Manual Vacuum Aspiration (MVA) for Early Pregnancy Termination: Procedure Steps

MVA (also called Menstrual Extraction) is a safe, widely used method for pregnancy termination up to 12 weeks gestation.

1. Preoperative assessment – history, physical, pregnancy confirmation.
2. Counseling & informed consent – risks, alternatives, aftercare.
3. Cervical preparation – gentle dilation with dilators.
4. Local anesthesia – paracervical block.
5. Instrumentation – speculum, cannula inserted into uterine cavity.
6. Aspiration – syringe suction; cannula moved to evacuate tissue.
7. Confirmation – verify complete evacuation.
8. Post‑procedure care – manage cramping/bleeding; provide instructions.
9. Follow‑up – 2–4 weeks to assess recovery and complications.

Adhere to post‑procedure guidelines; seek care for concerning symptoms.