Manual Vacuum Aspiration (MVA)
Manual vacuum aspiration (MVA) is a surgical abortion procedure used
within 1 to 3 weeks following a missed menstrual cycle.
To prepare for the procedure, the doctor first opens (dilates) the cervix
by gradually stretching with a series of dilators. A cannula (small tube)
and attached syringe is inserted into the uterus. A vacuum is created
in the syringe causing the uterus to be emptied and the tissue of the
unborn child to be collected in the syringe.
The termination of the pregnancy is to be confirmed by the examination
of the contents of the syringe and a sonogram, using a vaginal probe,
to make certain that all pregnancy related tissue has been completely
evacuated. In addition, for very early stages of pregnancy, the bloodstream
is tested to verify the levels of pregnancy-related hormones to try to
better verify the termination of the pregnancy.
Possible Complications of Manual Vacuum Aspiration (MVA):
- Cramping of the uterus or pelvic pain.
- Perforated uterus (a hole in the uterus) - very rarely.
- A cut or torn cervix (cervical laceration) - very rarely.
- Anesthesia-related complication - very rarely.
- Incomplete abortion - very rarely - pregnancy tissue left inside the
uterus, repeated vacuum aspiration may be necessary.
- Infection - very rarely - medication for the infection, or in rare
cases, repeated vacuum aspiration might be needed.
- Fertility can be diminished in very rare instances as a consequence
- Heavy bleeding - very rarely - a hemorrhage develops; medication,
repeated vacuum aspiration, surgery or blood transfusion might be needed.
- Vary rarely - emergency treatment for any of the above problems, including
the possible need to treat with an operation, medicines, or blood transfusion.
- Very rarely - death.