Manual vacuum aspiration is an effective and safer surgical method of uterine evacuation for an abortion. Do you know that you can end an early pregnancy with a quick and simple procedure that takes a few minutes to complete. A manual vacuum aspiration mva is a way of surgically treating miscarriage when there is pregnancy tissue remaining within the womb. You probably have never heard of the quickest and simplest way to end an early pregnancy. Vacuum aspiration is the recommended technique of surgical abortion for pregnancies of up to 12 to 14 weeks of gestation. Red or pink foam without tissue is seen passing through the cannula. Treatment of miscarriage with manual vacuum aspiration. A study in india found that compared with women who had undergone manual vacuum aspiration, those who had had a medication abortion delayed initiation of postabortion contraception and were much less likely to adopt a contraceptive method within a month of the abortion. Manual vacuum aspiration definition of manual vacuum. Vacuum aspiration an overview sciencedirect topics.
Army medical college, rawalpindi abstract and prolonged bleeding. Manual vacuum aspiration mva compared favourably vs other procedures with a mean comfort score during procedure of 2. Here, pearls for officebased surgery as well as other treatment options. 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. Nonetheless, it can present some lifethreatening complications like uterine perforations. A comparison of medical management with misoprostol and surgical management for early. Surgical management of failed medically managed miscarriage under local anaesthetic. Manual vacuum aspiration mva for uterine aspiration fiapac. Mva reduces patient waiting time for surgery, cost of hospital stay and avoids general anaesthesiarelated complications and increases patient choice. Zhang j, gilles jm, barnhart k, creinin md, westhoff c, frederick mm.
Manual vacuum aspiration usually takes between five and ten minutes. Manual vacuum aspiration mva for uterine aspiration. Mva reduces patient waiting time for surgery, cost of hospital stay and avoids general anaesthesia. Rationale for the guidelines few developing countries will meet their targets for millennium development goals. Manual vacuum aspiration patient information leaflet november 2017. Aspiration abortion is a safe procedure that can be performed in an office or in an ambulatory surgical center. Manual vacuum aspiration mva hesperian health guides. A retrospective crosssectional study was done at the referral hospital queen elisabeth central hospital, and the two district hospitals of chiradzulu. Ending early pregnancy can be as simple as getting your yearly exam. Instruments that enter the uterine cavity should not touch your gloved hands, the patients skin, the womans vaginal walls, or unsterile parts of the instrument tray before entering the cervix. Steps for performing manual vacuum aspiration mva using. Provide emotional support and encouragement and give paracetamol 30. This one day, handson and theoretical training course focuses on the outpatient management of miscarriage and abortion using manual vacuum aspiration. Manual vacuum aspiration mva for uterine evacuation.
Manual vacuum aspiration reproductive health services at. Machine vacuum aspiration involves the use of a hollow tube cannula that is attached by tubing to a bottle and a pump, which provides a gentle vacuum. A survey of manual vacuum aspirations experiences among. Mtp syringe provides high vacuum suction during procedure. Should manual vacuum aspiration for miscarriage be the preferred. To assess the safety and effectiveness of manual vacuum aspiration for abortion in a primary care office setting. Manual vacuum aspiration patient information leaflet. Manual vacuum aspiration mva for uterine aspiration alison edelman, md, mph professor, obgyn. Manual vacuum aspiration mva entails the use of a handoperated syringe and. Guidelines for basic and comprehensive inservice final. Medical termination of pregnancy manufactured from polypropylene polymer. Abortion clinic manual vacuum aspiration abortion method. Manual vacuum aspiration mva mva for surgical management individually wrapped and disposable of miscarriage, fetal demise and t. Local anaesthetic is applied to the cervix neck of the womb to numb feelings of pain and discomfort.
Studies on incomplete abortion reveal that suction causes less pain than sharp curettage forna et al. The dangers of manual vacuum aspiration the international population control movement is seeking to increase the number of abortions overseas under the guise of womens health. It is less noisy than electric vacuum aspiration and may also improve satisfaction for the patient undergoing abortion without sedation. Aspiration maintain traction on the cervix with one hand by holding the pozzi forceps. Comparison of manual vacuum aspiration to traditional.
Manual vacuum aspiration training course joint rcogbsacp meeting programme thursday 3 september 2020 9. This type of procedure is best for women who are between five and twelve weeks pregnant. Mcpc manual vacuum aspiration health education to villages. Pdf manual vacuum aspiration for firsttrimester abortion. Specially designed syringe to apply suction during surgical abortion procedure. Remove tenaculum, assure minimal bleeding, and remove speculum. The cannula is passed into the uterus, the pump is turned on, and the tissue is gently removed from the uterus. For one, patients benefit from a brief procedure using local anesthesia. The physicians at our clinic are specially trained in. Treatment of miscarriage with manual vacuum aspiration mva prior to procedure in clinic.
Original article assessment of efficacy and safety of. The manual vacuum aspiration procedure early abortion. To investigate the use of manual vacuum aspiration in postabortion care in malawi between 20082012. Manual vacuum aspiration mva is an alternative to electric suction or dilatation and curettage for evacuation of the uterine contents. Manual vacuum aspiration continued from page 39 figure 1 mva equipment figure 2 mva procedure the required equipment for officebased mva includes a reusable vacuum aspirator with disinfection supplies, reusable plastic or metal dilators, and supplies for examination of. This is a pdf file of an unedited manuscript that has. Mva manual vacuum aspiration or operating room pac postabortion care pph postpartum hemorrhage sbmr standardsbased management and recognition tims training information monitoring system.
Manual vacuum aspiration is the only surgical abortion procedure available earlier than the 6th week of pregnancy. Manual vacuum aspiration mva, once a technology more common in lowresource settings, is now widely used and often preferred by providers in developed. Steps for performing manual vacuum aspiration mva using the. Steps for vacuum aspiration early abortion training.
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. Mva technique handheld vacuum source with a plastic cannula to perform uterine evacuation a cannula is attached to the vacuum aspirator and inserted through the cervix the contents of the uterus are aspirated. Surgical management of early pregnancy loss has advantages over medical treatment. Manual vacuum aspiration mva is a safe and effective alternative method for surgical management of miscarriage. Manual vacuum aspiration obstetrics and gynecology. Studies comparing electric vacuum aspiration eva and manual vacuum aspiration mva have found equivalent levels of. Manual vacuum aspiration mva abortion springerlink. This protocol is designed for procedures performed in these environments. Administer pain medication to have maximum effect when procedure begins. Pdf to assess the safety and effectiveness of manual vacuum aspiration for abortion in a primary care office setting. A gritty sensation is felt as the cannula passes over the surface of. Institutionalizing manual vacuum aspiration abortion in. Manual vacuum aspiration mva is a fast and safe way to empty the womb using a large syringe and cannula.
This procedure is called mva manual vacuum aspiration. Revised 22019 manual vacuum aspiration mva protocol this protocol provides basic requirements for implementing mva services at a family medicine teaching site. Manual vacuum aspiration mva is a syringe device for uterine. Original article assessment of efficacy and safety of manual vacuum aspiration mva ammarah mansoor, jasia jabeen, muhammad hassaan mansoor department of obstetrics and gynaecology, combined military hospital, rawalpindi. Manual vacuum aspiration mva blackpool teaching hospitals. Background clinical problem miscarriage surgical management of miscarriage under local anaesthetic. Review for indications inevitable abortion before 16 weeks, incomplete abortion, molar pregnancy or delayed pph due to retained placental fragments. Manual vacuum aspiration has improved the provision of early abortion because it allows for removal of an intact gestational sac, easing tissue examination compared with conventional suction abortion. Sharp curettage is generally not indicated and is not routinely recommended following manual vacuum aspiration.
A printreadypdf version of the protocol is also available. 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. Mtp syringe is used for manual aspiration procedure. After confirming products of conception poc are complete, place iud or implant if requested. Tameside and glossop integrated care nhs foundation trust page 2 of 4 what is it.
Use manual or electric vacuum to empty the uterus until signs that it is empty detail below. Manual vacuum aspiration mva procedure with iud insertion subjective patient name is a xx year old, coming today for a manual vacuum aspiration for pregnancy. Available in single valve and double valve syringe. Karen meckstroth md, mph, and maureen paul md, mph. The irish medical council have defined eight domains of good professional practice applicable to all doctors at all levels of training. P clinical indications treatment of incomplete abortion endometrial biopsy safe and effective 98% effective with low complication rates safe alternative to sharp curettage affordable and versatile. A safe and effective treatment for early miscarriage. Mva can be performed in the outpatient setting under local anaesthesia.
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