Uterine Evacuation in Crisis Settings Using Manual Vacuum Aspiration
- Updated 7/27/2021
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Overview
The Uterine Evacuation in Crisis Settings Using Manual Vacuum Aspiration outreach refresher training is designed for clinical trainers leading a refresher course for clinicians already familiar with intrauterine procedures, including manual vacuum aspiration (MVA). This includes midwives, nurses, general practice physicians, obstetricians/gynecologists, and others who will provide first-trimester uterine evacuation in crisis settings. Participating health care workers will learn the knowledge and skills to provide first-trimester uterine evacuation using Ipas MVA Plus® and EasyGrip Cannulae®.
This course focuses on the use of MVA, rather than comprehensive abortion or postabortion care. It does not cover uterine evacuation with medications unless delivered as a combined course with the Uterine Evacuations in Crisis Settings Using Medication module for training in both technologies. For broader training materials on comprehensive abortion care and comprehensive postabortion care, refer to the Ipas Woman-Centered, Comprehensive Abortion Care Facilitator’s Manual (2nd ed.) and other Ipas curricula, available on the Ipas website.
Additionally, the training includes discussions and activities that promote the sustainability of services and address ongoing training needs where there is high staff turnover. The course is designed for in-person training workshops in crisis settings with limited resources. The training can take place onsite or offsite in a nearby referral facility.
Course Materials
Components
Course components include:
- Presentation slides
- Case studies
- Interactive activities
- Pre- and post-tests
- Skills checklists and other job-aids
Options to Download Course Materials
You can access the materials for planning and managing the Uterine Evacuation in Crisis Settings Using Manual Vacuum Aspiration clinical outreach refresher training using the following links:
- Download all materials in a single zip folder
- Download the full facilitator’s guide, participant’s workbook, and PowerPoint presentation.
- View all additional references and resources.
- Download the individual materials from their associated units, listed below.
Course Units
The training is divided into eight units.
Unit 1: Course Overview
This unit introduces participants to each other, the course overview, and the course objectives.
Unit 2: Uterine Evacuation in Crisis Settings
This unit explains why uterine evacuation is an essential part of reproductive health services in crisis settings; explores comfort levels in discussing, advocating, and providing uterine evacuation services; and reviews the current abortion law in the setting and how it relates to what and how services are provided.
Unit 3: Uterine Evacuation Methods
This unit explains the options for uterine evacuation and why they are especially useful in crisis settings, uterine evacuation procedure options counseling, and obtaining informed consent prior to uterine evacuation.
Unit 4: MVA Refresher
This unit describes the Ipas MVA Plus® and Ipas Easy Grip Cannulae®; how to process MVA instruments in accordance with local regulations and with locally available products/systems; how to provide uterine evacuation with the Ipas MVA Plus®.
Unit 5: Pain Management and Continued Simulated Practice
This unit describes how to create a pain management plan with the patient and how to simulate a uterine evacuation procedure using Ipas MVA Plus® on a pelvic model.
Feedback on the Training Materials
The IAWG Training Partnership Initiative is interested in hearing from you. Please share any questions or feedback to info.iawg@wrcommission.org regarding the training materials and their use in your context.