Mva manual vacuum aspiration or operating room pac postabortion care pph postpartum hemorrhage sbmr standardsbased management and recognition tims training information monitoring system. This protocol is designed for procedures performed in these environments. A gritty sensation is felt as the cannula passes over the surface of. Manual vacuum aspiration patient information leaflet november 2017. Treatment of miscarriage with manual vacuum aspiration mva prior to procedure in clinic. Steps for vacuum aspiration early abortion training. This one day, handson and theoretical training course focuses on the outpatient management of miscarriage and abortion using manual vacuum aspiration. 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. Do you know that you can end an early pregnancy with a quick and simple procedure that takes a few minutes to complete. Aspiration abortion is a safe procedure that can be performed in an office or in an ambulatory surgical center. A printreadypdf version of the protocol is also available. Aspiration maintain traction on the cervix with one hand by holding the pozzi forceps.
Pdf to assess the safety and effectiveness of manual vacuum aspiration for abortion in a primary care office setting. Manual vacuum aspiration usually takes between five and ten minutes. Red or pink foam without tissue is seen passing through the cannula. Should manual vacuum aspiration for miscarriage be the preferred.
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. Surgical management of early pregnancy loss has advantages over medical treatment. To assess the safety and effectiveness of manual vacuum aspiration for abortion in a primary care office setting. Nonetheless, it can present some lifethreatening complications like uterine perforations.
Karen meckstroth md, mph, and maureen paul md, mph. Army medical college, rawalpindi abstract and prolonged bleeding. Steps for performing manual vacuum aspiration mva using. Vacuum aspiration is the recommended technique of surgical abortion for pregnancies of up to 12 to 14 weeks of gestation. Administer pain medication to have maximum effect when procedure begins.
Manual vacuum aspiration mva is a fast and safe way to empty the womb using a large syringe and cannula. Manual vacuum aspiration mva is a syringe device for uterine. Treatment of miscarriage with manual vacuum aspiration. Abortions surgical management of induced abortions under local anaesthetic. Local anaesthetic is applied to the cervix neck of the womb to numb feelings of pain and discomfort. Remove tenaculum, assure minimal bleeding, and remove speculum. A safe and effective treatment for early miscarriage. Revised 22019 manual vacuum aspiration mva protocol this protocol provides basic requirements for implementing mva services at a family medicine teaching site.
After confirming products of conception poc are complete, place iud or implant if requested. Manual vacuum aspiration reproductive health services at. Medical termination of pregnancy manufactured from polypropylene polymer. Comparison of manual vacuum aspiration to traditional. A retrospective crosssectional study was done at the referral hospital queen elisabeth central hospital, and the two district hospitals of chiradzulu. Pdf manual vacuum aspiration for firsttrimester abortion. Manual vacuum aspiration mva mva for surgical management individually wrapped and disposable of miscarriage, fetal demise and t. 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.
Manual vacuum aspiration mva for uterine evacuation. Uterine evacuation demonstration using papaya and manual vacuum aspiration kits for medical students and trainee medical officers in australia. 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. Sharp curettage is generally not indicated and is not routinely recommended following manual vacuum aspiration. 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 compared favourably vs other procedures with a mean comfort score during procedure of 2. Article introduction of a manual vacuum aspiration service. 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. 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. This is a pdf file of an unedited manuscript that has. Vacuum aspiration an overview sciencedirect topics. 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. Steps for performing manual vacuum aspiration mva using the. Manual vacuum aspiration patient information leaflet. It can be accomplished either by using a 60 cc handheld syringe manual vacuum aspirator or by using vacuum aspiration with an electric pump. You probably have never heard of the quickest and simplest way to end an early pregnancy. Manual vacuum aspiration mva for uterine aspiration. Unlike electric suction, the suction used for uterine evacuation is created manually by extending the plunger of the syringe. Manual vacuum aspiration mva, once a technology more common in lowresource settings, is now widely used and often preferred by providers in developed. This procedure is called mva manual vacuum aspiration. Manual vacuum aspiration definition of manual vacuum. Zhang j, gilles jm, barnhart k, creinin md, westhoff c, frederick mm. Here, pearls for officebased surgery as well as other treatment options. Studies on incomplete abortion reveal that suction causes less pain than sharp curettage forna et al.
Manual vacuum aspiration mva for uterine aspiration fiapac. 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. The cannula is passed into the uterus, the pump is turned on, and the tissue is gently removed from the uterus. Institutionalizing manual vacuum aspiration abortion in.
Mtp syringe provides high vacuum suction during procedure. Tameside and glossop integrated care nhs foundation trust page 2 of 4 what is it. Ending early pregnancy can be as simple as getting your yearly exam. Manual vacuum aspiration mva for uterine aspiration alison edelman, md, mph professor, obgyn. This policy and procedure statement applies to the women who have elected to undergo a suction procedure manual vacuum aspiration.
Mva can be performed in the outpatient setting under local anaesthesia. 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. 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. 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. Manual vacuum aspiration mva hesperian health guides. It is an alternative to suction termination of pregnancy, previously only done under general anaesthetic put to sleep. A survey of manual vacuum aspirations experiences among. This type of procedure is best for women who are between five and twelve weeks pregnant. Manual vacuum aspiration training course joint rcogbsacp meeting programme thursday 3 september 2020 9. A comparison of medical management with misoprostol and surgical management for early.
Manual vacuum aspiration is the only surgical abortion procedure available earlier than the 6th week of pregnancy. Original article assessment of efficacy and safety of. Provide emotional support and encouragement and give paracetamol 30. Manual vacuum aspiration mva entails the use of a handoperated syringe and. Manual vacuum aspiration mva is a safe and effective alternative method for surgical management of miscarriage. Use manual or electric vacuum to empty the uterus until signs that it is empty detail below.
Available in single valve and double valve syringe. The irish medical council have defined eight domains of good professional practice applicable to all doctors at all levels of training. 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. Mva reduces patient waiting time for surgery, cost of hospital stay and avoids general anaesthesiarelated complications and increases patient choice. The physicians at our clinic are specially trained in. Guidelines for basic and comprehensive inservice final. Manual vacuum aspiration mva abortion springerlink. The manual vacuum aspiration procedure early abortion. Mtp syringe is used for manual aspiration procedure.
Surgical management of failed medically managed miscarriage under local anaesthetic. Abortion clinic manual vacuum aspiration abortion method. Manual vacuum aspiration is an effective and safer surgical method of uterine evacuation for an abortion. Studies comparing electric vacuum aspiration eva and manual vacuum aspiration mva have found equivalent levels of. A manual vacuum aspiration mva is a way of surgically treating miscarriage when there is pregnancy tissue remaining within the womb. Background clinical problem miscarriage surgical management of miscarriage under local anaesthetic. It can be done using local anesthetic and a nonsteroidal antiinflammatory drug nsaid, such as ibuprofen. Specially designed syringe to apply suction during surgical abortion procedure. For one, patients benefit from a brief procedure using local anesthesia.
It is less noisy than electric vacuum aspiration and may also improve satisfaction for the patient undergoing abortion without sedation. Mcpc manual vacuum aspiration health education to villages. Manual vacuum aspiration obstetrics and gynecology. 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. Review for indications inevitable abortion before 16 weeks, incomplete abortion, molar pregnancy or delayed pph due to retained placental fragments.
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