The World Health Organization, in conjunction with the United Nations Population Fund, UNICEF and the World Bank and with the endorsement by the International Federation of Gynecology and Obstetrics (FIGO) and the International Confederation of Midwives, lists MVA as an essential technology for uterine evacuation.
The preferred method of evacuation of the uterus for treatment of incomplete abortion is by manual vacuum aspiration. Dilatation and curettage should be used only if manual vacuum aspiration is not available.
1 1. World Health Organization. 2000. Managing complications in pregnancy and childbirth: A guide for midwifes and doctors. Geneva, WHO.
“MVA is well-tolerated, safe and effective. Easily integrated into a busy primary-care office.”
– John Westfall, MD, MPH, Associate Professor of Family Medicine, University of Colorado at Denver Health Sciences Center-Fitzsimons
“A simple and portable way to sample the uterine lining.”
– Laura Castleman, MD, MPH, Clinician, Planned Parenthood Mid-Michigan, Ann Arbor, Michigan and Ipas Medical Director
“ Because MVA is portable, I can be more responsive to my patients’ needs. I feel confident using a procedure that doesn’t require general anesthesia and has such a low rate of complications.”
– Edward Popov, MD, PhD, Ott Institute of Gynecology and Obstetrics, Russian Academy of Medical Sciences
MVA instruments are listed among the essential instruments recommended for primary care and higherlevel health facilities in the 1995 guide: “Complications of abortion: Technical and managerial guidelines for prevention and treatment.” WHO, Geneva.