Overview
This unit explains the various uterine evacuation options and why manual vacuum aspiration (MVA) and medical methods are especially useful in crisis settings; the safety, effectiveness, and possible complications of MVA and medical methods; and the importance of uterine evacuation with MVA as a backup to uterine evacuation with medications. Additionally, it reviews medical eligibility for select methods of postabortion contraception; how to provide method options counseling and contraceptive counseling, and how to obtain informed consent prior to uterine evacuation.
Objectives
By the end of this unit, participants will:
- Describe the various uterine evacuation options and explain why MVA and mifepristone and misoprostol are especially useful in crisis settings.
- Describe the safety, effectiveness, and possible complications of vacuum aspiration and mifepristone and misoprostol.
- Explain the importance of uterine evacuation with vacuum aspiration as a backup to uterine evacuation with medications.
- Discuss medical eligibility for select methods of postabortion contraception, including emergency contraception.
- Provide uterine evacuation method options counseling and contraceptive counseling for women seeking uterine evacuation.
- Obtain informed consent prior to uterine evacuation.
Timing & Methodology
Total: 90 minutes (1 hour, 30 minutes)
- 25 minutes: Facilitator Presentation and Group Discussion
- 20 minutes: Small Group Work: Case Studies
- 25 minutes: Facilitator Presentation and Group Discussion
- 20 minutes: Case Studies: Other Special Considerations
Preparation
- Print, download, and gather materials
- Arrange to ship or carry samples of mifepristone, misoprostol, and contraceptive methods with you
- Review included case studies and ensure they are appropriate for training setting
Resources Available Online
- Refer to the Facilitator's Guide for the Detailed Session Guide and list of materials needed for this unit
- Presentation
- Participant Workbook