Parts of this curriculum are adapted from the work of. The physician will then use surgical instruments and vacuum aspiration suction to remove your pregnancy. Ppt manual vacuum aspiration mva for early pregnancy. The gestational age is over 10 weeks the patient has a bleeding disorder or is taking anticoagulant medication. Manual vacuum aspiration a safe and effective alternative. Kristin nobel, mph from the department of obstetrics, gynecology, and reproductive sciences, university of california, san francisco. Now in its fourth edition, the workbook is currently in use at top medical schools around the world. For example, in order to replace general anesthesia with the use of nonnarcotic analgesics and only local anesthesia for mva manual vacuum aspiration, all members of the pac postabortion care teamnot just the physiciansneeded to be skilled in explaining mva to the patient and be able to provide vocal local or verbacaine during the procedure. Manual vacuum aspiration usually takes between five and ten minutes. Prior to the abortion, the woman should receive an exam that includes an ultrasound in order to confirm that she is pregnant and diagnose any complicating factors, such as a tubal, or ectopic, pregnancy. Manual of clinical nursing policies and procedures the royal marsden manual of clinical nursing procedures has been the number one choice for nurses since it first published, over 30 years ago.
You may want to consider an alternative location or special preparations if. Two surgical procedures used during the first trimester include. This policy and procedure statement applies to the women who have elected to undergo a suction procedure manual vacuum aspiration. Vacuum aspiration is an outpatient procedure that generally involves a clinic visit of several hours. It explains the benefits, risk and alternatives, as well as what you can expect when you come to hospital. Manual vacuum aspiration 1 electrical vacuum aspiration 907 combined induction abortion and dilation and evacuation 6 induction abortion and prostaglandins 3 induction abortion with intraamniotic instillation. Up to 15 weeks gestation, suctionaspiration or vacuum aspiration are the most common surgical methods of induced abortion. Consensus statement on uterine evacuation uterine evacuation. Im not sure if you are ready to go on with the procedure today. This type of procedure is best for women who are between five and twelve weeks pregnant.
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. A simulation model for training in uterine aspiration. It is also an aspiration hazard because swallowing or vomiting of the liquid may result in aspiration into the lungs. Vacuum aspiration wikimili, the best wikipedia reader. This manual is based on the adaptation of the family planning course modules, produced by the indian medical association in collaboration with development associates, inc. Compare the manual vacuum aspiration with electrical vacuum.
Revised 22019 manual vacuum aspiration mva protocol this protocol provides basic requirements for implementing mva services at a family medicine teaching site. Manual vacuum aspiration abortion has low risk of postprocedure complications, such as infection or hemorrhage. The objective of this project is to produce a cheap and effective vacuum pump for. The electric vacuum aspiration abortion method uses suction that is produced by an electric pump to. In this article, we present the data available on officebased manual vacuum aspiration mva as well as procedure pointers and urge you to consider mva in your practice for your patients. Mcpc manual vacuum aspiration health education to villages. Manual vacuum aspiration mva, electric vacuum aspiration eva. Incomplete abortion before weeks lmp molar pregnancy termination of pregnancy. This is a surgical procedure usually used in the first 12 weeks of pregnancy. An abortionist uses metal rods or medication to dilate the womans cervix and gain access to the uterus, where the baby resides. Abortion training manual says avoid saying baby use fetus or pregnancy instead. Manual vacuum aspiration 10 electrical vacuum aspiration 1154 combined induction abortion and dilation and evacuation 5 induction abortion and prostaglandins 8 induction abortion with intraamniotic instillation such as saline or urea 0.
In 1965, 71% of legal abortions in the united states were performed using the surgical procedure of dilation and curettage. We do not endorse one company over the other and suggest you shop around for competitive prices and. Induced terminations of pregnancy by probable postfertilization age ppfa total 6,642 6 or less 3,687 7 851 8 478 9 353. Manual vacuum aspiration journal of research in medical and. 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 doctor normally opens the cervix with dilators metal rods and then empties the uterus with a hollow plastic instrument connected by tubing to a suction machine. Manual vacuum aspiration, dilation and curettage, early pregnancy failure. Manual vacuum aspiration is so substandard a procedure that it should not be used anywhere. It can be done using local anesthetic and a nonsteroidal antiinflammatory drug nsaid, such as ibuprofen. The equipment needed for vacuum aspiration costs less than a curette set. Pdf clinical outreach refresher trainings in crisis. By 1972, a mere seven years later, approximately the same percentage 72. It is best in these contraindication for manual vacuum aspiration. The procedure itself typically takes less than 15 minutes. It is designed for use with management of unintended and abnormal pregnancy. A simulation model for training in uterine aspiration maureen paul, md, mph. If you arent sure, we can postpone until you are more sure.
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. Pdf we assessed the applicability, acceptability and cost implications of introducing the manual vacuum aspiration mva technique with local. Ipas, rob gringle, for manual vacuum aspiration, postpartum postabortion contraception. A handheld 25cc or 50cc syringe can function as a manual pump.
Disclaimer the nursing manual documents are arranged alphabetically in the following categories. It highlights interactions between the resident and the preceptor, to illustrate teaching strategies that maintain a. Manual vacuum aspiration mva consists of removing the fetus or embryo, placenta, and membranes by suction using a manual syringe, while electric vacuum aspiration eva uses an electric pump. Manual vacuum aspiration, electrical vacuum aspiration, mtp, 1st trimester. The women may have lived in alabama or some other states. This protocol is designed for procedures performed in these environments. Provide emotional support and encouragement and give paracetamol 30 minutes before the procedure. The manual aspiration procedure only takes a few minutes, has. The impact of gravity vs suctiondriven therapeutic. Manual and vacuum aspiration for abortion manual vacuum aspiration usually takes between 5 and 15 minutes.
Manual vacuum aspiration in the emergency department for. Manual vacuum aspiration mva for early pregnancy loss is the property of its rightful owner. Vacuum aspiration has become standard surgical procedure for. Manual vacuum aspiration is a safe and effective method for 1st trimester mtp. Dilation and sharp curettage is an obsolete method.
Suction definition is the act or process of sucking. Updated 2016 stocking your clinic vendors below is a list of supply vendors to help you get started. Ethiopia has ratified international human rights conventions and treaties that are legally binding and that form international. You should not perform any procedure on the patient without her consent.
Women who chose medical abortion a combined regimen of mifepristone and misoprostol were eligible for two interviews, one immediately following the. Manual vacuum aspiration mva for uterine aspiration fiapac. In the first trimester, osmotic dilators made of the seaweed laminaria. 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 is the only surgical abortion procedure available earlier than the 6th week of pregnancy. First trimester procedural abortion in family medicine. Pdf introduction of a manual vacuum aspiration service. Although eva is still commonly used, manual vacuum aspiration mva has for some providers replaced eva for procedural abortion during the first trimester.
Manual vacuum aspiration for treatment of early pregnancy loss guideline contributors. Review for indications inevitable abortion before 16 weeks, incomplete abortion, molar pregnancy or delayed pph due to retained placental fragments. Abortion training manual says avoid saying baby use. This includes the provision of analgesics immediately before the procedure, counselling and reassurance during the procedure and local anaesthesia when necessary. Manual vacuum aspiration, and aspiration, which are performed all the way up to 16 weeks of pregnancy. The allocation sequence was generated by a computer, using. Nccavs edcom manual vacuum pump made from a syringe. Manual vacuum aspiration procedure is a method of removing the tissue from the uterus after a your future fertility as long as there are no complications. The resources in the clinical training for reproductive health in emergencies series are. There are a few types of surgical abortions but the most common forms are manual vacuum aspiration abortion, which consists of removing the fetus or embryo by suction using a manual syringe. Pdf manual vacuum aspiration for firsttrimester abortion. Manual vacuum aspiration mva is an alternative to the standard sharp uterine curettage, performed under local anaesthetic or sedation in the daycare setting. Manual vacuum aspiration mva protocol scheduling patients requesting appointments for abortion should be scheduled as soon as possible in settings where this information is not possible to obtain during the appointment request, consider getting a patient callback number so a qualified staff member can contact the patient to clarify details ahead of the appointment.
Manual or electric vacuum aspiration is the recommended technique of surgical abortion, after spontaneous or assisted dilation of the cervix. Manual vacuum aspiration reproductive health services at. Scott weinberg of the population research institute pri, stated. This procedure may be used as a suction abortion or as treatment for a miscarriage or a failed medical abortion. Manual vacuum aspiration prolife population research institute claims. The procedure this video segment presents one example of how a manual vacuum aspiration abortion might be experienced in a family medicine teaching setting. The manual vacuum aspiration is an available abortion option to end an early pregnancy. Procedure used to terminate the pregnancy total 8,485 suction curettage 5,311. Midwives may perform manual vacuum aspiration mva abortion as part of an expanded scope of practice in accordance with state regulations and 1,2credentialing. Induced terminations of pregnancy, occurring in alabama, 2016 note that these tables contain data for all induced terminations of pregnancy that occurred in alabama. Manual vacuum aspiration for treatment of early pregnancy. If you have further questions please speak to a nurse or doctor caring for you.
Clinical training for postabortion in emergencies care. Patient name signed the consent for a manual vacuum aspiration. Surgical abortion an overview sciencedirect topics. Ossspp0055 benzene hazard awareness program ardent services. Surgical management surgical management of miscarriage offers several clear advantages over medical and expectant management. Clinical outreach refresher trainings in crisis settings s cort clinical management of sexual violence survivors and manual vacuum aspiration in. A d e h i m the royal marsden manual of clinical nursing procedures has been the number one choice for nurses since it first published, over 30 years ago. This policy and procedure statement applies to the. Suction is created with either an electric pump electric vacuum aspiration or eva or a manual pump manual vacuum aspiration or mva. To help put things in perspective, leading up to the 16th week.
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