patients manual vacuum aspiration mva. Pdf to assess the safety and effectiveness of manual vacuum aspiration for abortion in a primary care office setting. I asked if the procedure would be done using ultrasound, to ensure the surgeon could see exactly what he was doing. Steps for vacuum aspiration early abortion training. Period after manual vacuum aspiration the manual vacuum aspiration is an available abortion option to end an early this procedure can be used 512 weeks after your last menstrual period.
Administer pain medication to have maximum effect when procedure begins. Referring to table i, the baseline characteristics were comparable except significantly higher number of multigravidas in the indoor group. Advantages of officebased manual vacuum aspiration. The procedures manual vacuum aspiration mva procedures were carried out in the outpatient setting of the sexual health service. Today, the international abortion movement seeks to expand the number of abortions performed worldwide under the guise mva care for miscarriage. Remove tenaculum, assure minimal bleeding, and remove speculum. This policy and procedure statement applies to the. Abstract manual vacuum aspiration under local anaesthesia mvalain an outpatient setting is an alternativeto the standard surgical aspiration under general anaesthesia for miscarriage. Manual vacuum aspiration mva the miscarriage association. You should not perform any procedure on the patient without her consent.
Give today to support our emergency covid19 response. The procedure itself typically takes less than 15 minutes. Manual vacuum aspiration and elecrical vacuum aspiration a comparative study for first trimester mtp. I like the design of the vacuum in that it turns off when the handle is upright. Manual vacuum aspiration procedure note reproductive health. Pdf introduction of a manual vacuum aspiration service. 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. A simulation model for training in uterine aspiration. An anesthetic is usually injected into the cervical wall, and a tube vacurette is inserted into the uterus. This abortion procedure now used in many clinics is the safest and least traumatic available. Considered less invasive with only local anesthesia being used on. Review for indications inevitable abortion before 16 weeks, incomplete abortion, molar pregnancy or delayed pph due to retained placental fragments.
The safest abortion procedure is manual vacuum aspiration. Manual vacuum aspiration patient information leaflet. An abortionist uses metal rods or medication to dilate the womans cervix and gain access to the uterus, where the baby resides. Options 2 and 3 usually involve admission to inpatient bed or day care bed. It is the safest because it does not utilize scraping, electric suction, or general anesthesia, so there are no major complications. This is a great vacuum if you need a vacuum to pick up larger debris. Treatment of miscarriage with manual vacuum aspiration. Manual vacuum aspiration obstetrics and gynecology. Steps for performing manual vacuum aspiration mva using. Medical abortion training guide second edition pdf file.
Manual vacuum aspiration mva blackpool teaching hospitals. Steps for performing manual vacuum aspiration mva using the. The aspiration procedure and the abortion pill are endorsed by the world health organization as the safest abortion methods. There are two methods of vacuum aspiration also called suction aspiration. Use manual or electric vacuum to empty the uterus until signs that it is empty detail below. Perform any concurrent procedures when procedure is complete, proceed with contraception or other procedures, such as iud insertion or cervical tear repair. You turn to on by moving the handle down and you just start vacuuming. You can go home unaccompanied and drive if you want to. Praditpan is fellow in family planning, department of obstetrics and gynecology, columbia. Vacuum aspiration uses gentle suction to remove the pregnancy and takes about 510 minutes from start to finish. Pdf manual vacuum aspiration for firsttrimester abortion. Termination of pregnancy manual vacuum aspiration mva. Mva has a safety and efficacy profile similar to that of eva. Anaesthetist and full compliment of theatre staff required for option 3.
It is important that women become more informed of their choices. This policy and procedure statement applies to the women who have elected to undergo a suction procedure manual vacuum aspiration. Mva my experience of a manual vacuum aspiration after a. Comparison of manual vacuum aspiration with electrical vacuum aspiration 504 p j m h s vol. The procedure involves suction of the uterine contents through either an electric pump or a manual vacuum aspiration. It can be done using local anesthetic and a nonsteroidal antiinflammatory drug nsaid, such as ibuprofen. Vacuum aspiration for abortion metro health hospital. Manual vacuum aspiration procedure note has a template for documenting a manual vacuum aspiration procedure in the medical record. In this writeup, we will discuss manual vacuum aspiration abortion procedures. Manual vacuum aspiration mva for uterine evacuation. Options 2 and 3 require up to half a day admission to day unit. The first 200 procedures were performed by one of three doctors who had extensive experience of surgical abortion. You do not need to go to theatre but we will give you painkillers and a local anaesthetic. On the day of the operation, i had some blood tests and the nursing staff explained that the procedure would take around 10 minutes.
This can be performed during the first twelve weeks of pregnancy. What to expect next immediately after the procedure, you will experience a periodlike crampy pain. For instance, a compassionate assistant who holds her hand or rubs her arm and provides verbal reassurance throughout the aspiration can decrease her level of anxiety and discomfort. The ipas line of aspirators also known as a manual vacuum aspirators are convenient and easy to use. Training tips for using pelvic models in manual vacuum aspiration mva clinical training.
Similarities in womens perceptions and acceptability of manual vacuum aspiration and electric vacuum aspiration for first trimester abortion. This protocol is designed for procedures performed in these environments. Abortion procedures american pregnancy association. A safe and effective treatment for early miscarriage. The mva procedure is performed with a handoperated vacuum syringe, typically under local anaesthetic, in a treatment room.
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 physicians at our clinic are specially trained in early abortion care and perform the procedure in a time span of 25 minutes. International statistical classification of diseases and health related problems, 10th revision icd10, vol. Vacuum aspiration was done after 3 hours in the 400microg group and after 2 hours in the 600 and 800microg groups. Manual vacuum aspiration mva nhs ayrshire and arran. We will give you more painkillers if you require them. Comparison of manual vacuum aspiration with electrical vacuum. Ultrasound based fetal parameters were similar in the two groups. We evaluate the feasibility, safety and clinical outcomes of mvala in the management of miscarriage at less than 12 weeks of gestation in an outpatient. Human rights terminology y international human rights treaty.
Manual vacuum aspiration for firsttrimester abortion article pdf available in archives of family medicine 76. Manual vacuum aspiration mva for uterine aspiration fiapac. This type of procedure is best for women who are between five and twelve weeks pregnant. Vacuum or suction aspiration uses aspiration to remove uterine contents through the cervix. Manual vacuum aspiration in the emergency department for. Mva manual vacuum aspiration for missed ab medical. Vacuum aspiration for induced abortion in the first. Prior to the abortion, the woman should receive an exam that includes an ultrasound in order to confirm that she is pregnant and diagnose any complicating factors, such as a tubal, or ectopic, pregnancy. Provide information leaflet on manual vacuum aspiration abortion 2. The suction power is sufficient to pick up most things but i found that it works better with larger debris. Manual vacuum aspiration mva is an alternative to the standard sharp uterine curettage, performed under local anaesthetic or sedation in the daycare setting. This procedure can be used around 5 to 12 weeks after the last menstrual period early first trimester. Do not create a vacuum until cannula is inserted, increasing risk of uterine. Original article assessment of efficacy and safety of manual.
Manual vacuum aspiration health library for disasters. Settle the patient comfortably during monitoring period. Comparative study of manual vacuum aspiration and uterine curettage for treatment of abortion. The procedure itself usually takes about 10 minutes. Immediately process or discard all instruments, according to local protocols. Std testing nyc and manual vacuum aspiration procedure. You are shown into a treatment area and asked to lie on a treatment couch with support for your legs. Manual vacuum aspiration in the emergency department for management of early pregnancy failure. The first author was experienced at providing a range of intrauterine procedures with local anaesthesia. May 21, 2020 one of the most common procedures of abortion is aspiration abortion due to its success rate and accessibility. Expert commentary master class medicolegal issues from the editor.
1113 366 268 261 1195 685 1109 1097 1068 801 422 698 597 713 885 644 673 604 1028 397 1412 920 1201 449 356 1243 1175 943 1076 977 732 1476 672 1431 621 137 1381 956