Performing uterine evacuation with Ipas manual vacuum aspiration (MVA) instruments: instructional booklet.

This booklet is intended for use by clinicians knowledgeable about the anatomy physiology and medical procedures of the uterus and skilled in transvaginal intrauterine procedures such as sharp curettage electric vacuum aspiration IUD insertion hysteroscopy or endometrial biopsy. Further users of this manual need to possess the following skills: the ability to perform a pelvic examination; the ability to accurately assess the size and position of a uterus including assessing abnormalities and the duration of gestation in first-trimester pregnancies; the ability to diagnose and manage pregnancy-related conditions and the stages of miscarriage .%. demonstrated knowledge of infection-prevention techniques including standard/universal precautions no-touch technique and processing of medical instruments; the ability to assess the need for and provide appropriate pain management; the ability to diagnose stabilize and refer patients with ectopic pregnancy; the ability to manage complications of uterine evacuation and pain medications including incomplete evacuation cervical and abdominal injury uterine perforation uterine atony infection failed abortion and medication-related reactions; or the ability to stabilize the patient and establish a mechanism for referral. (excerpt)