If they do, they may not provide the aspiration abortion procedure in the best possible way. Manual vacuum aspiration manual vacuum aspiration mva uses a specially designed, handheld vacuum syringe with a flexible plastic cannula to apply suction in order to remove the products of conception from the uterus. International statistical classification of diseases and health related problems, 10th revision icd10, vol. Provide emotional support and encouragement and give paracetamol 30. Incomplete abortion before weeks lmp molar pregnancy termination of pregnancy. Illustrated images adapted from manual vacuum aspiration, a presentation by. For treatment of incomplete abortion, the largest size cannula which can be readily admitted by the cervix, and is adequate for evacuation, should be used.
February 22, 2006 manual vacuum aspiration one of three forms of vacuum aspiration. Process instruments immediately process or discard all instruments, according to local protocols. Abortion clinic manual vacuum aspiration abortion method. Mva instruments consist of a manual vacuum aspirator that produces suction and holds tissue. 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. Steps for performing manual vacuum aspiration mva using the.
Reference manual and trainers manual pdf and ppt files abortion attitude transformation. Mcpc manual vacuum aspiration health education to villages. If you continue to use our site, well assume that you are happy to receive cookies from our site. The provider can detect a rough sensation in the uterus.
Vacuum aspiration is the most frequently used method to perform first trimester abortions in the united states. Respecting a clients right to confidentiality absolute respect for the patients right to privacy, discretion. Manual vacuum aspiration mva for early pregnancy loss is the property of its rightful owner. This type of procedure is best for women who are between five and twelve weeks pregnant. To evaluate the safety and effectiveness of manual vacuum aspiration mva as a method of first trimester voluntary termination of pregnancy mtp. With appropriate government training, midlevel healthcare providers can provide first trimester manual vacuum aspiration abortions as safely as doctors can. Adolescent reproductive health included in each module is a set of knowledge assessment questions, competencybased. Give today to support our emergency covid19 response. Manual vacuum aspiration mva mva is the preferred treatment of. Manual vacuum aspiration procedure note has a template for documenting a manual vacuum aspiration procedure in the medical record.
Use manual or electric vacuum to empty the uterus until signs that it is empty. Womancentered, comprehensive abortion care trainers. It is important that women become more informed of their choices. Unfortunately, it is rare for an abortion clinic to offer the aspiration abortion procedure. Administer pain medication to have maximum effect when procedure begins. Manual vacuum aspiration mva equipment list reproductive. Women who have tissue left in the womb after an incomplete miscarriage or abortion.
Manual vacuum aspiration mva for early pregnancy loss powerpoint ppt presentation to view this presentation, youll need to allow flash. Manual vacuum aspiration mva can be used to manage a number of maternal health conditionssuch as incomplete and spontaneous abortion or. May 2015 manual vacuum aspiration mva equipment list. 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. Do not create a vacuum until cannula is inserted, increasing risk of uterine. Abortion is an important social and public health issue. The aspirator does not need to be high level disinfected or sterile at the time of use. Cannulae must be highlevel disinfected or sterile at. Manual vacuum aspiration procedure note reproductive. Mva uses an ipas manual syringe used through first 14 weeks after last period vacuum aspirations account for 90% mva. The suction power is sufficient to pick up most things but i found that it works better with larger debris. Manual vacuum aspiration usually takes between five and ten minutes. Manual vacuum aspiration mva kits with various sizes of cannulas indwelling bladder catheters of several sizes tuberculin syringes for postcoital tests vulsellum lignocaine 1 or 2% acetic acid 5% and lugols iodine solution for via and vili cyto brushes for papanicolaou pap smear if available.
You may want to consider an alternative location or special preparations if. Uterine evacuation demonstration using papaya and manual vacuum aspiration kits for medical students and trainee medical officers in australia. Provide reassurance and explain process to the extent that the patient desires. Manual vacuum aspiration mva hesperian health guides. The mva is a safe method to perform abortion incomplete abortion, and office endometrial biopsy. Study shows manual vacuum aspiration procedure is safe and effective in incomplete abortion. Women who come for an aspiration abortion manual vacuum. Provide emotional support and encouragement and give paracetamol 30 minutes before the procedure. To assess the safety and effectiveness of manual vacuum aspiration for abortion in a primary care office setting. Review for indications inevitable abortion before 16 weeks, incomplete abortion, molar pregnancy or delayed pph due to retained placental fragments. Pdf a clinical study on management of incomplete abortion by. Rates of complication in firsttrimester manual vacuum. I like the design of the vacuum in that it turns off when the handle is upright. Ppt manual vacuum aspiration mva for early 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. Perform any concurrent procedures when procedure is complete, proceed with contraception or other procedures, such as iud insertion or cervical tear repair. An anesthetic is usually injected into the cervical wall, and a tube vacurette is inserted into the uterus. The gestational age is over 10 weeks the patient has a bleeding disorder or is taking anticoagulant medication. Introduction of a manual vacuum aspiration service. Introduction in circumstances where the law permits termination of pregnancy, access to safe induced abortion can still be restricted by limited availability of trained healthcare providers. Vacuum aspiration is a very safe procedure for uterine evacuation, with major. A global values clarification toolkit pdf and ppt files. A training toolkit pdf and ppt files effective training in reproductive health. Manual vacuum aspiration reproductive health services at. It is commonly done up to 12 weeks after the last menstrual period figure 14. It can be done using local anesthetic and a nonsteroidal antiinflammatory drug nsaid, such as ibuprofen. This is a great vacuum if you need a vacuum to pick up larger debris.
This tube is connected to a suction device attached to a collection bottle figure 14. Termination of pregnancy manual vacuum aspiration mva. The procedure speculum inserted possible injection of numbing medication innear cervix dilation. This policy and procedure statement applies to the. Steps for performing manual vacuum aspiration mva using. This protocol is designed for procedures performed in these environments. 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 vimeo, the home for high quality videos and the people who love them.
Manual vacuum aspiration under local anaesthetic for early. The procedure itself typically takes less than 15 minutes. The physicians at our clinic are specially trained in early abortion care and perform the procedure in a time span of 25 minutes. 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 setting. Manual vacuum aspiration mva for uterine aspiration fiapac.
Manual vacuum aspiration, hemlin j acta obstet gynecol scand 01jun2001. Complications of firsttrimester abortion by vacuum. Steps for vacuum aspiration early abortion training. This policy and procedure statement applies to the women who have elected to undergo a suction procedure manual vacuum aspiration.
Pdf introduction of a manual vacuum aspiration service. If so, share your ppt presentation slides online with. The ipas mva plus is a multipleuse device that requires highlevel disinfection or sterilization prior to initial use and between patients. A model of service within a nhs sexual health service article pdf available in journal of family planning and reproductive health care 411. Pdf manual vacuum aspiration for firsttrimester abortion. Vacuum aspiration an overview sciencedirect topics. The manual vacuum aspiration procedure early abortion.
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