A 5-Year Retrospective Study on the Use of Manual Vacuum Aspiration in the Federal Teaching Hospital Abakaliki

Abstract

Introduction: Since the inception of our hospital in 2011, manual vacuum aspiration has been in use for the treatment first trimester miscarriages. Hence there is a need for operational review on its use. Aim: The aim of this study is to evaluate the determinants and outcome of Manual Vacuum Aspiration (MVA) use in our hospital. Method: This was a retrospective study on the use of MVA for various indications in our facility over a 5-year period. Results: There were 625 (19.7%) manual vacuum aspirations among 3179 gynaecological patients seen during the period. The age range of the women was from 15 to 48 years and the mean age was 28.5 ± 5.3 years. Incomplete abortion was the commonest indication for the use of MVA and accounted for 89.9% of cases. Other indications for the use of MVA include missed miscarriage (1.8%), and blighted ovum (1.8%). The complications were uterine perforation (0.3%), infection (3.7%) and severe anaemia (10.7%). The mean total hospital stay was 1.6 ± 0.6 days. Overall, 267 (42.7%) patients were managed as a day case. Conclusion: Manual vacuum aspiration is an effective tool in the management of early pregnancy complications. It is a safe, easily performed and possibly cost-effective procedure, with advantages for both the patient and the health care system.

Manual Vacuum Aspiration in IUFD 18 Weeks

“…Manual Vacuum Aspiration is the standard measure for evacuation of the uterine cavity in cases of miscarriage in the first trimester. 5 In this case report, evacuation of the uterine cavity with MVA is carried out at 18 week-gestation. The uterine cavity was much larger than the 12-14 week gestational age, so there was a concern that unclean tissue would occur.…”

“…This action is widely used in the United States of America (USA), Asia, Europe, and Africa. 5 Many centers have not applied MVA to evacuate the uterine cavity yet. Therefore, the use of MVA in clinical practice has not mainly been reported.…”

Factors Determining Implementation of Manual Vacuum Aspiration Services Among Health Care Workers in Kakumiro Health Centre Iv Kakumiro District. A Cross-Sectional Study.

“…In Africa nearly half of all abortions occur under the least safe circumstances leading to a variety of complications, (Ganatra et al, 2017). The utilization of MVA is very low in the region for example in Nigeria only 19.7% of women who are indicated to have MVA services receive it, (Anozie et al, 2019). In other countries like Malawi, health workers possess knowledge and skills of doing MVA but the population is unaware of its availability, (Orland et al, 2019).…”