Manual vacuum aspiration guide
Although you no need to go, make each woman listen to de advice of her healthcare person. No medical evidence talk say you fit wait so so so time before you nack, baff, exercise, or use dat pad wey dem dey shuk inside toto. Dem advise say make you hold bodi until de blood stop and den make de woman no put anything inside her toto like de pad wey dem dey shuk inside toto, menstrual cup No do serious work wey dem dey use muscle do. Each woman go fit go back to dey do her every every as her bodi gree her and each person go dey different.
Before person go commot for clinic, make dem tell de woman wetin she go use so anoda belle no go enter. You fit start de contraception as e dey hot, but, make de woman sidon yarn with her healthcare person so dat dem go know de method wey she like pass. Make clinic give den woman informate about who to call, chat or send email in case she get concern or question after de abortion.
Wen dem wan do Manual vacuum aspiration MVA , dem go use one equipment wey dem dey hold for hand, e name na Ipas. Ipas no dey make noise at all, na device wey dem dey take suck de belle commot. Electric vacuum aspiration EVA dey use one kain machine wey dey suck the belle comot if dem attach am to one tube kon put am for womb.
The machine dey make one kain noise like that. De most common pain wey person fit feel wen dem dey do vacuum aspiration abortion na de belle pain.
Although de belle pain suppose stop sharparly after de surgical abortion, but some women fit still dey feel de pain off and on for some days even weeks sef. Dem dey always use local anesthesia to commot pain around de cervix area wen dem dey do vacuum aspiration abortions. Many women go see blood and belle go dey pain dem wen dem dey do dey use vacuum aspiration to comot belle for and after dem don finish am.
Dis things go stop small small as day dey pass. E dey very common to dey feel different things wen person don finish abortion for clinic.
If de woman feel like say she need extra help, make she go for counseling. Hypertensive Urgency. A medical provider needs to be credentialed prior to performing MVA procedures. Residents may only perform an MVA if a credentialed physician is present during the procedure.
A family member may be present but does not replace the need for one of the above personnel. Recommended roles for learners include:. An instrument cart can be used for storage of both instruments and devices In many institutions, devices must be kept locked with medications. The cart can also serve as a surface for instruments during the procedure.
The cart should remain locked when not in use. Sterilized instruments can be pre-packed and kept in the instrument cart along with devices and other necessary supplies.
Preventing infection is an important goal during a uterine aspiration. This means having supplies on a sterile tray, keeping sterile and non-sterile instruments separate, and handling instruments in a way that avoids contact with the tips that enter the uterus. There are conflicting data about its efficacy in reducing pain during the procedure, however it reduces post-procedure discomfort and may allow patients to go home sooner.
Society of Family Planning clinical guidelines: pain control in surgical abortion part 1 — local anesthesia and minimal sedation. Single-tooth tenaculum Atraumatic or multi-tooth tenaculum should also be available. Epub Dec 4. Mark, Alice et al. Contraception, Volume 99, Issue 5, Epub Apr Obtain and document the best way to contact the patient i.
See: Constant D et al. Accuracy of gestational age estimation from last menstrual period among women seeking abortion in South Africa, with a view to task sharing: a mixed methods study. Reprod Health. The accuracy of using last menstrual period to determine gestational age for first trimester medication abortion: a systematic review. Epub Jul Determine if ultrasound is needed Although not required for MVA, some practices do have an ultrasound on site and can use if for MVA procedures if needed.
Per WHO Safe abortion: technical and policy guidance for health systems, 2e, sec. 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.
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