Manual Vacuum Aspiration: A Summary of Clinical &amp; Programmatic Experience Worldwide.

Greenslade, Forrest C.; Leonard, A; Benson, Janie; Winkler, Judith B.; Henderson, Victoria L.

doi:10.2307/2137992

Cited by 30 publications

(31 citation statements)

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“…Religious, ethical and moral MVA is currently the recommended method of choice for pregnancy termination or management of incomplete abortions in the first trimester, as it is easier to perform than the traditional D & C and less likely to result in life-threatening complications. 15,16 Only 18.2% of the private medical practitioners in Calabar used MVA alone for the routine management of abortion in the first trimester. Majority reported that they often used D & C or combined MVA with D & C in the management of abortion and abortion complications.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude and Practice of Private Medical Practitioners in Calabar towards Post-Abortion Care

Etuk

Ebong

Okonofua

2003

African Journal of Reproductive Health

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This study examined the knowledge, attitude and practice of private medical practitioners in Calabar on abortion, postabortion care and post-abortion family planning. Forty eight private practitioners who were proprietors of private clinics in the city were interviewed using a structured questionnaire. The results showed that 22.9% of the doctors routinely terminate unwanted pregnancies when requested to do so by women, while 83.3% of them treat women who experience complications of unsafe abortion. The major reasons given by some of the doctors for not terminating unwanted pregnancies were religious, moral and ethical considerations rather than respect for the Nigerian abortion law. Only 18.2% of the doctors use standard procedures such as manual vacuum aspiration (MVA) for the management of patients with abortion and abortion complications. A good number of them did not routinely practice integrated post-abortion family planning and STDs management. There is need for a comprehensive programme of retraining of private medical practitioners in Calabar on the principles and practices of safe abortion, post-abortion care and family planning. These aspects of reproductive health need to be integrated into the medical training curricula in Nigeria. It is believed that this approach would help reduce the present high rate of abortion-related morbidity and mortality in Nigeria. Cette etude a examiné la connaissance, l'attitude et la pratique des praticiens médicaux privés à Calabar à l'égard de l'avortement, des soins de post-avortement et de la planifiction familiale du post-avortement. Nous avons interviewé 48 praticiens privés, propriétaires des cliniques privées dans la ville, à l'aide d'un questionnaire structuré. Les résultats ont montré que 22,9% des médecins interrompent systématiquement des grossesses non-désirées quand les femmes le demandent alors que 83,3% d'eux soignent les femmes qui ont des complications des avortements dangereux. Les raisons principales données par certains médecins pour lesquelles ils interrompent les grossesses non-desirées étaient plutôt plus pour des considerations religieuses et morales que pour le respect pour la loi nigériane sur l'avortement. Seuls 18,2% emploient des procedures normales telle l'aspiration pneumatique manuelle (APM) pour le traitement des patients qui ont des problèmes de l'avortement et des complications de l'avortement. Bon nombre d'eux ne pratiquent pas systématiquement la planification familiale du post-avortement intégré et du traitement des MSTs. Il faut un programme compréhensif du stage de recyclage des praticiens privés à Calabar sur les principes et les pratiques de l'avortement sans risque, les soins post-avortement et la planification familiale. Ces aspects de la santé reproductive doivent être intégrés dans le programme de la formation médicale au Nigéria. Nous espérons que cette approche aidera à réduire le présent taux élevé de la morbidité et de la mortalité lié à l'avortement au Nigéria. (Rev Afr Santé Reprod 2003; 7[3]: 55-64)

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Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude and Practice of Private Medical Practitioners in Calabar towards Post-Abortion Care

Etuk

Ebong

Okonofua

2003

African Journal of Reproductive Health

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“…Newer and simpler technology -electrical and manual vacuum aspiration -became available and widely used in the 1970s [4] and also met with a positive response in India [5]. A study of 80,437 abortion procedures in the USA from 1971-1975 revealed that total and major complication rates associated with vacuum aspiration were 5% and 0.4% respectively, compared to 10.6% and 0.9% for sharp curettage [4].…”

Section: Lective Abortion Was Legalised In India Under the Medical Tementioning

confidence: 99%

“…A study of 80,437 abortion procedures in the USA from 1971-1975 revealed that total and major complication rates associated with vacuum aspiration were 5% and 0.4% respectively, compared to 10.6% and 0.9% for sharp curettage [4]. An analysis of 170,000 outpatient vacuum aspiration procedures between 1971 and 1987 found 0.9% complications, of which only 0.07% required hospitalisation, with no deaths.…”

Section: Lective Abortion Was Legalised In India Under the Medical Tementioning

confidence: 99%

Elective Abortion as a Primary Health Service in Rural India: Experience with Manual Vacuum Aspiration

Iyengar

Iyengar²

2002

Reproductive Health Matters

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“…Isto resulta no aumento de custos relacionados à utilização de drogas, tempo de estadia hospitalar, notadamente no período de recuperação (pós-procedimento), e à necessidade da presença do anestesista. Ao mesmo tempo, o uso de níveis mais baixos, mas adequados, de controle da dor com a AMV, pode reduzir o risco de complicações relacionadas com a anestesia 12 .…”

Section: Discussionunclassified

“…Em países desenvolvidos, esses métodos já fazem parte da rotina de tratamento do aborto incompleto há várias déca-das 12,15 . Nesses países, as principais razões para a adoção desta prática médica foram a eficácia de praticamente 100% do método, associada a um índice de complicacões muito menor do que o existente com a D&C. Também importante foi a observação de uma notável redução no custo do tratamento e no período de estadia no serviço de saúde, em comparação com a D&C 12,14 . São desconhecidas as razões pelas quais, no Brasil, a D&C é prática médica estabelecida e altamente institucionalizada no tratamento do aborto incompleto, em detrimento do uso da aspiração intrauterina.…”

Section: Discussionunclassified

Uso da aspiração manual a vácuo na redução do custo e duração de internamentos por aborto incompleto em Fortaleza, CE, Brasil

et al. 1997

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INTRODUÇÃO: O uso de aspiração a vácuo (AV) no tratamento do aborto incompleto é prática bastante difundida em países desenvolvidos. Vários estudos nesses países indicam que o uso da técnica de aspiração manual a vácuo (AMV) pode conservar recursos do sistema de saúde e melhorar a qualidade do tratamento do aborto. No Brasil, o uso da AMV é procedimento de rotina nos hospitais e clínicas privados. Entretanto, na maioria dos hospitais da rede pública é utilizada somente a técnica de dilatação e curetagem (D&C). METODOLOGIA: Foram utilizados métodos de avaliação rápida para estimar a variação do custo médio do tratamento e duração da estadia hospitalar, em um grupo de 30 pacientes admitidas com aborto incompleto em hospital público de Fortaleza, CE (Brasil). Participantes foram alocadas, randomicamente, em um dos dois grupos de tratamento investigados (AMV ou D&C). RESULTADOS E CONCLUSÕES: Os resultados sugerem que o uso da AMV, em substituição a D&C, no tratamento do aborto incompleto, pode reduzir em até 41% o custo médio do tratamento e em 77% o tempo médio de hospitalização. Recomenda-se a realização de estudos confirmatórios, como também que se aprofunde os conhecimentos sobre a percepção do aborto e seu tratamento por parte do pessoal de saúde e da população feminina.

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Manual Vacuum Aspiration: A Summary of Clinical & Programmatic Experience Worldwide.

Cited by 30 publications

References 0 publications

Knowledge, Attitude and Practice of Private Medical Practitioners in Calabar towards Post-Abortion Care

Knowledge, Attitude and Practice of Private Medical Practitioners in Calabar towards Post-Abortion Care

Elective Abortion as a Primary Health Service in Rural India: Experience with Manual Vacuum Aspiration

Uso da aspiração manual a vácuo na redução do custo e duração de internamentos por aborto incompleto em Fortaleza, CE, Brasil

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