Manual Vacuum Aspiration removes uterine contents with a handheld device (the aspirator). Opinions of the WHO on the Manual Vacuum Aspirator are mixed. It is a minor surgical procedure done under local anesthesia in a hospital or clinic. Outpatient surgery with quick recovery is safe and effective for 12-week pregnancies.
The uterus is suctioned. Using a handheld vacuum (MVA) or a machine (Electric Vacuum Aspiration, or EVA). Anyone can perform vacuum aspiration: doctors, nurses, and midwives. Vacuum aspiration is recommended by the International Federation of Gynecology and Obstetrics (FIGO).
What to expect before, during, and after an MVA procedure?
You will be given pills before the procedure. Infection risk is reduced and the cervix is dilated (if needed) to make the procedure easier. The cervix will be examined and cleaned with a speculum. Some doctors inject an anesthetic into the cervix, which initially stings but numbs. The provider will then suction the uterus with a narrow tube. I’ll uterus emptied Minor to moderate cramping is common during this stage (which generally lasts five to 10 minutes). It usually goes away once the tube is removed.
Before being allowed to go home, you will be kept under observation for 30-60 minutes. You are not required to be accompanied, but you may wish to be. If you have any questions or concerns, please contact your doctor. They can relieve pain. Post-procedure relaxation is advised. Following that, you can resume normal daily activities.
During the first two weeks, use pads instead of tampons. You may have menstrual cramps for several days. Avoid sexual activity for a week and take antibiotics as directed.
How well does it work? Is it risky?
It works well for first-trimester abortions (98%) The procedure is risk-free.
Call your doctor if you:
- Severe bleeding
- Signs of infection
- Severe pain in the abdomen
- Hot flashes or fever
- Vomiting
- Pain/Swelling or redness in the genital area
What are the advantages/benefits of choosing MVA?
- It is extremely (>98%) effective
- The WHO and the International Federation of Gynecologists and Obstetricians recommend it. It will be over when you leave.
- Less painful than other surgical methods due to local anesthesia (instead of general anesthesia)
- 86% of women would recommend this method to a friend.