AVM

Oleh : Anastasia Widha

Sylviani
Pembimbing : Dr. Dean, Sp.
Og (K)

What is AVM?
AVM is a manual vacuum. This
procedure can be used around 5 to
12 weeks after the last menstrual
period (early first trimester). It
involves the use of a specially
designed syringe to apply suction

 Manual vacuum aspiration usually

takes between 5 and 15 minutes. It
can be done safely in a clinic or
medical office using local anesthetic
and a nonsteroidal
anti-inflammatory drug (NSAID),
such as ibuprofen

99.5% Effective
Procedure is repeated for
the 0.5% failures

Lower Cost
Quieter than a machine
pump
Can remove full
gestational sac

MVA: The Procedure

Speculum inserted
Clean the vagina and cervix with an antiseptic
solution.
Possible injection of numbing medication
in/near cervix
Dilation:
Increasingly thick rods
Absorbent Dilators- take in fluid/stretch cervix (generally overnight)
Medication

Tube inserted into uterus via cervix

Hand-held pump flushes uterus

MVA: Side Effects

Despite being a safer method, MVA
still has its side effects:
Abdominal cramping/pain
Bleeding
Several days of heavy bleeding
Spotting for up to 6 weeks

Rare, but more severe, complications:

Uterine/Cervical perforation
Pelvic Infection
Excess Bleeding

After the procedure:

Take your full course of prescribed antibiotics to

prevent infection.
Rest quietly for the day. You can do normal
activities the following day, based on how you
feel.
Acetaminophen (such as Tylenol) or ibuprofen
(such as Advil) can help relieve cramping pain.
Do not have sexual intercourse for at least 1
week. Use birth control following the abortion.
And use condoms to prevent infection. You can
start certain birth control methods right after the
procedure.

Signs of complications
Severe bleeding. Both medical and surgical abortions
usually cause bleeding that is different from a normal
menstrual period. Severe bleeding can mean:
Passing clots that are bigger than a golf ball, lasting 2 or more
hours.
Soaking more than 2 large pads in an hour, for 2 hours in a row.
Bleeding heavily for 12 hours in a row.

Signs of infection in your whole body, such as headache,

muscle aches, dizziness, or a general feeling of illness.
Severe infection is possible without fever.
Severe pain in the abdomen that is not relieved by pain
medicine, rest, or heat
Vaginal discharge that has increased in amount or smells
bad Pain, swelling, or redness in the genital area

Citations
Guttmacher Institute (2011). In Brief:
Facts on Induced Abortion in the
United States. Available online:
http://www.guttmacher.org/pubs/fb_i
nduced_abortion.html.