Uterine evacuation with manual vacuum aspiration ... - CommonHealth

The Courses
The three courses vary in length and scope and can be offered separately or in
a series so that participants can attend more than one course in a convenient
timeframe. The basic course themes are:
• MVA and its clinical applications;
• How to perform MVA on a pelvic model and all local instrument processing
options (where regulatory conditions approve re-use);
• The above topics plus supervised clinical practice, management of
complications and guidance on monitoring of services.
Training facilitators should select course materials based on the environmental
context in which the learners will put their new knowledge and skills to use. The
two key issues of environmental context to identify for course content selection
are:
1. Clinical applications for
use of MVA
In every country of the world, there are at least two clinical applications for MVA: treatment of incomplete or missed abortion
(miscarriage) and endometrial biopsy. Additionally, in most countries, therapeutic abortion is legally permitted to save the
woman’s life or preserve her health and/or for other indications. Most women live in countries where induced abortion is
permitted, with or without restrictions (CRLP 2007).
Materials on the CD-ROM included with this manual are labeled Uterine Evacuation for either
• INCOMPLETE/MISSED ABORTION: for use in contexts that focus on treatment of incomplete/missed abortion, whether
miscarriage management or treatment of complications of an induced procedure, and endometrial biopsy
• Or, ALL INDICATIONS: for contexts that include treatment of incomplete/missed abortion, first-trimester induced abortion
and endometrial biopsy
2. Regulatory Context: Are
cannulae labeled for
single or multiple use?
The use and re-use of cannulae varies among countries and clinical practices. In the United States and some other countries,
Ipas EasyGrip ® cannulae are labeled for single use and should be discarded after use. Where local regulations permit, these
cannulae can be reused after high-level disinfection or sterilization. Please note that flexible Karman cannulae and 3mm
cannulae for endometrial biopsy are labeled for single use in all countries and should be discarded after use.
Trainers should plan to follow country-specific labeling regarding single-use or processing of instruments for reuse. Materials
on the CD-ROM included with this manual are labeled either
• SINGLE USE: for settings where cannulae are used once and discarded
• Or, MULTIPLE USE: for settings where cannulae are processed for reuse
UTERINE EVACUATION WITH MANUAL VACUUM ASPIRATION (MVA): A TRAINING MANUAL FOR CONDUCTING SHORT COURSES · 3