Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. [9], When used as a miscarriage treatment or an abortion method, vacuum aspiration may be used alone or with cervical dilation anytime in the first trimester (up to 12 weeks gestational age). In addition to any special instructions from your doctor, your nurse will explain information to help you in your recovery. This page was last edited on 5 October 2020, at 16:05. For this procedure, the health professional will: The tissue removed from the uterus during a vacuum aspiration procedure is examined to make sure that all of the tissue has been removed and the abortion is complete. It can be done safely in a clinic or medical office under local anesthetic. And use condoms to prevent infection. Do not have sexual intercourse for at least 1 week. Clinics may also choose to give an oral medication to help with the cramping pain, such as Ibuprofen. A normal recovery includes: Call your doctor immediately if you have any of these symptoms after an abortion: Call your doctor for an appointment if you have had any of these symptoms after a recent abortion: Vacuum aspiration is done in the first trimester of pregnancy. Position you on the exam table in the same position used for a pelvic exam, with your feet on stirrups while lying on your back. Open (dilate) the cervical canal with a small instrument. [1]. A routine vacuum aspiration abortion procedure without complications does not lead to future infertility. Infection. Manual vacuum. [10] Vacuum aspiration is the procedure used for almost all first-trimester abortions in many countries. What Happens When You Need an IUD Inserted? Nearly 90 out of 100 abortions are done in the first trimester of pregnancy.footnote 1. Severe infection is possible without fever. Prior to the abortion, the woman should receive an exam that includes an ultrasound in order to confirm that she is pregnant and diagnose any complicating factors, such as a tubal, or ectopic, pregnancy. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/70914/9789241548434_eng.pdf;jsessionid=F77B761669FC579124C1E9CA2CC3CFDB?sequence=1, [2] Ipas. Manual vacuum aspiration is the only surgical abortion procedure available earlier than the 6th week of pregnancy. [14], The clinician places a speculum into the vagina and cleanses the cervix then uses a local anesthetic using lidocaine in a paracervical block or intracervical injection into the cervix. Vacuum aspiration uses gentle suction to remove the pregnancy and takes about 5-10 minutes from start to finish. You could also experience more cramps that may occur for a few hours (after the aspiration procedure) to maybe even a few days (as your uterus is shrinking back to its normal size). From: This helps to reduce the risk of infection. Your doctor will put a medical tool called a speculum into your vagina to keep it open. Sometimes prolonged bleeding does not develop until several weeks later. For women who have the procedure with only local anesthetic, the recovery time is … It is intended for general informational purposes only and does not address individual circumstances. Step 2. doi:10.18295/squmj.2019.19.01.008, Carlsson I, Breding K, Larsson PG. 2011;4(1):5-14. You can do normal activities the following day, based on how you feel. Right after surgery, you will be taken to a recovery area where nurses will care for and observe you. The cramps will decrease after the tube is removed. Often this cramping will improve quickly afterward, but some women may experience cramping on and off for a few days or weeks. on In the United States, vacuum aspiration is the most common method of abortion used within the first 12 weeks (first trimester) of pregnancy. March 30, 2019, Medically This procedure is typically safe, effective and has a low risk for complications. safe2choose is affiliated with a registered U.S.-based 501c(3) non-profit organization. During this time, you may feel mild to moderate cramping because of your uterus contracts when the tissue is removed. 2. Depression can be triggered when pregnancy hormones change after an abortion. For this procedure, the health professional will: The tissue removed from the uterus during a vacuum aspiration procedure is examined to make sure that all of the tissue has been removed and the abortion is complete. Severe bleeding. Aspiration abortion is a safe and common medical procedure. Choosing a medical or a surgical procedure for an abortion will depend on your medical history, how many weeks pregnant you are, what options are available where you live, and your personal preferences. Signs of infection in your whole body, such as headache, muscle aches, dizziness, or a general feeling of illness. (If no electric pump is used, the abortion is a manual vacuum aspiration, or MVA.) To learn more about Healthwise, visit Healthwise.org. A hollow tube, called a cannula, is inserted into the cervix. If you think you may have a medical emergency, immediately call your doctor or dial 911. This takes place in the first trimester of pregnancy (the first 12-13 weeks). 2019;19(1):e38-e43. [15] The clinician may use instruments called "dilators" to gently open the cervix, or sometimes medically induce cervical dilation with drugs or osmotic dilators administered before the procedure. For medical advice relating to your personal condition, please consult your doctor. This tool does not provide medical advice. This early abortion method can be used 5 to 12 weeks after your last menstrual period.. We are closely monitoring the situation of coronavirus globally and will keep updating our information and services. Vacuum aspiration is a minor surgical procedure. ultrasound) and a skilled professional to perform the procedure. © 2005 - 2019 WebMD LLC. This usually causes recurring cramping belly pain and bleeding within a week of the procedure. [2]. If bleeding is a concern, a. Tissue remaining in the uterus (retained products of conception). Use birth control following the abortion. How Long Does Coronavirus Live On Surfaces? It is generally safe and serious complications rarely occur. The uterus becomes enlarged and tender, often causing belly pain, cramping, and nausea. Inject a numbing medicine (local anesthetic) in the cervix. Acetaminophen (such as Tylenol) or ibuprofen (such as Advil) can help relieve cramping pain. [1][7], Harvey Karman in the United States refined the technique in the early 1970s with the development of the Karman cannula, a soft, flexible cannula that avoided the need for initial cervical dilatation and so reduced the risks of puncturing the uterus. Rev Obstet Gynecol. Bacteria can enter the uterus during the procedure and cause an infection. You most likely will stay in the recovery area for a period of time and then you will go home. When the pump is turned on, it creates a gentle vacuum that suctions the tissue out of the uterus. Where available, clinicians may use this method of EVA as the gestational age increases after 10-12 weeks because it allows the clinician to perform the procedure more quickly than the MVA, and thus decreases the procedure duration for the woman. 4/ After the manual vacuum aspiration abortion. EVA is performed by a trained provider in a clinic. ). Safety. Electric vacuum aspiration (EVA) uses a machine that creates suction, which is connected to a tube that the clinician inserts through the cervix to aspirate the pregnancy. Lightheadedness or fainting caused by blood loss. Clinics should provide women with contact information, in case they have questions or concerns after the abortion. As the uterine tissue is removed, the uterus will contract. Need help or advice? BMC Womens Health. D&C uses a sharp surgical instrument to clear tissue from the uterus. Read and follow all instructions on the label. After a vacuum aspiration abortion, there are a few signs that women should pay attention to and seek clinical attention in case of [2]: Get in touch with our counselors to get more information on the in-clinic abortion such as the MVA or the EVA procedure and receive support on the most appropriate abortion methods depending on your situation. additional information. A hand-held 25cc or 50cc syringe can function as a manual pump. Step 3. These may be present for several hours and possibly for a few days, as the uterus shrinks back to its nonpregnant size. In the United States, vacuum aspiration is the most common method of abortion used within the first 12 weeks (first trimester) of pregnancy. Right after surgery, you will be taken to a recovery area where nurses will care for and observe you. Figures are combined usage of MVA and EVA. The manual vacuum aspiration abortion (MVA) or the electric vacuum aspiration abortion (EVA) procedures will begin with a pelvic or speculum exam. [12] Other complications occur at a rate of less than 1 per 100 procedures and include excessive blood loss, creating a hole through the cervix or uterus[14] (perforation) that may cause injury to other internal organs, and uterine adhesions (Asherman's syndrome). An abortionist uses metal rods or medication to dilate the woman’s cervix and gain access to the uterus, where the baby resides. 2019. The best method depends on the duration of your pregnancy. Take your full course of prescribed antibiotics to prevent infection. Some minor complications include: A repeat vacuum aspiration and medicine to stop bleeding are used to treat retained products of conception or blood clots. Sometimes a dilation and curettage (D&C) procedure is needed after a vacuum aspiration if all of the tissue has not been removed. If all of the tissue has not been successfully removed during a machine vacuum aspiration, a dilation and curettage (D&C) procedure might be needed. May 29, 2019, Author: Healthwise Staff Medical Review: Sarah Marshall MD - Family Medicine Kathleen Romito MD - Family Medicine Adam Husney MD - Family Medicine Rebecca H. Allen MD, MPH - Obstetrics and Gynecology Kirtly Jones MD - Obstetrics and Gynecology, Medical Review:Sarah Marshall MD - Family Medicine & Kathleen Romito MD - Family Medicine & Adam Husney MD - Family Medicine & Rebecca H. Allen MD, MPH - Obstetrics and Gynecology & Kirtly Jones MD - Obstetrics and Gynecology.
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