Manual Vaccum Aspiration- A step by step guide.

A Step by step guideline of Manual vaccum aspiration, procedure and do's and don'ts of the process.

1. MANUAL VACCUM ASPIRATION Dr. Arfa Rashid

2. Manual Vacuum Aspiration (MVA) Manual vacuum aspiration (MVA)  is a very safe method of abortion for pregnancies in the first trimester, and/or early second trimester all the way up to  14 weeks of gestation

3. INDICATIONS Incomplete abortion before 13 weeks LMP Molar pregnancy Termination of pregnancy before 13 weeks LMP

4. Step One: Prepare the Aspirator Step Two : Prepare the Patient 1 2

5. Step Three: Perform Cervical Antiseptic Prep Step Four : Perform Paracervical Block 3 4

6. 5 6 Step Five: Dilate Cervix and Insert Cannula Step Six : Suction of Uterine Contents

7. Step Seven: Inspect Tissue 7 Step Eight: Perform Any Concurrent Procedures Such as IUD or Cervical Tear repair 8

8. Risks and Complications Heavy bleeding (completely soaking 2 pads per hour for 2 hours in a row or more) Fevers (more than 38C or 100.4F) more than 24 hours after the procedure Severe, worsening pelvic pain Continued signs of pregnancy (increasing nausea, breast tenderness, etc.)