It is commonly done up to 12 weeks after the last menstrual period figure 14. Forty percent of procedures were completed on the day of first attendance for assessment, with an average attendance time of 2. Manual vacuum aspiration a practical guide on vimeo. Vacuum aspiration is the most frequently used method to perform first trimester abortions in the united states. The present study was conducted in the department of gynecology and obstetrics, eden hospital, medical. Vacuum aspiration is an outpatient procedure that generally involves a clinic visit of several hours. The cannula is passed into the uterus, the pump is turned on, and the tissue is. Manual vacuum aspiration single valve product code. This early abortion method can be used 5 to 12 weeks after your last menstrual period. The manual vacuum aspiration procedure early abortion. To avoid losing the vacuum, do not withdraw the cannula opening past the cervical os. It may be used as a method of induced abortion, a therapeutic.
Selected references these references are in pubmed. A manual vacuum aspiration mva is a way of surgically treating miscarriage when there is pregnancy tissue remaining within the womb. To achieve the physical and mentalfriendly type of surgery, more secure. Establish rapport, elicit and answer patients questions. Suction is created with either an electric pump electric vacuum aspiration or eva or a manual pump manual vacuum aspiration or mva. Mva allows for evacuation of the uterus using a hand. Steps for vacuum aspiration early abortion training. Introduce yourself and ask the patients name to confirm identity. 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.
Manual vacuum aspiration mva for uterine aspiration fiapac. However, over the last few decades, manual vacuum aspiration mva has emerged as an effective and safe alternative for surgical management of miscarriage. Liquid aspiration liquids can be sucked into a collection bottle by using a vacuum pump to create low pressure in the bottle. Afterwards, you need to rest in the recovery area for about 3060 minutes. Manual vacuum aspiration mva for uterine evacuation under local anaesthesia mva for surgical management of miscarriage, fetal demise and t. Manual vacuum aspiration definition of manual vacuum. Vacuum aspiration uses gentle suction to remove the pregnancy and takes about 510 minutes from start to finish. The physicians at our clinic are specially trained in early abortion care and perform the procedure in. This technique can be used in various clinical situations such as early surgical abortion, evacuation of retained products of conception and endometrial sampling. A survey of manual vacuum aspirations experiences among. This protocol is designed for procedures performed in these environments. Mcpc manual vacuum aspiration health education to villages. Termination of pregnancy manual vacuum aspiration mva we use cookies on this website to make your visit an easier and faster experience. Abortion clinic manual vacuum aspiration abortion method.
Manual vacuum aspiration health library for disasters. Administer pain medication before the procedure to have maximum effect when the procedure begins. Patient engagement patient education 6,377,972 views. Perhaps the most important advantage to patients is that surgery offers rapid resolution of miscarriage with the shortest duration of bleeding. Adolescent reproductive health included in each module is a set of knowledge assessment questions, competencybased. Do not create a vacuum until cannula is inserted, increasing risk of uterine. These handheld vacuums use suction to remove uterine contents through the cervix, to obtain specimens for pathological examination, or for early pregnancy loss. 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. Vacuum or suction aspiration uses aspiration to remove uterine contents through the cervix. Qualtech products industry vacuum aspiration system is an advanced precision laboratory vacuum aspirator to professionally and safely collect and handle microbiological, biological and chemical liquids and fluids for disposal at the touch of a button with safety and cleanliness in mind this professional laboratory vacuum aspirator is designed. Vacuum aspiration for induced abortion in the first.
Steps for performing manual vacuum aspiration mva using. Manual vacuum aspiration reproductive health services at. 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. Vacuum aspiration medical definition merriamwebster.
In vacuum aspiration abortion, the uterine contents are removed by suction aspiration, which is applied through a cannula, a thin tube that is inserted into the uterus and connected to a source of suction, either an electric pump or a handheld syringe. 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. A wide variety of manual vacuum aspiration kit options are available to you, there are 79 suppliers who sells manual vacuum aspiration kit on, mainly located in asia. This procedure allows you to have a trusted companion by your side, throughout the entire procedure without having to visit a recovery room. Simpler than ru486 the abortion pill one visit to the doctors office no routine follow up. Manual vacuum aspiration mva in the emergency room through 12 weeks for early pregnancy failure electric vacuum aspiration in the operating room through 12 weeks for therapeutic abortion or early pregnancy failure dilation and evacuation in the operating room through 23 weeks for fetal anomalies, ma. Available accessories for the bvc fluid aspiration systems include. Steps for vacuum aspiration early abortion training workbook. Termination of pregnancy manual vacuum aspiration mva. 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, august 2000. Manual vacuum aspiration, february 2017 many thanks for registering for the manual vacuum aspiration course on friday 10th february 2017. An anesthetic is usually injected into the cervical wall, and a tube vacurette is inserted into the uterus.
The doctor will insert a speculum into the vagina and apply a numbing medication to the vagina and cervix. Tools are then used to scrape the lining of the uterus to remove any remaining parts. Manual vacuum aspiration patient information leaflet november 2017. Mva can be carried out in the outpatient setting under local anaesthesia as an alternative method for surgical management of miscarriage. Manual vacuum aspiration mva the miscarriage association.
Jun 23, 2011 the present study compares mva and eva as the method for 1st trimester mtp in terms of effi7acy, blood loss, duration, acceptability and complications. The aspire is an ideal choice for a wide range of related products. This type of procedure is best for women who are between five and twelve weeks pregnant. Manual vacuum aspiration patient information leaflet. It was then that i found out about a procedure called manual vacuum aspiration mva, which is carried out under a local anaesthetic. Manual vacuum aspiration services became manual vacuum aspiration was the only safe abortion had medical contraindications to abortion such as signs. The early abortion machine vacuum aspiration procedure is one of three available options to end an early pregnancy the abortion pill and manual aspiration are the other methods. The accuris aspire laboratory aspirator incorporates a quiet, maintenancefree pump inside a sturdy, yet compact base.
Women who come for an aspiration abortion manual vacuum aspiration or mva will enter the your health center name here system as do all patients. Pdf manual vacuum aspiration for firsttrimester abortion. The cannula is passed into the uterus, the pump is turned on, and the tissue is gently removed from the uterus. Two women in the misoprostol group did not have vacuum aspiration.
Introduction of a manual vacuum aspiration service. The ipas line of aspirators also known as a manual vacuum aspirators are convenient and easy to use. The procedure itself typically takes less than 15 minutes. Mva can be performed in the outpatient setting under local anaesthesia. Local anaesthetic is applied to the cervix neck of the womb to numb feelings of pain and discomfort. Review for indications inevitable abortion before 16 weeks, incomplete abortion, molar pregnancy or delayed pph due to retained placental fragments. Manual vacuum aspiration mva with extraamniotic and paracervical local anaesthesia resulted in a low pain score in 79% of women choosing fully conscious firsttrimester surgical abortion.
Avoid grasping the syringe by the plunger arms while the vacuum is established and the cannula is in the uterus. You may want to consider an alternative location or special preparations if. Manual vacuum aspiration usually takes between five and ten minutes. Manual vacuum aspiration mva for uterine aspiration. You are shown into a treatment area and asked to lie on a treatment couch with support for your legs. Manual vacuum aspiration under local anaesthetic for early. The vacuuhandcontrol vhc keeps all fluid within the aspiration. Manual vacuum aspiration under local anaesthesia mvala in an outpatient setting is an alternative to the standard surgical aspiration under general anaesthesia for miscarriage. It is a compact and readytouse vacuum aspiration system with an integrated silent vacuum pump for the aspiration of small volumes of liquids. This procedure is a common method used in the first 5 to 12 weeks first trimester of pregnancy. Vacuum aspiration is the recommended technique of surgical abortion for pregnancies of up to 12 to 14 weeks of gestation. On the day of the operation, i had some blood tests and the nursing staff explained that the procedure would take around 10 minutes.
You know it is successful before leaving the office. When the procedure is finished, depress the buttons and disconnect the cannula from the aspirator. Machine vacuum aspiration involves the use of a thin tube cannula that is attached by tubing to a bottle and a pump, which provides a gentle 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. If you continue to use our site, well assume that you are happy to receive cookies from our site. May be carried out in opd setting freeing theatres for other cases. Manual vacuum aspiration and elecrical vacuum aspirationa comparative study for first trimester mtp. In the united states, vacuum aspiration also called suction curettage is the method used for most firsttrimester abortions. 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. Jul 22, 2019 manual vacuum aspiration for abortion aftercare instructions july 22, 2019 aftercare instructions to use with patients having an abortion with manual vacuum aspiration.
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. Mva works best 510 weeks into the pregnancy but can be used up to 12 weeks if advised by the physician. Article introduction of a manual vacuum aspiration service. Manual vacuum aspiration, hemlin j acta obstet gynecol scand 01jun2001. A diagram of a vacuum aspiration abortion procedure at 8 weeks gestation. Manual vacuum aspiration uses a combination of a specifically designed syringe and cannula to apply suction to the uterine cavity. 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.
Reproductive health access project manual vacuum aspiration. This may not be the complete list of references from this article. The use of manual vacuum aspiration in the treatment of. 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. Mva uses a narrow tube to enter and empty the womb using aspiration gentle suction. This tube is connected to a suction device attached to a collection bottle figure 14. They will be registered and have vital signs performed. This is important in a health care system with limited resources.
Then, the doctor will pass a thin tube through the cervix and. It is an alternative to suction termination of pregnancy, previously only done under general anaesthetic put to sleep. It can be done using local anesthetic and a nonsteroidal antiinflammatory drug nsaid, such as ibuprofen. See aspiration for abortion assessment tool for detailed steps of the procedure s. 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. Unlike electric suction, the suction used for uterine.
Endouterine manual aspiration in spanish request pdf. The top countries of suppliers are india, china, and pakistan, from which the percentage of manual vacuum aspiration kit supply is 3%, 88%, and 6% respectively. Vhcpro vacuum hand controller second controller or replacement, supplied with 2. A good quality manual vacuum aspiration kit, mva kit is promised from sterimed group. Manual vacuum aspiration is a noninvasive, as well as delicate procedure. Manual vacuum aspiration mva is a safe and effective alternative method for surgical management of miscarriage. You will receive your certificate of attendance on completion of the online feedback form. Manual vacuum aspiration procedure note has a template for documenting a manual vacuum aspiration procedure in the medical record. Manual vacuum aspiration for firsttrimester abortion article pdf available in archives of family medicine 76. Manual vacuum aspiration and elecrical vacuum aspirationa.
The vacuum is fully adjustable, with a pressure gauge that displays the vacuum level, allowing full control of aspirating speed. The provision of vacuum aspiration includes the assessment of gestational age, cervical priming if needed, the actual procedure, pain management including the provision of a paracervical block if needed and the assessment of completeness of abortion through the visual inspection of products. If the vacuum is lost or if the syringe is more than half full, empty it and then reestablish the vacuum. The full text of this article is available as a pdf 88k. Sufficient vacuum in the collection bottle is essential to support aspiration, but should not be so deep to risk evaporation of solvents. Mva reduces patient waiting time for surgery, cost of hospital stay and avoids general anaesthesia. 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 mva procedure is performed with a handoperated vacuum syringe, typically under local anaesthetic, in a.
Tameside and glossop integrated care nhs foundation trust page 2 of 4 what is it. Helen kamel, 1 sebanti goswami, 1, 2 and rekha dutta 1. Not only is this method of abortion immoral, it is extremely unsafe for women. The vagina is held opened by a speculum 4 in order for a tube called a vacurette 5, which is attached 6 to a suction pump, to be inserted through the patients cervix. Less bleeding, pain low, low damage, rapid postoperative recovery. Jun 25, 2002 one of the most common methods of abortion in the developing world is manual vacuum aspiration mva. Vacuum aspiration an overview sciencedirect topics. This procedure is performed during the first trimester, typically during five and thirteen weeks lmp that is.
In order to compare conventional va and mva in a swedish setting, a randomized study was undertaken. Steps for performing manual vacuum aspiration mva using the. For a complete standard duty integrated aspiration system, see wobl aspiration systems, 2511b75 and 2515b75. Imogen tyler and bruce bennett teaching aspiration 9 education is essential to fulfil the aspirations of the individual, but unless. To eliminate these disadvantages, integra has developed vacusip, a portable aspiration system for convenient and affordable liquid waste disposal. Mva abbreviation stands for manual vacuum aspiration. Vacuum aspiration definition of vacuum aspiration by. Manual vacuum aspiration, a safe and effective alternative in. Against aspiration 6 aspiration is a rhetorical device that seeks to whitewash a neoliberal economic and political project and the staggering inequalities it produces.
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