Publisher: University of Calabar Teaching Hospital

Manual Vacuum Aspiration In Contemporary Practice: The Federal Medical Centre Umuahia Experience

Nkwo E. C, Okeke A, Nkwo G. C. E, Ekott M
KEYWORDS: Manual Vacuum Aspiration, Indications, Pain Relief, Complications

ABSTRACT:

Unsafe abortion remains a major reproductive and public health problem in developing countries. Manual vacuum aspiration (MVA) provides a simple, safe and cost-effective means of reducing abortion related morbidity and mortality. The aim of this study is to determine the indications and complications of manual vacuum aspiration in the Federal Medical Centre Umuahia. A review of four hundred and six (406) patients who had manual vacuum aspiration over a five-year period was undertaken. Information under consideration included age, parity, gestational age at presentation, indications, mode of pain relief, complications, cadre of doctor and length of hospitalization. About 20.4% of the gynaecological cases managed in the centre during the study period required the use of MVA. The most common indication for MVA was incomplete abortion and most of these abortions occurred between 9-12 weeks of gestation. Other indications included molar pregnancy and secondary postpartum haemorrhage following retained products of conception. Anaemia (3.4%) was the commonest complication encountered. Sedation with intravenous diazepam and pentazocine accounted for the commonest (75.6%) mode of pain control. Most (92.9%) of the procedures were performed by junior residents and on outpatient basis. In our centre, MVA is currently not used for diagnostic purposes.


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