Uterine evacuation demonstration using papaya and manual vacuum aspiration kits for medical students and trainee medical officers in australia. Incomplete abortion before weeks lmp molar pregnancy termination of pregnancy. Termination of pregnancy manual vacuum aspiration mva we use cookies on this website to make your visit an easier and faster experience. Review for indications inevitable abortion before 16 weeks, incomplete abortion, molar pregnancy or delayed pph due to retained placental fragments. Abortion is an important social and public health issue. Ppt manual vacuum aspiration mva for early pregnancy. Manual vacuum aspiration under local anaesthesia mvala in an outpatient setting is an alternative to the standard surgical aspiration under general anaesthesia for miscarriage. Vacuum aspiration is an outpatient procedure that generally involves a clinic visit of several hours. Study shows manual vacuum aspiration procedure is safe and effective in incomplete abortion.
Manual vacuum aspiration mva can be used to manage a number of maternal health conditionssuch as incomplete and spontaneous abortion or. To assess the safety and effectiveness of manual vacuum aspiration for abortion in a primary care office setting. This policy and procedure statement applies to the. To evaluate the safety and effectiveness of manual vacuum aspiration mva as a method of first trimester voluntary termination of pregnancy mtp. Manual vacuum aspiration mva equipment list reproductive.
Perform any concurrent procedures when procedure is complete, proceed with contraception or other procedures, such as iud insertion or cervical tear repair. The manual vacuum aspiration procedure early abortion. The gestational age is over 10 weeks the patient has a bleeding disorder or is taking anticoagulant medication. Administer pain medication to have maximum effect when procedure begins. Cannulae must be highlevel disinfected or sterile at. Do not create a vacuum until cannula is inserted, increasing risk of uterine. Illustrated images adapted from manual vacuum aspiration, a presentation by. Manual vacuum aspiration definition of manual vacuum. Provide emotional support and encouragement and give paracetamol 30 minutes before the procedure. Manual vacuum aspiration under local anaesthetic for early. Mva uses an ipas manual syringe used through first 14 weeks after last period vacuum aspirations account for 90% mva. 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. Women who come for an aspiration abortion manual vacuum.
Respecting a clients right to confidentiality absolute respect for the patients right to privacy, discretion. A training toolkit pdf and ppt files effective training in reproductive health. With appropriate government training, midlevel healthcare providers can provide first trimester manual vacuum aspiration abortions as safely as doctors can. A handheld 25cc or 50cc syringe can function as a manual pump. 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. The mva is a safe method to perform abortion incomplete abortion, and office endometrial biopsy. Provide reassurance and explain process to the extent that the patient desires. Introduction to postabortion care pac 2 postabortion care pac postabortion care is the management of. A global values clarification toolkit pdf and ppt files. Complications of firsttrimester abortion by vacuum. This policy and procedure statement applies to the women who have elected to undergo a suction procedure manual vacuum aspiration. Manual vacuum aspiration mva for early pregnancy loss powerpoint ppt presentation to view this presentation, youll need to allow flash. Provide emotional support and encouragement and give paracetamol 30. Manual vacuum aspiration procedure note reproductive.
Mcpc manual vacuum aspiration health education to villages. 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. An anesthetic is usually injected into the cervical wall, and a tube vacurette is inserted into the uterus. Introduction of a manual vacuum aspiration service.
If they do, they may not provide the aspiration abortion procedure in the best possible way. Steps for vacuum aspiration early abortion training. Steps for performing manual vacuum aspiration mva using the. Steps for performing manual vacuum aspiration mva using.
February 22, 2006 manual vacuum aspiration one of three forms of vacuum aspiration. Manual vacuum aspiration procedure note has a template for documenting a manual vacuum aspiration procedure in the medical record. Unfortunately, it is rare for an abortion clinic to offer the aspiration abortion procedure. Vacuum aspiration an overview sciencedirect topics. Give today to support our emergency covid19 response. When procedure is complete, proceed with contraception or other procedures, such as iud insertion or cervical tear repair. Mva instruments consist of a manual vacuum aspirator that produces suction and holds tissue. I like the design of the vacuum in that it turns off when the handle is upright.
Process instruments immediately process or discard all instruments, according to local protocols. 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. This type of procedure is best for women who are between five and twelve weeks pregnant. A model of service within a nhs sexual health service article pdf available in journal of family planning and reproductive health care 411. The procedure speculum inserted possible injection of numbing medication innear cervix dilation.
The procedure itself typically takes less than 15 minutes. Manual vacuum aspiration reproductive health services at. The provider can detect a rough sensation in the uterus. Manual vacuum aspiration usually takes between five and ten minutes. May 2015 manual vacuum aspiration mva equipment list. Rates of complication in firsttrimester manual vacuum.
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. This protocol is designed for procedures performed in these environments. Manual vacuum aspiration mva for early pregnancy loss is the property of its rightful owner. Manual vacuum aspiration mva for uterine aspiration fiapac. If you continue to use our site, well assume that you are happy to receive cookies from our site. It can be done using local anesthetic and a nonsteroidal antiinflammatory drug nsaid, such as ibuprofen. Women who have tissue left in the womb after an incomplete miscarriage or abortion. 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.
Reference manual and trainers manual pdf and ppt files abortion attitude transformation. 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. The aspirator does not need to be high level disinfected or sterile at the time of use. Validation of instrument reprocessing methods for the ipas manual. Abortion clinic manual vacuum aspiration abortion method. 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. 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. It is commonly done up to 12 weeks after the last menstrual period figure 14.
Womancentered, comprehensive abortion care trainers. Manual vacuum aspiration mva mva is the preferred treatment of. International statistical classification of diseases and health related problems, 10th revision icd10, vol. The ipas mva plus is a multipleuse device that requires highlevel disinfection or sterilization prior to initial use and between patients. Adolescent reproductive health included in each module is a set of knowledge assessment questions, competencybased. Pdf manual vacuum aspiration for firsttrimester abortion. Pdf introduction of a manual vacuum aspiration service. Pdf a clinical study on management of incomplete abortion by.
Manual vacuum aspiration mva hesperian health guides. The suction power is sufficient to pick up most things but i found that it works better with larger debris. You may want to consider an alternative location or special preparations if. This tube is connected to a suction device attached to a collection bottle figure 14. Manual vacuum aspiration, hemlin j acta obstet gynecol scand 01jun2001. The physicians at our clinic are specially trained in early abortion care and perform the procedure in a time span of 25 minutes.
It is important that women become more informed of their choices. This is a great vacuum if you need a vacuum to pick up larger debris. Use manual or electric vacuum to empty the uterus until signs that it is empty. Vacuum aspiration is the most frequently used method to perform first trimester abortions in the united states. If so, share your ppt presentation slides online with.
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