Prevalence, indicators and complications associated with manual vacuum aspiration at the University of Port Harcourt Teaching Hospital.

Authors

  • W. A. Mube University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
  • Gbaranor K.B. College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
  • Oriji V. K. University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
  • Oranu E. O. University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
  • Gilbert U. D. Ministry of Health, Rivers State, Nigeria
  • Amadi N.C. College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
  • Emegara G. I. College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
  • Wami-Amadi C. F. College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
  • Nonju I. I College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
  • Oriji E. I College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria

DOI:

https://doi.org/10.47941/ijhmnp.757
Abstract views: 275
PDF downloads: 232

Keywords:

Prevalence, Indicators, Complications, Associated, manual vacuum

Abstract

Manual vacuum aspiration is employed for the evacuation of retained products of conception or incomplete abortion. A five-year review of manual vacuum aspiration was conducted at the University of Port Harcourt Teaching Hospital from January 2012 to January 2017. The aim of this study is to evaluate prevalence, indicators and complications associated with manual vacuum aspiration at University of Port Harcourt Teaching Hospital. The data was collected from the manual vacuum aspiration book. The study revealed that 1453 patient had Gynaecological Surgeries, out of which 320 had manual vacuum aspiration, putting the prevalence of manual vacuum aspiration at 20.7%. The mean gestational age and patients age were 11.10  3.69 and 30.07  5.62. The distributions of the indications for manual vacuum aspiration were incomplete miscarriage 318 (99.40%), missed abortion 2 (0.60%). No complication was documented for all the manual vacuum aspiration done. There was no significance in the maternal age and or gestational age predicting manual vacuum aspiration. Manual vacuum aspiration was considered a highly effective, simple and necessary gynaecological procedure with little or no complication. Training of medical personnel on manual vacuum aspiration procedure is strongly recommended to ensure a safe and effective uterine evacuation. The statistical analysis was carried out using Chi square test.

Downloads

Download data is not yet available.

Author Biographies

W. A. Mube , University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Department of Obstetrics and Gynaecology

Gbaranor K.B., College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria

Department of Human Physiology

Oriji V. K., University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Department of Obstetrics and Gynaecology

Oranu E. O., University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Department of Obstetrics and Gynaecology

Amadi N.C., College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria

Department of Nursing Science

Emegara G. I., College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria

Department of Human Physiology

Wami-Amadi C. F., College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria

Department of Human Physiology

Nonju I. I, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria

Department of Human Physiology

Oriji E. I, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria

Department of Human Physiology

References

Ekuma-Nkama NC. Manual Vacuum Aspiration. In: Umeora OUJ, Egbuji CC, Onyebuchi AK, Ezeonu PO (eds). Our Teachers a Comprehensive Textbook of Obstetrics and Gynaecology.1st Edition. Abakiliki: St. Benedict Printing and Publishing; 2017: 379 – 381.

www.ipas.org/en/what-we-do/comprehensive abortion care/MVA/MVA-Products.aspx. Retrieved on 1/07/2017.

Wen J. Cai QY, Deng F, Li YP. Manual Versus Electric Vacuum aspiration for first trimester abortion: a systematic review. BJOG. 2008; 115(1): 5-13.

Manual Vacuum Aspiration frequently asked questions page. Ipas website. Availableat:www.Ipas.org/library/TAQs/manual-vacuum_Aspiration__frequently_asked_questions.aspx.Accessed 01/07/2017.

World Health Organization (WHO) 2003, Safe abortion. Technical and policy guidance for health systems. Geneva: WHO.

Warriner IK, Meirik O, Hoffman M, et al. Rates of Complications in first trimester manual vacuum aspiration done by doctors and mid-level providers in south Africa and Vietnam: a randomized controlled equivalent trail.Lancet. 2006;368:1965-72.

Hemlin J, Moller B. Manual vacuum aspiration, a safe and effective alternative in early Pregnancy termination. Actaobstet. Gynaecol Scand. 2001;80:563-67.

Creinin MD, Schwartz DL. Guido RS, Pymar HC. Early Pregnancy failure- Current management concepts. Obstet Gynecol Surv. 2001; 56(2):105-113.

Baird, Traci L. and Susan K. Flinn. 2001. Manual vacuum aspiration: Expanding women access to safe abortion services. Chapel Hill NC. Ipas.MVA Label, United States, English. Ipas 2007.

Goldberg AB, Dean G., Kang MS., Youssof S, Darney PD. Manual versus electric vacuum aspiration for early first trimester abortion: a controlled study of complication rates. Obstet. Gygnecol. 2004; 103:101-7.

www.Ipas.org/en/resources/Ipas/20publications/step for performing-manual vacuum-aspiration-using-the-ipas-MVA-Plus and Easy Grip-cannula.aspx. Retrieved 06/07/2017

Begum S. Rashi M, Jahan AA: A Clinical Study on management of incomplete abortion by manual vacuum aspiration (MVA) J. Enam Med Col. 2012; 2(1):24-28.

Cunningham, F, Leveno K. J., Bloom S. L., Spong C. Y., Dashe J.S., Hoffman B. L, Casey B. M. Sheffield J. S. (2013) “Abortion” Williams Obstetrics. McGraw-Hill.

Johns Hopkins manual of Gynaecology and Obstetrics (4the.d.). Lippincott Williams & Wilkins. 2012: 438-439.

www.who.int/reproductivehealth/unsafe_abortion/magnitude/en/retrieved 06/07/2017.

Isa B, Mairiga AG, Ibrahim SM, Bako BG, Usman HA. Experience with manual vacuum aspiration at University of Maiduguri Teaching Hospital. Borno Medical Journal .2013; 10 (2):31-35.

Josiah TM, Innocent OA, Ujah. Experience with Manual Vacuum aspiration in JOS, Nigeria. Tropical J of Obstet and Gynae. 2004; 21:100-103.

Gazvani R, Honey E, MacLennan FM, Templeton A. Manual Vacuum aspiration (MVA) in the management of first trimester pregnancy loss. Eur. J. Obstet Gynecol Reprod. Biol. 2004 ; 112 (2):197 – 200.

https://www.researchgat.net/publication/272498818-A-review-of-manual-vacuum-aspiration-at-UDUTH-Sokoto.

Milingos DS, Mathur M, Smith NC, Ashok PW. Manual Vacuum aspiration: a safe alternative for the surgical management of early pregnancy loss. BJOG. 2009;116(9): 1268 – 71.

Ansari A, Abbas S. Manual vacuum aspiration (MVA) – A safe option for evacuation of first trimester miscarriage in cardiac patient. J of the Pakistan Med Asso. 2017;67:948 – 950.

Kallima AA, Kawuma MB, Mainage AG, Bako B, Audu BM, Bimba J. Effectiveness of manual vacuum aspiration (MVA) in the management of first trimester miscarriage: Experience in a specialist centre in North-East Nigeria. Port Harcourt Med J. 2009; 3 (3): 45261.

Kumar V. Chester J, Gupta J. Shehmar M. Manual Vacuum aspiration under local anaesthesia for early miscarriage: 2 years experience in a University Teaching Hospital in UK. Gynaecol Surg J. 2013; 10:241 – 246

Downloads

Published

2022-01-21

How to Cite

Mube , W. A., Gbaranor , K., Oriji , V. K., Oranu , E., Gilbert , U. D., Amadi , N., Emegara , G. I., Wami-Amadi , C. F., Nonju, I. I., & Oriji , E. I. (2022). Prevalence, indicators and complications associated with manual vacuum aspiration at the University of Port Harcourt Teaching Hospital. International Journal of Health, Medicine and Nursing Practice, 4(1), 1–8. https://doi.org/10.47941/ijhmnp.757

Issue

Section

Articles