It is a safe, easily performed and possibly costeffective procedure, with advantages for both the patient and the health care system. A gritty sensation is felt as the cannula passes over the surface of the evacuated uterus. Considered less invasive with only local anesthesia being used on. Routine abortions of any kind do not cause problems with future pregnancies. Cpt, icd10, outpatient procedure, medication procedure, and other codes to use for documenting and billing manual vacuum aspiration for abortion. Manual vacuum aspiration patient information leaflet. This policy and procedure statement applies to the.
Minor differences with electric and manual aspiration of molar pregnancy. If youve forgotten your username or password use our password reminder tool. Mva manual vacuum aspiration for missed ab medical. Mva reduces patient waiting time for surgery, cost of hospital stay and avoids general anaesthesia. I have given her the post mva handout detailing what to expect post procedures. Provide information leaflet on manual vacuum aspiration abortion 2. This procedure can be used around 5 to 12 weeks after the last menstrual period early first trimester. Postprocedure care observe the woman closely until the effect of iv sedation has worn off. Steps for performing manual vacuum aspiration mva using the. In order to compare conventional va and mva in a swedish setting, a randomized study was undertaken. Manual vacuum aspiration a practical guide on vimeo. Some abortion clinics report that they provide the manual aspirationprocedure, but complete the procedure like a surgical abortion with scraping and under sedation. In 2015 over 185 000 women in england and wales underwent a termination of pregnancy top1 and 80% of these were performed at 39 weeks of pregnancy.
Immediately after the procedure reassure the woman that the procedure is finished. Manual compared with electric vacuum aspiration for. It involves the use of a specially designed syringe to apply suction. Manual vacuum aspiration, hemlin j acta obstet gynecol scand 01jun2001. The procedure itself usually takes about 10 minutes. If you continue to use our site, well assume that you are happy to receive cookies from our site. Immediately process or discard all instruments, according to local protocols.
The gestational age is over 10 weeks the patient has a bleeding disorder or is taking anticoagulant medication. The concept of manual vacuum aspiration mva has evolved from that of. Abortion procedures american pregnancy association. To view all forums, post or create a new thread, you must be an aapc member. Manual vacuum aspiration abortion has low risk of post procedure complications, such as infection or hemorrhage. The procedure, risks and alternatives should be explained to the client and all questions answered 3. The manual vacuum aspiration procedure early abortion. Manual vacuum aspiration mva is a fast and safe way to empty the womb using a large. There are two types of aspiration abortion in the clinics.
Patient name is now status post a manual vacuum aspiration and iud insertion, has been observed for 30 minutes and is stable to leave the office. Coding for manual vacuum aspiration abortion reproductive. Manual removal of placenta health library for disasters. Not only is this method of abortion immoral, it is extremely unsafe for women. This policy and procedure statement applies to the women who have elected to undergo a suction procedure manual vacuum aspiration. Red or pink foam without tissue is seen passing through the cannula. Std testing nyc and manual vacuum aspiration procedure. The aim of this study is to evaluate the determinants and outcome of manual vacuum aspiration mva use in our hospital. Termination of pregnancy manual vacuum aspiration mva we use cookies on this website to make your visit an easier and faster experience. If you are a member and have already registered for member area and forum access, you can log in by clicking here. International statistical classification of diseases and health related problems, 10th revision icd10, vol. You can go home unaccompanied and drive if you want to. However, the main disadvantage of mva is the pain caused by manipulation of the cervix and uterine suction. Manual vacuum aspiration, a safe and effective alternative in.
Manual vacuum aspiration mva useful information for womens. The manual aspiration procedure is the safest way to end early pregnancy. This type of procedure is best for women who are between five and twelve weeks pregnant. Steps for performing manual vacuum aspiration mva using the ipas mva plus and ipas easygrip cannulae. Vacuum aspiration for abortion metro health hospital. Manual vacuum aspiration for firsttrimester abortion article pdf available in archives of family medicine 76. Since the late 1990s, the senegalese ministry of health moh has championed manual vacuum aspiration mva as the technology of choice for the treatment of abortion complications or postabortion care pac in state hospitals.
What to expect next immediately after the procedure, you will experience a periodlike crampy pain. Comparison of effectiveness of pain management during. Mva can be performed in the outpatient setting under local anaesthesia. Manual vacuum aspiration mva useful information for. Endouterine manual aspiration in spanish request pdf. The post procedure vital signs were as noted by nursing. The rare complications of a manual aspiration procedure are minor and easily treated with antibiotics or a repeat procedure. In electric vacuum aspiration, a rigid suction curette is inserted into the uterine cavity before suction is applied using an aspiration. Review for indications inevitable abortion before 16 weeks, incomplete abortion, molar pregnancy or delayed pph due to retained placental fragments. It can be done using local anesthetic and a nonsteroidal antiinflammatory drug nsaid, such as ibuprofen. Monitor the vital signs pulse, blood pressure, respiration every 30 minutes for the next 6 hours or until stable. Five hundred pregnant women presenting for surgical abortion with mean gestational sac diameter of less than 12 mm or no visible sac on ultrasonography were randomized to manual or electric.
Manual vacuum aspiration mva for uterine aspiration fiapac. Jun 25, 2002 one of the most common methods of abortion in the developing world is manual vacuum aspiration mva. You turn to on by moving the handle down and you just start vacuuming. Mva can be carried out in the outpatient setting under local anaesthesia as an alternative method for surgical management of miscarriage. You may want to consider an alternative location or special preparations if. Manual vacuum aspiration abortion has low risk of postprocedure complications, such as infection or hemorrhage.
Hemlin j and moller b 2001 manual vacuum aspiration, a safe and effective alternative in early pregnancy termination. Manual vacuum aspiration mva hesperian health guides. This is manual vacuum aspiration a practical guide by glowm on vimeo, the home for high quality videos and the people who love them. Manual vacuum aspiration is an effective tool in the management of early pregnancy complications. Vacuum aspiration is an outpatient procedure that generally involves a clinic visit of several hours. 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. It was then that i found out about a procedure called manual vacuum aspiration mva, which is carried out under a local anaesthetic. 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. Acasa manual vacuum aspiration mva manual vacuum aspiration mva according to the world health organization who, abortion is a safe medical procedure, when it is carried out by qualified medical personnel, with the appropriate equipment, the correct method and with respect of sanitary standards who, 2003.
Manual vacuum aspiration under local anaesthetic for early. Comparison of effectiveness of pain management during manual. Pdf manual vacuum aspiration for firsttrimester abortion. Manual vacuum aspiration health library for disasters. I like the design of the vacuum in that it turns off when the handle is upright. Termination of pregnancy manual vacuum aspiration mva. 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.
It may be used as a method of induced abortion, a therapeutic procedure used after miscarriage, or a procedure to obtain a sample for endometrial biopsy. The suction power is sufficient to pick up most things but i found that it works better with larger debris. The procedure itself typically takes less than 15 minutes. Abortion of all types is very safe if completed in reputable settings. Forty percent of procedures were completed on the day of first attendance for assessment, with an average attendance time of 2. A 5year retrospective study on the use of manual vacuum. This protocol is designed for procedures performed in these environments. The evolution of a onestop outpatient manual vacuum. To understand the indications, procedure and advantages of mva. Our findings add to a body of evidence showing that manual vacuum aspiration has no advantages over electric vacuum aspiration for firsttrimester abortion. Manual vacuum aspiration mva can be used to manage. You will receive your certificate of attendance on completion of the online feedback form. Follow precautions common to all intrauterine procedures section 9. This is a great vacuum if you need a vacuum to pick up larger debris.
The risk profile of medication abortion is even lower than mva abortion. Today, the international abortion movement seeks to expand the number of abortions performed worldwide under the guise mva care for miscarriage. Abortion clinic manual vacuum aspiration abortion method. Since the inception of our hospital in 2011, manual vacuum aspiration has been in use for the treatment first trimester miscarriages. Midwives may perform manual vacuum aspiration mva abortion as part of an expanded scope of practice in accordance with state regulations and 1,2credentialing. Manual vacuum aspiration usually takes between five and ten minutes. It can also be referred to as ru486, the abortion pill, and mifeprex. Manual vacuum aspiration mva is a safe and effective alternative method for surgical management of miscarriage. Manual vacuum aspiration mva the miscarriage association. Manual vacuum aspiration obstetrics and gynecology. Pain control during the procedure should be discussed the woman may be advised to take an analgesic 1 hour prior to her appointment at the clinicunit. Manual vacuum aspiration, a safe and effective alternative. 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. However, over the last few decades, manual vacuum aspiration mva has emerged as an effective and safe alternative for surgical management of miscarriage.
Steps for performing manual vacuum aspiration mva using. After adjustment, manual vacuum aspiration was associated with a lower risk of blood transfusion adjusted odds ratio or 0. It is important that women become more informed of their choices. Manual vacuum aspiration reproductive health services at. This publication was developed and intended to be used in settings where regulations allow reuse of cannulae after sterilization or highlevel disinfection for international distribution outside the united states. 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. To evaluate whether manual or electric vacuum aspiration results in greater immediate confirmation of completed abortion at less than 6 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. Manual vacuum aspiration definition of manual vacuum. This publication was developed and intended to be used in settings where regulations allow reuse of cannulae after sterilization or highlevel disinfection for.
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. 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. Evacuate the contents of the uterus by gently and slowly rotating the cannula 180 in each direction, using an inandout motion. The manual vacuum aspirator is a hand operated syringe in which vacuum is produced retra cting a plunger. Manual vacuum aspiration, february 2017 many thanks for registering for the manual vacuum aspiration course on friday 10th february 2017. The physicians at our clinic are specially trained in early abortion care and perform the procedure in a time span of 25 minutes. Manual vacuum aspiration under local anaesthesia mvala in an outpatient setting is an alternative to the standard surgical aspiration under general anaesthesia for miscarriage. Svss10 sterile pack of 10 for uterine evacuation and. Curettage can then be performed using either manual or electric vacuum aspiration or sharp curettage.
Vacuum or suction aspiration uses aspiration to remove uterine contents through the cervix. The electric procedure was also associated with a significantly higher risk of intrauterine adhesions after the procedure, compared with the manual vacuum aspiration 5. The rate of infection is lower than any other surgical abortion procedure at 0. Introduction of a manual vacuum aspiration service. Palpate the uterine fundus to ensure that the uterus remains contracted. Such procedure usually takes very little time to complete the abortion. Provide emotional support and encouragement and give paracetamol 30 minutes before the procedure. The physicians at our clinic are specially trained in early abortion care. In this writeup, we will discuss manual vacuum aspiration abortion procedures.