New Evidence Available
Updated Recommendation
A new evidence synthesis was published:2022, Abortion care guideline
View latest version (2022)Bibliographic Info
GuidelineHealth worker roles in providing safe abortion care and post-abortion contraception
Year of Publication2015
Issuing InstitutionWorld Health Organization
Recommendation
Status
Retired
Context specific recommendation
Only in specific contexts
Management of uncomplicated incomplete abortion/miscarriage in the first trimester with vacuum aspiration. Health worker. Auxiliary nurses (AN) and auxiliary nurse midwives (ANM) Recommended in specific circumstances
Notes and Remarks
- 1.We recommend this option in contexts where established health systems mechanisms involve ANMs/ANs in providing basic emergency obstetric care, and where referral and monitoring systems are strong
- 2.While MVA is more commonly used and more likely in primary care settings, the skills required for EVA are similar; thus the recommendations above apply to the provision of either form of vacuum aspiration.
- 3.Uncomplicated incomplete abortion can result after an induced or spontaneous abortion (i.e. miscarriage). The management is identical and the above recommendations apply to both situations.
- 4.The evacuation of retained products is also a signal function of basic emergency obstetric care and training and implementation can be integrated with emergency obstetric care (EmOC) services."