The aim of this study is to evaluate the determinants and outcome of manual vacuum aspiration mva use in our hospital. Manual vacuum aspiration mva the miscarriage association. Vacuum aspiration abortion is a safe medical procedure. Minor differences with electric and manual aspiration of molar pregnancy. Manual vacuum aspiration services became manual vacuum aspiration was the only safe abortion had medical contraindications to abortion such as signs.
The mean duration of the vacuum aspiration procedure was 36 sd 24 min in the misoprostol group and 39 25 min in the placebo group p manual vacuum and machine vacuum. Manual vacuum aspiration, a safe and effective alternative in. Vacuum aspiration usually takes between 10 and 15 minutes. Not only is this method of abortion immoral, it is extremely unsafe for women. Ppt manual vacuum aspiration mva for early pregnancy.
Since the inception of our hospital in 2011, manual vacuum aspiration has been in use for the treatment first trimester miscarriages. 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. Providers sometimes write that measurement as 12 lmp last menstrual period. Administer pain medication to have maximum effect when procedure begins. Human rights terminology y international human rights treaty. 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. As it turns out the procedure went as well as can be expected and were looking to try again next cycle. I like the design of the vacuum in that it turns off when the handle is upright. A medicine called misoprostol may be given to soften the cervix before the procedure. Treatment of miscarriage with manual vacuum aspiration mva prior to procedure in clinic. Mva is an alternative procedure to surgical management of miscarriage without general anaesthetic. Mcpc manual vacuum aspiration health education to villages.
Available in single valve and double valve syringe. Mva reduces patient waiting time for surgery, cost of hospital stay and avoids general anaesthesia. Some clinics may offer manual vacuum aspiration mva, but most use aspiration with suction to complete the abortion procedure. Abortions still constitute a significant proportion of the cases of maternal mortality and morbidity. Provide emotional support and encouragement and give paracetamol 30 minutes before the procedure. The evolution of a onestop outpatient manual vacuum. There are two types of aspiration abortion in the clinics. Give today to support our emergency covid19 response. 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.
Mva manual vacuum aspiration for missed ab medical. 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. However, over the last few decades, manual vacuum aspiration mva has emerged as an effective and safe alternative for surgical management of miscarriage. Mtp syringe provides high vacuum suction during procedure. Manual vacuum aspiration mva protocol this protocol provides basic requirements this was designed for states with fewer restrictions on abortion care. If so, share your ppt presentation slides online with. Manual vacuum aspiration under local anaesthetic for early. It is the safest because it does not utilize scraping, electric suction, or general anesthesia, so there are no major complications.
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. The manual vacuum aspirator is a hand operated syringe in which vacuum is produced retra cting a plunger. Review for indications inevitable abortion before 16 weeks, incomplete abortion, molar pregnancy or delayed pph due to retained placental fragments. The physicians at our clinic are specially trained in early abortion care and perform the procedure in a time span of 25 minutes. Mva can be performed in the outpatient setting under local anaesthesia. 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. Std testing nyc and manual vacuum aspiration procedure. This type of procedure is best for women who are between five and twelve weeks pregnant. Vacuum aspiration for abortion metro health hospital. Process instruments immediately process or discard all instruments, according to local protocols.
Mtp syringe is used for manual aspiration procedure. Curettage can then be performed using either manual or electric vacuum aspiration or sharp curettage. The procedure itself typically takes less than 15 minutes. A syringe must be able to hold a vacuum in order to be effective. The electric procedure was also associated with a significantly higher risk of intrauterine adhesions after the procedure, compared with the manual vacuum aspiration 5. 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. What to expect next immediately after the procedure, you will experience a periodlike crampy pain. This was a retrospective study on the use of mva for. You may eat a light meal up to 2 hours prior to appointment. Manual vacuum aspiration mva is a safe and effective 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. The gestational age is over 10 weeks the patient has a bleeding disorder or is taking anticoagulant medication. In this writeup, we will discuss manual vacuum aspiration abortion procedures. 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. Vacuum aspiration is an outpatient procedure that generally involves a clinic visit of several hours. Afterwards, you need to rest in the recovery area for about 3060 minutes. Compared with uterine aspiration in the or, an officebased procedure is as. Manual vacuum aspiration under local anaesthesia mvala in an outpatient setting is an alternative to the standard surgical aspiration under general anaesthesia for miscarriage. Today, the international abortion movement seeks to expand the number of abortions performed worldwide under the guise mva care for miscarriage. Manual vacuum aspiration usually takes between five and ten minutes. Complications of firsttrimester abortion by vacuum. This protocol should be modified to reflect individual state restrictions as needed. Perform any concurrent procedures when procedure is complete, proceed with contraception or other procedures, such as iud insertion or cervical tear repair. Hours before or the day before a vacuum aspiration procedure, a cervical osmotic dilator may be placed in the cervix to slowly open dilate it.
You turn to on by moving the handle down and you just start vacuuming. The manual vacuum aspiration procedure early abortion. Vacuum aspiration uses gentle suction to remove the pregnancy and takes about 510 minutes from start to finish. This policy and procedure statement applies to the. Manual vacuum aspiration mva for early pregnancy loss is the property of its rightful owner. This abortion procedure now used in many clinics is the safest and least traumatic available. Manual vacuum aspiration procedure note has a template for documenting a manual vacuum aspiration procedure in the medical record. A model of service within a nhs sexual health service article pdf available in journal of family planning and reproductive health care 411. Manual vacuum aspiration health library for disasters. Provide information leaflet on manual vacuum aspiration abortion 2. What to expect next immediately after the procedure, you. If you are a member and have already registered for member area and forum access, you can log in by clicking here. Pdf introduction of a manual vacuum aspiration service. This policy and procedure statement applies to the women who have elected to undergo a suction procedure manual vacuum aspiration.
Serious complications occur in fewer than 1in200 cases. If you continue to use our site, well assume that you are happy to receive cookies from our site. Summit medical centers offer the 1st trimester abortion before 12 weeks of pregnancy. Immediately process or discard all instruments, according to local protocols. Manual removal of placenta health library for disasters.
You will find the safety precautions and instructions in maintenance outlined in this manual useful. To view all forums, post or create a new thread, you must be an aapc member. A 5year retrospective study on the use of manual vacuum. 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. I have given her the post mva handout detailing what to expect post procedures. Hemlin j and moller b 2001 manual vacuum aspiration, a safe and effective alternative in early pregnancy termination. Treatment of miscarriage with manual vacuum aspiration. Post procedure care give paracetamol 500 mg by mouth as needed. Manual vacuum aspiration patient information leaflet.
Original article assessment of efficacy and safety of manual. 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. Immediately after the procedure reassure the woman that the procedure is finished. 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. Manual vacuum aspiration abortion has low risk of post procedure complications, such as infection or hemorrhage. The procedure, risks and alternatives should be explained to the client and all questions answered 3. Pdf manual vacuum aspiration for firsttrimester abortion. Can be performed without delay, with early relief from undesirable symptoms of pregnancy 3. A safe and effective procedure for management of early pregnancy loss is highly needed. Manual vacuum aspiration mva for uterine evacuation under local anaesthesia 44 45 mva for surgical management of miscarriage, fetal demise and t. Federal law restricts this device to sale, distribution, and use by, or on the order. In this article, we present the data available on officebased manual vacuum aspiration mva as well as procedure pointers and urge you to consider mva in your practice for your patients. Manual vacuum aspiration a practical guide on vimeo. The safest abortion procedure is manual vacuum aspiration.
This is manual vacuum aspiration a practical guide by glowm on vimeo, the home for high quality videos and the people who love them. Manual vacuum aspiration mva useful information for womens. Manual vacuum aspiration for firsttrimester abortion article pdf available in archives of family medicine 76. It was felt that manual vacuum aspiration mva, a technique originally developed as a low. Introduction of a manual vacuum aspiration service durbin. Just before, antibiotics are given to prevent infection. 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.
P 98% effective suitable from 5 to 12 weeks gestation may be carried out in opd setting, freeing theatre for other cases may be used with local anaesthesia. Manual vacuum aspiration mva can be used to manage a number of maternal. You will need to take 2 tablets 1 hour prior to your appointment and then 1 tablets the evening of the procedure. However, the main disadvantage of mva is the pain caused by manipulation of the cervix and uterine suction.
Manual vacuum aspiration procedure note reproductive health. But it was the only way i could get the foetus genetically tested. The case for using manual vacuum aspiration mva under local anaesthesia for the treatment of incomplete miscarriage could therefore arguably be said to provide the best of all worlds. The post procedure vital signs were as noted by nursing. The guidelines covered vacuum aspiration in detail and, for the first time, pac using medical methods misoprostol was included. Medical termination of pregnancy manufactured from polypropylene polymer. Termination of pregnancy manual vacuum aspiration mva. Uterine evacuation demonstration using papaya and manual vacuum aspiration kits for medical students and trainee medical officers in australia. Specially designed syringe to apply suction during surgical abortion procedure. Manual vacuum aspiration performed in a primary care office setting is safe and effective in terminating pregnancy through the end of the 10th week of gestation.
The risk profile of medication abortion is even lower than mva abortion. Treatment of miscarriage with manual vacuum aspiration mva. You may want to consider an alternative location or special preparations if. The aspiration procedure and the abortion pill are endorsed by the world health organization as the safest abortion methods. Steps for performing manual vacuum aspiration mva using. The risk of dying from an early vacuum aspiration abortion is about 1 in 160,000, which is lower than the chance of dying from an injection of penicillin, and much, much lower than the mortality risk involved in carrying a pregnancy.
Do not create a vacuum until cannula is inserted, increasing risk of uterine. Midwives may perform manual vacuum aspiration mva abortion as part of an expanded scope of practice in accordance with state regulations and 1,2credentialing. The procedure itself usually takes about 10 minutes. Use mechanical dilators or progressively larger cannulae to gently dilate the cervix to the right size. If they do, they may not provide the aspiration abortion procedure in the best possible way. Managing complications in pregnancy and childbirth mcpc. Termination of pregnancy manual vacuum aspiration mva we use cookies on this website to make your visit an easier and faster experience. 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 reproductive health services at. Surgical management surgical management of miscarriage offers several clear advantages over medical and expectant management. Introduction of a manual vacuum aspiration service. I asked if the procedure would be done using ultrasound, to ensure the surgeon could see exactly what he was doing. In electric vacuum aspiration, a rigid suction curette is inserted into the uterine cavity before suction is applied using an aspiration.
You are shown into a treatment area and asked to lie on a treatment couch with support for your legs. It can be done using local anesthetic and a nonsteroidal antiinflammatory drug nsaid, such as ibuprofen. Aspiration using manual vacuum aspiration syringe or electric vacuum pump 30. It is predictably quick 15 to 20 minutes and does not require the patient to fast beforehand. Unfortunately, it is rare for an abortion clinic to offer the aspiration abortion procedure. 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. Manual vacuum aspiration definition of manual vacuum. 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. A handheld 25cc or 50cc syringe can function as a manual pump. The guidelines were approved in 2014 and paved the way for finalizing a set of pac training manuals in collaboration with the department of public health. Dec 19, 2008 as complication and failure rates are similar for manual vacuum aspiration and early vacuum aspiration up to 10 weeks gestation, there is no need to delay the procedure for those women who present early. This protocol is designed for procedures performed in these environments. When using an electrical appliance, the following basic precautions should always be followed. 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.
Steps for performing manual vacuum aspiration mva using the. 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. Abortion clinic manual vacuum aspiration abortion method. Mva can be carried out in the outpatient setting under local anaesthesia as an alternative method for surgical management of miscarriage. If youve forgotten your username or password use our password reminder tool. Manual vacuum aspiration mva for uterine evacuation. A printreadypdf version of the protocol is also available. The provider can detect a rough sensation in the uterus. 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. Comparison of effectiveness of pain management during. You can go home unaccompanied and drive if you want to. It is one of the fastest abortion procedures done by almost every abortion clinic in the usa. This is a great vacuum if you need a vacuum to pick up larger debris.
This procedure is called mva manual vacuum aspiration what is mva. It was then that i found out about a procedure called manual vacuum aspiration mva, which is carried out under a local anaesthetic. Vacuum aspiration definition of vacuum aspiration by. International statistical classification of diseases and health related problems, 10th revision icd10, vol.
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