Since this time, it has been adopted for other uses, including but not exclusively, termination of pregnancy and missed miscarriage milingos et. Ijerph free fulltext the use of manual vacuum aspiration. Unsafe abortion is a major cause and treatment of complications after abortion is a big burden on the health system. Mcpc manual vacuum aspiration health education to villages. 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 usually takes between five and ten minutes. Manual vacuum aspiration patient information leaflet. Termination of pregnancy manual vacuum aspiration mva manual vacuum aspiration mva is suitable for women who are less than 10 weeks pregnant. Coding for manual vacuum aspiration abortion reproductive.
About 140,000 induced abortions are estimated every year, despite there being a restrictive abortion law in place. The american college of obstetricians and gynecologists. Instrument kits were borrowed from a local womens health clinic. The suction power is sufficient to pick up most things but i found that it works better with larger debris. Manual vacuum aspiration patient information leaflet november 2017. Although manual vacuum aspiration mva is a safe and cheap method of evacuating the. The gestational age limit for mva often depends on the clinic, as well as the healthcare provider performing the procedure. Jun 25, 2002 manual vacuum aspiration, hemlin j acta obstet gynecol scand 01jun2001. See aspiration for abortion assessment tool for detailed steps of the procedure s. Manual and electric vacuum aspiration of molar pregnancies. Page 1 microlab star user manual there are three vacuum parameters to be defined. You are shown into a treatment area and asked to lie on a treatment couch with support for your legs. Advantages of officebased manual vacuum aspiration.
The manual vacuum aspiration procedure early abortion. Mva can be performed in the outpatient setting under local anaesthesia. Table 2 manual vacuum aspiration procedure details n 9. A trainers manual pdf and ppt files providers as advocates for safe abortion care. Simpler than ru486 the abortion pill one visit to the doctors office no routine follow up. Nov 25, 2019 it is therefore important to understand how womens experiences of care may differ across medication and manual vacuum aspiration mva abortions. Manual vacuum aspiration mva abortion guide safe2choose. Abortion clinic manual vacuum aspiration abortion method. Womancentered, comprehensive abortion care reference. Manual vacuum aspiration, hemlin j acta obstet gynecol scand 01jun2001. Womancentered, comprehensive abortion care trainers manual.
Provide emotional support and encouragement and give paracetamol 30. Decrease in use of manual vacuum aspiration in postabortion care. The doctor will insert a speculum into the vagina and apply a numbing medication to the vagina and cervix. Manual vacuum aspiration mva for uterine aspiration fiapac.
For example, the expansion of abortion services into lowerlevel facilities has been uneven, leaving. 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. Manual vacuum aspiration mva is a safe and effective alternative method for surgical management of miscarriage. This policy and procedure statement applies to the. It was developed in the 1960s as a technique that could be used in the third world, because it does not require electricity. 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. May be carried out in opd setting freeing theatres for other cases. This information explains what happens to you when you are in hospital.
Vacuum or suction aspiration uses aspiration to remove uterine contents through the cervix. Please view this manual as part of the product and keep it somewhere easily accessible. Manual vacuum aspiration mva compared favourably vs other procedures with a mean comfort score during procedure. Electric vacuum aspiration mva inexpensive small portable. You know it is successful before leaving the office. Cpt, icd10, outpatient procedure, medication procedure, and other codes to use for documenting and billing manual vacuum aspiration for abortion. I like the design of the vacuum in that it turns off when the handle is upright. Manual vacuum aspiration for firsttrimester abortion article pdf available in archives of family medicine 76. A missed abortion is a nonviable intrauterine pregnancy that has been retained within the uterus. Manual vacuum aspiration mva for uterine aspiration. This study uses a validated personcentered abortion care scale categorized as low, medium, and high levels, with high levels representing the greatest level of personcentered care to assess. Manual vacuum aspiration definition of manual vacuum. Pdf malawi has a high maternal mortality rate, of which unsafe abortion is a major cause. Pdf comparison of effectiveness of pain management.
Introduction the maternal mortality ratio is decreasing globally, although it remains high in malawi. Very early abortion using syringe as vacuum source. Vacuum aspiration uses gentle suction to remove the pregnancy and takes about 510 minutes from start to finish. Although manual vacuum aspiration mva is a safe and cheap method of evacuating. Review for indications inevitable abortion before 16 weeks, incomplete abortion, molar pregnancy or delayed pph due to retained placental fragments. Manual vacuum aspiration reproductive health services at. Pdf comparison of effectiveness of pain management during. Even though manual vacuum aspiration mva is the recommended surgical treatment of incomplete abortions in the first trimester, many hospitals in malawi continue to use sharp. Pdf manual vacuum aspiration in the emergency department for. Do not create a vacuum until cannula is inserted, increasing risk of uterine. Manual vacuum aspiration, dilation and curettage, early.
Improving manual vacuum aspiration service delivery, introducing misoprostol for cases of incomplete abortion, and strengthening postabortion contraception in bangladesh ferdousi begum shahida zaidi. 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. It can be done using local anesthetic and a nonsteroidal antiinflammatory drug nsaid, such as ibuprofen. Manual vacuum aspiration mva for uterine evacuation under local anaesthesia mva for surgical management of miscarriage, fetal demise and t. Manual vacuum aspiration under local anaesthetic for early. Provide emotional support and encouragement and give paracetamol 30 minutes before the procedure. Manual vacuum aspiration under local anaesthesia mvala in an outpatient setting is an alternative to the standard surgical aspiration under general anaesthesia for miscarriage. Comparison of manual vacuum aspiration to traditional. Antibiotic prophylaxis prior to mva or eva should be considered. A simulation model for training in uterine aspiration. The equipment needed for vacuum aspiration costs less than a curette set.
Manual vacuum aspiration or minivac is an abortion technique that is gradually becoming widely available in north america. Prevention of unsafe abortion and its consequences. Then, the doctor will pass a thin tube through the cervix and. It is therefore important to understand how womens experiences of care may differ across medication and manual vacuum aspiration mva abortions. Comparison of manual vacuum aspiration to traditional methods of managing early pregnancy miscarriage.
First trimester bleeding mva instruments and supplies manual vacuum aspiration vs. Afterwards, you need to rest in the recovery area for about 3060 minutes. Tameside and glossop integrated care nhs foundation trust page 2 of 4 what is it. You turn to on by moving the handle down and you just start vacuuming. Training tips for using pelvic models in manual vacuum aspiration mva clinical training protocols for medical abortion dosage card. 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. 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. Manual vacuum aspiration obstetrics and gynecology. This protocol is designed for procedures performed in these environments.
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. Has anyone had a manual vacuum aspiration mva for missed. Since this time, it has been adopted for other uses, including but not exclusively, termination of pregnancy and missed miscarriage milingos et al. 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. Experts recommend giving a single dose of doxycycline 200 mg orally at least 1 hour prior to uterine aspiration. This abortion procedure now used in many clinics is the safest and least traumatic available. 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. Manual vacuum aspiration a practical guide on vimeo. Effects of refresher training on the use of manual vacuum. Hi jemima, i basically had an erpc after a 1012 week missed miscarriage with no anaesthetic at all went in to a and e as i was bleeding so heavily and they got the gynae down who just did it in the cubicle i did not find it painful, just a bit traumatic and undignified.
This leads to complications, such as incomplete abortions, which need to be treated to avoid further harm. This is a great vacuum if you need a vacuum to pick up larger debris. Ipas is a nonprofit organization that works around the world to increase womens ability to exercise their sexual and reproductive rights, especially the right to safe abortion. Comparison of manual vacuum aspiration to traditional methods. This is manual vacuum aspiration a practical guide by glowm on vimeo, the home for high quality videos and the people who love them.
The physicians at our clinic are specially trained in. Pdf on sep 26, 2012, mira kinariwala and others published. The use of manual vacuum aspiration in the treatment of. You may want to consider an alternative location or special preparations if. The rate of infection is lower than any other surgical abortion procedure at 0. Even though manual vacuum aspiration mva is the recommended surgical treatment of incomplete abortions in the first trimester, many hospitals in malawi continue to use. Manual vacuum aspiration contraindications manual vacuum aspiration mva is a world health organization with electric vacuum aspiration eva and medical abortion. Abstract manual vacuum aspiration under local anaesthesia mvalain an outpatient setting is an alternativeto the standard surgical aspiration under general anaesthesia for miscarriage. A missed abortion is a nonviable intrauterine pregnancy that has been retained within the. Womancentered, comprehensive abortion care trainers. Termination of pregnancy manual vacuum aspiration mva. Pdf the use of manual vacuum aspiration in the treatment of. Malawi has a high maternal mortality rate, of which unsafe abortion is a major cause.
Obstet gynecol 2018 apr manual aspiration was associated with fewer intrauterine adhesions, but other outcomes did. A handheld syringe creates a tiny, localized vacuum that removes the embryo. Mva reduces patient waiting time for surgery, cost of hospital stay and avoids general anaesthesia. Is there a difference in womens experiences of care with. Manual vacuum aspiration mva is a very safe method of abortion for pregnancies in the first trimester, andor early second trimester all the way up to 14 weeks of gestation. Heavy, bright red, vaginal bleeding with or without clots bloodsoaked padschux at 250 cc loss of blood pallor especially of inner eyelids, palms or around the mouth and tongue. Pdf manual vacuum aspiration for firsttrimester abortion. Obstet gynecol 2018 apr manual aspiration was associated with fewer intrauterine adhesions, but other outcomes did not vary significantly with suction method. Training tips for using pelvic models in manual vacuum aspiration mva clinical training. When passing on the device, always enclose the operating manual. The ramp duration is the time needed to reach the desired vacuum. Womancentered, comprehensive abortion care reference manual. International federation of gynecology and obstetrics figo supports vacuum aspiration va and medical methods over sharp curettage sc health systems should replace sc with va and medical methods. Mar 27, 2018 manual and electric vacuum aspiration of molar pregnancies.
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