Surgical abortion using manual vacuum aspiration under local anaesthesia: a pilot study of feasibility and women's acceptability

H Hamoda, G M M Flett, P W Ashok, A Templeton

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective Studies from the USA have reported the efficacy and high acceptability of surgical abortion using manual vacuum aspiration (MVA) under local anaesthesia. The aim of this study was to assess the feasibility, acceptability and efficacy of surgical abortion using MVA under local anaesthesia for termination of pregnancy up to 63 days' gestation, within a UK National Health Service setting.

Methods Surgical abortion was carried out using MVA under local anaesthesia. Women's satisfaction with the procedure, and pain and anxiety levels, were assessed. The main outcome measures were: (1) feasibility assessed through successful completion of the procedure without the need for general anaesthetic or conversion to suction vacuum aspiration, (2) efficacy assessed through complete uterine evacuation without the need for further medical or surgical intervention and (3) women's acceptability of the procedure.

Results The mean (SD) gestation was 50 (9.4) days. A total of 55/56 (98%) women had a successful procedure and did not require any further surgical or medical treatment. Fifty-five (98%) women were satisfied with the procedure, 48 (86%) said they Would recommend it to a friend and 45 (80%) said they would have the same method again in the future. Anxiety levels, as reflected by the visual analogue scales, showed a significant fall in anxiety scores following the procedure (p < 0.01).

Conclusions Surgical abortion using MVA under local anaesthesia is effective and acceptable to women. These findings now need to be assessed in the context of a randomised trial.

Original languageEnglish
Pages (from-to)185-188
Number of pages4
JournalJournal of Family Planning and Reproductive Health Care
Volume31
Publication statusPublished - 2005

Keywords

  • 1ST TRIMESTER ABORTION
  • 1ST-TRIMESTER ABORTION
  • INCOMPLETE ABORTION
  • MEDICAL ABORTION
  • MANAGEMENT

Cite this

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title = "Surgical abortion using manual vacuum aspiration under local anaesthesia: a pilot study of feasibility and women's acceptability",
abstract = "Objective Studies from the USA have reported the efficacy and high acceptability of surgical abortion using manual vacuum aspiration (MVA) under local anaesthesia. The aim of this study was to assess the feasibility, acceptability and efficacy of surgical abortion using MVA under local anaesthesia for termination of pregnancy up to 63 days' gestation, within a UK National Health Service setting.Methods Surgical abortion was carried out using MVA under local anaesthesia. Women's satisfaction with the procedure, and pain and anxiety levels, were assessed. The main outcome measures were: (1) feasibility assessed through successful completion of the procedure without the need for general anaesthetic or conversion to suction vacuum aspiration, (2) efficacy assessed through complete uterine evacuation without the need for further medical or surgical intervention and (3) women's acceptability of the procedure.Results The mean (SD) gestation was 50 (9.4) days. A total of 55/56 (98{\%}) women had a successful procedure and did not require any further surgical or medical treatment. Fifty-five (98{\%}) women were satisfied with the procedure, 48 (86{\%}) said they Would recommend it to a friend and 45 (80{\%}) said they would have the same method again in the future. Anxiety levels, as reflected by the visual analogue scales, showed a significant fall in anxiety scores following the procedure (p < 0.01).Conclusions Surgical abortion using MVA under local anaesthesia is effective and acceptable to women. These findings now need to be assessed in the context of a randomised trial.",
keywords = "1ST TRIMESTER ABORTION, 1ST-TRIMESTER ABORTION, INCOMPLETE ABORTION, MEDICAL ABORTION, MANAGEMENT",
author = "H Hamoda and Flett, {G M M} and Ashok, {P W} and A Templeton",
year = "2005",
language = "English",
volume = "31",
pages = "185--188",
journal = "Journal of Family Planning and Reproductive Health Care",
issn = "1471-1893",
publisher = "Royal College of Obstetricians and Gynaecologists",

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TY - JOUR

T1 - Surgical abortion using manual vacuum aspiration under local anaesthesia: a pilot study of feasibility and women's acceptability

AU - Hamoda, H

AU - Flett, G M M

AU - Ashok, P W

AU - Templeton, A

PY - 2005

Y1 - 2005

N2 - Objective Studies from the USA have reported the efficacy and high acceptability of surgical abortion using manual vacuum aspiration (MVA) under local anaesthesia. The aim of this study was to assess the feasibility, acceptability and efficacy of surgical abortion using MVA under local anaesthesia for termination of pregnancy up to 63 days' gestation, within a UK National Health Service setting.Methods Surgical abortion was carried out using MVA under local anaesthesia. Women's satisfaction with the procedure, and pain and anxiety levels, were assessed. The main outcome measures were: (1) feasibility assessed through successful completion of the procedure without the need for general anaesthetic or conversion to suction vacuum aspiration, (2) efficacy assessed through complete uterine evacuation without the need for further medical or surgical intervention and (3) women's acceptability of the procedure.Results The mean (SD) gestation was 50 (9.4) days. A total of 55/56 (98%) women had a successful procedure and did not require any further surgical or medical treatment. Fifty-five (98%) women were satisfied with the procedure, 48 (86%) said they Would recommend it to a friend and 45 (80%) said they would have the same method again in the future. Anxiety levels, as reflected by the visual analogue scales, showed a significant fall in anxiety scores following the procedure (p < 0.01).Conclusions Surgical abortion using MVA under local anaesthesia is effective and acceptable to women. These findings now need to be assessed in the context of a randomised trial.

AB - Objective Studies from the USA have reported the efficacy and high acceptability of surgical abortion using manual vacuum aspiration (MVA) under local anaesthesia. The aim of this study was to assess the feasibility, acceptability and efficacy of surgical abortion using MVA under local anaesthesia for termination of pregnancy up to 63 days' gestation, within a UK National Health Service setting.Methods Surgical abortion was carried out using MVA under local anaesthesia. Women's satisfaction with the procedure, and pain and anxiety levels, were assessed. The main outcome measures were: (1) feasibility assessed through successful completion of the procedure without the need for general anaesthetic or conversion to suction vacuum aspiration, (2) efficacy assessed through complete uterine evacuation without the need for further medical or surgical intervention and (3) women's acceptability of the procedure.Results The mean (SD) gestation was 50 (9.4) days. A total of 55/56 (98%) women had a successful procedure and did not require any further surgical or medical treatment. Fifty-five (98%) women were satisfied with the procedure, 48 (86%) said they Would recommend it to a friend and 45 (80%) said they would have the same method again in the future. Anxiety levels, as reflected by the visual analogue scales, showed a significant fall in anxiety scores following the procedure (p < 0.01).Conclusions Surgical abortion using MVA under local anaesthesia is effective and acceptable to women. These findings now need to be assessed in the context of a randomised trial.

KW - 1ST TRIMESTER ABORTION

KW - 1ST-TRIMESTER ABORTION

KW - INCOMPLETE ABORTION

KW - MEDICAL ABORTION

KW - MANAGEMENT

M3 - Article

VL - 31

SP - 185

EP - 188

JO - Journal of Family Planning and Reproductive Health Care

JF - Journal of Family Planning and Reproductive Health Care

SN - 1471-1893

ER -