What is done in the manual vacuum aspiration procedure?
The manual vacuum aspiration (MVA) procedure, also known as the Menstrual Extraction technique, is a safe and widely used method of pregnancy termination up to 12 weeks of gestation. Here is an overview of the steps involved in the MVA procedure:
1. Preoperative Assessment:
- Before the MVA procedure, a healthcare professional will assess the patient's medical history, perform a physical examination, and confirm pregnancy status through urine or blood tests.
2. Counseling:
- The patient receives counseling about the procedure, potential risks, alternatives, and post-procedure care. Informed consent is obtained.
3. Cervical Preparation:
- The cervix is gently dilated with instruments called cervical dilators to allow access to the uterine cavity.
4. Local Anesthesia:
- Local anesthesia, such as a paracervical block, may be administered to minimize discomfort during the procedure.
5. Instrumentation:
- A speculum is inserted to visualize the cervix. A cannula, which is a thin, hollow tube, is inserted through the cervix and into the uterine cavity.
6. Manual Vacuum Aspiration:
- A syringe is attached to the cannula to create suction. The healthcare professional gently moves the cannula back and forth within the uterine cavity to remove the pregnancy tissue.
7. Confirmation of Evacuation:
- After the aspiration, a final check is performed to ensure complete removal of the pregnancy tissue.
8. Post-Procedure Care:
- The patient may experience some mild cramping or bleeding. Pain medication can be provided if necessary.
- The healthcare professional will provide instructions for post-procedure care, including follow-up appointments and precautions to take.
9. Follow-Up:
- A follow-up appointment is typically scheduled a few weeks after the procedure to monitor the patient's recovery and assess for any complications.
It's important for the patient to follow the post-procedure instructions and seek medical attention if they experience any concerning symptoms or complications.