Manual vacuum aspiration (MVA) – how acceptable is it for patients? Patient satisfaction survey in a large UK unit.
Manual vacuum aspiration (MVA) is an alternative to conventional uterine evacuation for the purpose of either surgical termination of pregnancy (STOP) or evacuation of retained products of conception (ERPC). It is performed under local anaesthetic as an outpatient procedure by using a hand-held vacuum syringe (Fig 1.). It has been shown to be both safe and effective in early pregnancy(1). MVA equipment can be purchased and maintained at a lower cost than conventional electric vacuum aspiration equipment, while the procedure itself is of a shorter duration than either STOPs or ERPCs. MVAs require no theatre time and avoid the risks associated with general anaesthesia, subsequently reducing the involvement of anaesthetics departments in gynaecology units.