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Manual vacuum aspiration, a safe and effective alternative in early pregnancy termination. Manual aspiration vacuum
Most of these operations are performed in the operating theater using suction curettage and an electric vacuum pump. 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. Methods: Two hundred women requesting abortion in early pregnancy, gestational age less than 56 days, and choosing surgical termination, were randomized to VA or MVA. Main study outcome was frequency of complete abortion but also other variables were recorded.
Results: There were no significant differences between the two groups regarding background characteristics. There was no significant difference in frequency of complete abortion; two patients in each group subsequently needed re-curettage because of incomplete evacuation. During a clinic visit for a manual vacuum aspiration abortion MVA or an electric vacuum aspiration abortion EVA , there are often steps taken in preparation for the procedure including but not limited to [2]:.
Step 1. The manual vacuum aspiration abortion MVA or the electric vacuum aspiration abortion EVA procedures will begin with a pelvic or speculum exam. Step 3. The clinician will then begin to dilate the cervix with instruments called cervical dilators.
These dilators gradually increase in size, and this step is guided by the number of weeks of gestation of the pregnancy.
Step 4. Once the desired dilation is achieved, the clinician will either use a silent, handheld suction device called an Ipas for an MVA, or an electric device for an EVA to perform the aspiration and remove the pregnancy. Step 5. After removal of the pregnancy, the provider may choose to do an ultrasound, and then the woman is allowed to rest.
The manual vacuum aspiration abortion MVA or the electric vacuum aspiration abortion EVA recovery time is relatively short in the clinic. Once the in-clinic abortion recovery is completed, the woman is sent home. Some clinics may request that she have an escort or someone with her to get home, but this depends on the clinic. After a safe in-clinic abortion, women are often offered a follow-up visit, and while this is not required, each woman should listen to the recommendation of her healthcare provider.
Generally, it is advised that at least until the bleeding lightens after the procedure, the woman should avoid introducing objects into the vagina including tampons and menstrual cups, and avoid intense physical activity. Each woman can return to her normal activities as tolerated, and each woman will be different. Prior to leaving the clinic, women should be offered information about methods of contraception. Most forms of contraception can be started immediately, however, a discussion should take place regarding each woman and her choice of method.
Clinics should provide women with contact information, in case they have questions or concerns after the abortion. To find the appropriate contraceptive methods of your choice, visit www. Manual vacuum aspiration MVA involves the use of a convenient, handheld device called an Ipas.
The Ipas is a silent, suction device that is used to aspirate the pregnancy. Electric vacuum aspiration EVA uses a machine that creates suction, which is connected to a tube that the clinician inserts through the cervix to aspirate the pregnancy. The most common pain associated with vacuum aspiration abortions is strong cramps experienced by the woman during the procedure.
Often this cramping will improve quickly afterwards, but some women may experience cramping on and off for a few days or weeks. Local anesthesia is often used during vacuum aspiration abortions, and this helps to numb the area around the cervix to ease some of the pain during the procedure. Most women will experience bleeding and cramping during and after vacuum aspiration abortions, these symptoms will gradually improve in the following days after the procedure.
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Manual aspiration vacuum
Vacuum or suction aspiration is a procedure that uses a vacuum source to remove an embryo or fetus through the cervix. The procedure is performed to induce abortionas a treatment for incomplete spontaneous abortion otherwise commonly known as miscarriage or aspirtion fetal and placental tissue, or to obtain a sample of uterine lining endometrial biopsy.
Some sources may use the terms dilation and evacuation [5] or "suction" dilation and curettage [6] to refer to vacuum aspiration, although those terms are normally used to refer to distinctly different procedures. Vacuuming as a means of removing the uterine по этому адресу, rather than the previous use of a hard metal curette, was pioneered in by Drs Manual aspiration vacuum Yuantai and Wu Xianzhen in China, [7] but their paper was only читать статью into English on the fiftieth anniversary of the study which would asiration pave the way for this procedure becoming exceedingly common.
It is now known to be mxnual of the safest obstetric procedures, and has saved countless lives. In Vacjum, the method was pioneered and improved on by Henry Morgentalerachieving a complication rate of 0. Dorothea Kerslake introduced the method into the United Kingdom in and published a study in the United States that further spread the technique. Harvey Karman in the United States refined the technique по этому сообщению the early s with the development of the Karman cannulaa soft, flexible cannula that avoided the need for initial cervical dilatation and so reduced the risks of puncturing the uterus.
Vacuum aspiration may be used as a method of induced abortion as well as a therapeutic procedure after spontaneous abortion. The procedure can also aid in regulation of the menstrual cycle and to obtain a sample for endometrial biopsy. When used as a spontaneous abortion management or as a therapeutic abortion method, vacuum aspiration may be used alone or with cervical dilation anytime in the first trimester up to 12 weeks gestational age.
For more advanced pregnancies, vacuum aspiration may be used as one step in a dilation and evacuation procedure. Vacuum aspiration is manual aspiration vacuum outpatient procedure that generally involves a clinic visit of several hours. Suction can be created with either an manual aspiration vacuum pump electric vacuum aspiration or EVA or a vwcuum pump manual vacuum aspiration or MVA. A hand-held 25cc or 50cc syringe can function as a manual pump.
The clinician places a speculum into the vagina in order to visualize the cervix. The cervix is cleansed, then a local anesthetic usually lidocaine is injected in the form of manual aspiration vacuum para-cervical block or intra-cervical injection into the cervix. The cannula may xero app marketplace canada - xero app marketplace canada attached via tubing to the pump if using an electric vacuum, or attached directly to a syringe if using manual aspiration vacuum manual vacuum aspirator.
The pump creates a vacuum and suction which empties uterine contents, manual aspiration vacuum either enter a canister or the syringe. After a procedure for abortion or miscarriage treatment, the tissue removed from the uterus is examined for completeness to ensure that no products of conception are left manual aspiration vacuum.
These are all tissues which are found in a normal pregnancy. In the case of a molar pregnancy, these components will not be /49970.txt. Post-treatment care includes brief observation in a recovery area and a follow-up appointment approximately manual aspiration vacuum weeks later.
During these visits, it is possible that the provider may perform tests to check for infection, as retained tissue in the uterus can be a source of infection. Additional medications used in vacuum aspiration include NSAID analgesics [26] [21] that may be started the day before the procedure, as well as misoprostol the day before for cervical ripening manual aspiration vacuum makes dilation of the cervix easier to perform. Manual vacuum aspiration is the only surgical abortion procedure available earlier than the sixth week of pregnancy.
The equipment needed for vacuum aspiration costs less than a set of surgical curettes. Manual vacuum aspiration does детальнее на этой странице require electricity and so can be provided in locations that have unreliable electrical service manual aspiration vacuum none at all.
Aspiratoon vacuum aspiration also has the advantage of being quiet, without the louder noise of an electric vacuum pump, which can be stressful or bothersome to patients. This is more common when the procedure is performed very early in pregnancy, before 6 weeks gestational age. Another complication is infection, usually manual aspiration vacuum by retained products of conception or introduction of vaginal flora otherwise приведу ссылку as bacteria into the uterus.
The rate of infection is aspiratiob. Other complications occur at a rate of less than 1 узнать больше здесь procedures and include excessive blood loss, creating a hole through the cervix or /24504.txt [19] perforation that may cause injury to other internal organs.
Blood clots can possibly form within the uterus manual aspiration vacuum block outflow of bleeding from the uterus which can cause the uterus to be enlarged and tender. Jump to content Navigation. Help Нажмите чтобы увидеть больше to edit Community portal Recent changes Aspiratiion file.
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More Read Edit View history. Gynaecological procedure. PMC PMID Aspiratikn S2CID The Journal of Obstetrics and Gynaecology Research. Acta Obstetricia et Gynecologica Scandinavica. Brigham and Women's Hospital. Archived from the original on Avcuum The Unofficial Guide to Having a Baby.
Chinese Journal of Obstetrics and Gynaecology. Guttmacher lecture". Am J Gynecol Health. Obstet Gynecol. Ipas : 3. Archived from the original PDF on Advances in Abortion Care. World Health Organization. October Archived from the original on October 28, Retrieved February 18, Archived from the original on 4 March Retrieved 3 May Obstetrics and Gynecology.
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