Manual vacuum aspiration (MVA) is a safe abortion method for first trimester pregnancies up to 14 weeks gestation. The procedure involves preparing the aspirator, the patient, performing cervical antiseptic prep, and several other steps to complete the abortion. Risks include heavy bleeding, fever, severe pelvic pain, and continued signs of pregnancy.

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

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

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

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

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.)